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        <ContributorUSAddress>
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        <BookValueAmt>956045</BookValueAmt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <TotalCompensationFilingOrgAmt>241647</TotalCompensationFilingOrgAmt>
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        <Desc>VACCINES</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2063372</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>RENT</Desc>
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        <NoncashContributionsRptF990Amt>129914</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>UTILITIES</Desc>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>18328</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER THE AMOUNT REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2023 FORM 990 WAS PREPARED BY FORVIS MAZARS, LLP AND THEN REVIEWED IN DETAIL BY MANAGEMENT PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL DISCLOSURE FORM MUST BE SIGNED BY BOARD MEMBERS AND OFFICERS. THE ORGANIZATION REVIEWS SITUATIONS THAT CAUSE CONFLICTS THROUGHOUT THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION IS SET BY THE BOARD OF DIRECTORS. SALARY SURVEYS ARE UTILIZED TO DETERMINE APPROPRIATE SALARY RANGES. DELIBERATIONS ARE DOCUMENTED IN THE BOARD MINUTES. A COMPENSATION SURVEY WAS CONDUCTED IN 2023 BY AMANDA BLUM, DIRECTOR OF HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO REVIEWS THE COMPENSATION PACKAGES OF OTHER OFFICERS AND KEY EMPLOYEES ANNUALLY UTILIZING APPLICABLE SALARY SURVEYS TO DETERMINE THE SCALE OF PAY. PHYSICIANS SIGN INDIVIDUAL EMPLOYMENT CONTRACTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLCY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
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