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      <NetIncmFromFundraisingEvtGrp>
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      <NetIncomeFromGamingGrp>
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      <NetIncomeOrLossGrp>
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      <OtherRevenueMiscGrp>
        <Desc>Other revenue</Desc>
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        <RelatedOrExemptFuncIncomeAmt>29435</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>65000</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>18599</ProgramServicesAmt>
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        <ProgramServicesAmt>1235242</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>78395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33464</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>1938222</ProgramServicesAmt>
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        <FundraisingAmt>44094</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ManagementAndGeneralAmt>2149</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
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        <FundraisingAmt>61768</FundraisingAmt>
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        <ManagementAndGeneralAmt>29693</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>1505</ProgramServicesAmt>
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      <TravelGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>27439</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>91101</ProgramServicesAmt>
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        <ProgramServicesAmt>68097</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9818</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>72911</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>25975</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Grant expense</Desc>
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        <ProgramServicesAmt>20891</ProgramServicesAmt>
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        <ProgramServicesAmt>50825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25017</ManagementAndGeneralAmt>
        <FundraisingAmt>6100</FundraisingAmt>
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        <ProgramServicesAmt>3815753</ProgramServicesAmt>
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        <FundraisingAmt>111962</FundraisingAmt>
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        <EOYAmt>878287</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <InvestmentsProgramRelatedGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>84723</EOYAmt>
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      <DeferredRevenueGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>536641</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>621364</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>1398958</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>4992349</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>1441814</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>false</FSAuditedInd>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <ChurchInd>X</ChurchInd>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <DepreciationAmt>104478</DepreciationAmt>
        <BookValueAmt>699419</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>149782</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1185412</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>5940021</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>5940021</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>5940021</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4498207</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4498207</ExpensesSubtotalAmt>
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        <OfficesCnt>3</OfficesCnt>
        <EmployeeCnt>14</EmployeeCnt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
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        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Medical assistance &amp; care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>82377</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East</RegionTxt>
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        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Medical assistance &amp; care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>16166</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
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        <EmployeeCnt>4</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Medical assistance &amp; care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>27163</RegionTotalExpendituresAmt>
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      <SubtotalOfficesCnt>24</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>77</SubtotalEmployeesCnt>
      <TotalOfficeCnt>24</TotalOfficeCnt>
      <TotalEmployeeCnt>77</TotalEmployeeCnt>
      <SubtotalSpentAmt>1235242</SubtotalSpentAmt>
      <TotalSpentAmt>1235242</TotalSpentAmt>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Field Staff Expenses</TypeOfAssistanceTxt>
        <RegionTxt>Cent Amer/Caribbean</RegionTxt>
        <RecipientCnt>14</RecipientCnt>
        <CashGrantAmt>236359</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ACH</MannerOfCashDisbursementTxt>
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      <ForeignIndividualsGrantsGrp>
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        <RegionTxt>Europe</RegionTxt>
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        <RegionTxt>MIddle East</RegionTxt>
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        <MannerOfCashDisbursementTxt>ACH</MannerOfCashDisbursementTxt>
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        <TypeOfAssistanceTxt>Field Staff Expenses</TypeOfAssistanceTxt>
        <RegionTxt>South Asia</RegionTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>82377</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ACH</MannerOfCashDisbursementTxt>
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      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Field Staff Expenses</TypeOfAssistanceTxt>
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        <RecipientCnt>57</RecipientCnt>
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        <MannerOfCashDisbursementTxt>ACH</MannerOfCashDisbursementTxt>
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      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
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      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3f - Method of Accounting</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization grants money based upon the cash basis of accounting but maintains its books and records on the accrual basis of accounting in accordance with generally accepted accounting procedures.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3f - Investments and Expenditures</FormAndLineReferenceDesc>
        <ExplanationTxt>Investments and expenditures in the region are to fulfill the mission of the organization of providing medical assistance and medical training to those who would not have ready access to it otherwise.</ExplanationTxt>
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          <BusinessNameLine1Txt>Envoy Global Health</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3229 PREMIER DR STE 200</AddressLine1Txt>
          <CityNm>IRVING</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75063</ZIPCd>
        </USAddress>
        <RecipientEIN>923494203</RecipientEIN>
        <CashGrantAmt>65000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Program services</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Program services</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>18599</CashGrantAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Greg Seager, President/CEO and Candi Seager, VP/Treasurer, are married.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization provides the Form 990 for review by board members prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Disclosure of any conflict of interest is made to the board by each board member on an annual basis. The board determines whether a conflict exists and is material, and in the presence of an existing material conflict, whether the contemplated transaction may be authorized as just, fair and reasonable as to the organization. The decisions on these matters are the sole discretion of the board whose first concern is the welfare of the organization and the advancement of its purpose.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Compensation for the President/CEO is reviewed and approved by the board of directors on an annual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's Forms 990 and organizing documents are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
