<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-07-19T12:02:39-00:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>873231666</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>PKF O'CONNOR DAVIES ADVISORY LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>245 PARK AVENUE</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10167</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>237297651</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>PROJECT ORBIS INTERNATIONAL INC</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% Robert Dallas</InCareOfNm>
      <BusinessNameControlTxt>PROJ</BusinessNameControlTxt>
      <PhoneNum>6466745504</PhoneNum>
      <USAddress>
        <AddressLine1Txt>52 VANDERBILT AVENUE 8TH FLOOR</AddressLine1Txt>
        <CityNm>New York</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10017</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Danusia Dzierzbinski</PersonNm>
      <PersonTitleTxt>CFAO Treasurer</PersonTitleTxt>
      <PhoneNum>6466745517</PhoneNum>
      <SignatureDt>2024-07-19</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>Danusia</PersonFirstNm>
        <PersonLastNm>Dzierzbinski</PersonLastNm>
      </PersonFullName>
      <SSN>XXX-XX-XXXX</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>GARRETT M HIGGINS</PreparerPersonNm>
      <PTIN>P00543209</PTIN>
      <PhoneNum>9143818900</PhoneNum>
      <PreparationDt>2024-07-19</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2023</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="990" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <PrincipalOfcrBusinessName>
        <BusinessNameLine1Txt>Derek Hodkey</BusinessNameLine1Txt>
      </PrincipalOfcrBusinessName>
      <USAddress>
        <AddressLine1Txt>Sames as c above</AddressLine1Txt>
        <CityNm>New York</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10017</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>290914196</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ORBIS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1973</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>ORBIS BUILDS STRONG AND SUSTAINABLE EYE CARE SYSTEMS GLOBALLY THAT PUT TREATMENT AND PREVENTION WITHIN REACH</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>15</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>74</TotalEmployeeCnt>
      <TotalVolunteersCnt>200</TotalVolunteersCnt>
      <TotalGrossUBIAmt>221771</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>93113</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>137517382</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>258512017</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>313591</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>488615</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>505250</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>764584</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>422082</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>107488</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>138758305</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>259872704</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>6479671</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>10528095</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>20806754</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>22390696</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>403529</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>319150</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>9571389</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>106362519</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>232337380</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>134052473</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>265575321</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>4705832</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-5702617</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>77767732</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>70753642</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>13059602</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>10825809</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>64708130</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>59927833</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>ORBIS BUILDS STRONG AND SUSTAINABLE EYE CARE SYSTEMS GLOBALLY THAT PUT TREATMENT AND PREVENTION WITHIN REACH.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>246412058</ExpenseAmt>
      <GrantAmt>10528095</GrantAmt>
      <RevenueAmt>488615</RevenueAmt>
      <Desc>SEE DETAILED PROGRAM ACCOMPLISHMENTS ON SCHEDULE O</Desc>
      <TotalProgramServiceExpensesAmt>246412058</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="990A">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="990B">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="990D">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="990D">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="990D">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="990D">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="990D">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd>false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>true</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="990F">true</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="990F">true</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="990G">true</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="990G">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="990G">true</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="990J">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="990M">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>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>
      <IRPDocumentCnt>30</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>74</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>true</ForeignFinancialAccountInd>
      <ForeignCountryCd>MG</ForeignCountryCd>
      <ForeignCountryCd>HK</ForeignCountryCd>
      <ForeignCountryCd>IN</ForeignCountryCd>
      <ForeignCountryCd>BG</ForeignCountryCd>
      <ForeignCountryCd>SF</ForeignCountryCd>
      <ForeignCountryCd>ZA</ForeignCountryCd>
      <ForeignCountryCd>ET</ForeignCountryCd>
      <ForeignCountryCd>VM</ForeignCountryCd>
      <ForeignCountryCd>CH</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>true</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>true</PoliciesReferenceChaptersInd>
      <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>AR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>HI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ND</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NM</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>RI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>TN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>VA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WV</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DANUSIA DZIERZBINSKI</PersonNm>
        <PhoneNum>6466745517</PhoneNum>
        <USAddress>
          <AddressLine1Txt>52 VANDERBILT AVENUE 8TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEREK HODKEY</PersonNm>
        <TitleTxt>PRESIDENT CEO</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>430420</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54738</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANUSIA DZIERZBINSKI</PersonNm>
        <TitleTxt>TREASURER CFAO</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>342404</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32137</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM GOLDSMITH-N'DIAYE</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>294669</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30318</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY JANE JAMAR</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>290309</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30037</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DORIS MACHARIA</PersonNm>
        <TitleTxt>SENIOR VP - GLOBAL PROGRAMS</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>300000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12326</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HUNTER CHERWEK</PersonNm>
        <TitleTxt>VICE PRESIDENT OF CLINICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>278822</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28952</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MANU NATHAN</PersonNm>
        <TitleTxt>GENERAL COUNSEL CHIEF COMPLIANCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>278624</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18900</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY LAU</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR - HONG KONG</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>262451</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17693</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATARZYNA BIEZCHUDEK</PersonNm>
        <TitleTxt>VP, LEADERSHIP GIVING</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>215494</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48773</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR, AIRCRAFT OPERATIONS MAINTENANCE</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>216391</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37397</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELISE CARLSON</PersonNm>
        <TitleTxt>GLOBAL DIRECTOR, FOUNDATIONS GOVERNMENT RELATIONS</TitleTxt>
        <AverageHoursPerWeekRt>037.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>212621</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14389</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN P HOWITT</PersonNm>
        <TitleTxt>CHAIRMAN, DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANA L WHEELER</PersonNm>
        <TitleTxt>VICE CHAIR, SECRETARY, DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DAVID S FRIEDMAN</PersonNm>
        <TitleTxt>VICE CHAIRMAN DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUSTIN BROWNLEE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON DOGONNIUCK THROUGH MAY 23</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES FORBES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIE FRIEDMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR GIL KLIMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMBASSADOR PATRICIA MOLLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAM PALANKI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH MOTSCHWILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIAN PAULL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIAN BLOCK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA LENSING THROUGH JUNE 23</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN SLATTERY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR MALIK Y KAHOOK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES KNIGHT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3122205</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>325660</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>39</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MK Direct Marketing &amp; Communications</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>612 East Jefferson Street - 2nd Fl</AddressLine1Txt>
            <CityNm>Charlottesville</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22902</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Fundraising</ServicesDesc>
        <CompensationAmt>319150</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Noelle Whitestone</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>210 South Ivy Street</AddressLine1Txt>
            <CityNm>Denver</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting - Clinical Services</ServicesDesc>
        <CompensationAmt>164947</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KT Production</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <ForeignAddress>
            <AddressLine1Txt>810 SE Sherman Street</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <CountryCd>NL</CountryCd>
            <ForeignPostalCd>RI 02885</ForeignPostalCd>
          </ForeignAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting - Visual</ServicesDesc>
        <CompensationAmt>142570</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1104039</FundraisingAmt>
      <GovernmentGrantsAmt>212366516</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>45041462</AllOtherContributionsAmt>
      <NoncashContributionsAmt>213313157</NoncashContributionsAmt>
      <TotalContributionsAmt>258512017</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Program service income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>488615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>266844</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>221771</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>488615</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>760252</TotalRevenueColumnAmt>
        <ExclusionAmt>760252</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>30331967</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>30327635</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>4332</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4332</TotalRevenueColumnAmt>
        <ExclusionAmt>4332</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>42525</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1104039</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>685727</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-643202</TotalRevenueColumnAmt>
        <ExclusionAmt>-643202</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>626481</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>28130</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>598351</TotalRevenueColumnAmt>
        <ExclusionAmt>598351</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>111282</TotalRevenueColumnAmt>
        <ExclusionAmt>111282</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LIST SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>41057</TotalRevenueColumnAmt>
        <ExclusionAmt>41057</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>152339</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>259872704</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>266844</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>221771</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>872072</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>10528095</TotalAmt>
        <ProgramServicesAmt>10528095</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2092375</TotalAmt>
        <ProgramServicesAmt>457874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1260998</ManagementAndGeneralAmt>
        <FundraisingAmt>373503</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>16765359</TotalAmt>
        <ProgramServicesAmt>8456142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4140427</ManagementAndGeneralAmt>
        <FundraisingAmt>4168790</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>917640</TotalAmt>
        <ProgramServicesAmt>532447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195965</ManagementAndGeneralAmt>
        <FundraisingAmt>189228</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2008398</TotalAmt>
        <ProgramServicesAmt>1134618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>480111</ManagementAndGeneralAmt>
        <FundraisingAmt>393669</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>606924</TotalAmt>
        <ProgramServicesAmt>263159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219505</ManagementAndGeneralAmt>
        <FundraisingAmt>124260</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>112228</TotalAmt>
        <ProgramServicesAmt>36685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58880</ManagementAndGeneralAmt>
        <FundraisingAmt>16663</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>266556</TotalAmt>
        <ProgramServicesAmt>82361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171831</ManagementAndGeneralAmt>
        <FundraisingAmt>12364</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>319150</TotalAmt>
        <FundraisingAmt>319150</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>61057</TotalAmt>
        <ManagementAndGeneralAmt>61057</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1775829</TotalAmt>
        <ProgramServicesAmt>966926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306559</ManagementAndGeneralAmt>
        <FundraisingAmt>502344</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>2215103</TotalAmt>
        <ProgramServicesAmt>821492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>364326</ManagementAndGeneralAmt>
        <FundraisingAmt>1029285</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2489781</TotalAmt>
        <ProgramServicesAmt>454819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>511960</ManagementAndGeneralAmt>
        <FundraisingAmt>1523002</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1263724</TotalAmt>
        <ProgramServicesAmt>652900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>531650</ManagementAndGeneralAmt>
        <FundraisingAmt>79174</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1350664</TotalAmt>
        <ProgramServicesAmt>433920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>575173</ManagementAndGeneralAmt>
        <FundraisingAmt>341571</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>2466104</TotalAmt>
        <ProgramServicesAmt>2122445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159618</ManagementAndGeneralAmt>
        <FundraisingAmt>184041</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>33435</TotalAmt>
        <ProgramServicesAmt>32826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38</ManagementAndGeneralAmt>
        <FundraisingAmt>571</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2084302</TotalAmt>
        <ProgramServicesAmt>1947846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44107</ManagementAndGeneralAmt>
        <FundraisingAmt>92349</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>742219</TotalAmt>
        <ProgramServicesAmt>517781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134108</ManagementAndGeneralAmt>
        <FundraisingAmt>90330</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>214934051</TotalAmt>
        <ProgramServicesAmt>214934051</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Aircraft operations and fuel</Desc>
        <TotalAmt>1448270</TotalAmt>
        <ProgramServicesAmt>1448270</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment rental and maintenance</Desc>
        <TotalAmt>537040</TotalAmt>
        <ProgramServicesAmt>528433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>280</ManagementAndGeneralAmt>
        <FundraisingAmt>8327</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>557017</TotalAmt>
        <ProgramServicesAmt>58968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>375281</ManagementAndGeneralAmt>
        <FundraisingAmt>122768</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>265575321</TotalAmt>
        <ProgramServicesAmt>246412058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9591874</ManagementAndGeneralAmt>
        <FundraisingAmt>9571389</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7405023</BOYAmt>
        <EOYAmt>9744412</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>12554976</BOYAmt>
        <EOYAmt>13877204</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>8812520</BOYAmt>
        <EOYAmt>3284137</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3937618</BOYAmt>
        <EOYAmt>1978360</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1545764</BOYAmt>
        <EOYAmt>1998166</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3162030</BOYAmt>
        <EOYAmt>1153275</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>40167659</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>16564146</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>25650163</BOYAmt>
        <EOYAmt>23603513</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>10757603</BOYAmt>
        <EOYAmt>11724403</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3942035</BOYAmt>
        <EOYAmt>3390172</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>77767732</BOYAmt>
        <EOYAmt>70753642</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2853068</BOYAmt>
        <EOYAmt>2682469</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>6174742</BOYAmt>
        <EOYAmt>4552084</EOYAmt>
      </GrantsPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>4031792</BOYAmt>
        <EOYAmt>3591256</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>13059602</BOYAmt>
        <EOYAmt>10825809</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>44291860</BOYAmt>
        <EOYAmt>44454908</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>20416270</BOYAmt>
        <EOYAmt>15472925</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>64708130</BOYAmt>
        <EOYAmt>59927833</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>77767732</BOYAmt>
        <EOYAmt>70753642</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-5702617</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1398865</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>-148658</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>-327887</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>48</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>230131504</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>361669592</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>137517382</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>258512017</CurrentTaxYearAmt>
        <TotalAmt>987830543</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>48</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>230131504</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>361669592</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>137517382</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>258512017</CurrentTaxYearAmt>
        <TotalAmt>987830543</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>987830543</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>159922</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>180467</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>218676</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>370642</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>760252</CurrentTaxYearAmt>
        <TotalAmt>1689959</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus2YearsAmt>162962</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>125184</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48262</CurrentTaxYearAmt>
        <TotalAmt>336408</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1095373</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1106416</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>987730</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>803558</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>152339</CurrentTaxYearAmt>
        <TotalAmt>4145416</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>994002326</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>266844</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99380</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99510</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <FactsAndCircumstancesTestTxt>Part II Section B Line 10 Other income includes list service revenue and miscellaneous income rebates, credits, fees, etc.</FactsAndCircumstancesTestTxt>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <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="990D" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>10487350</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1371284</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>347366</OtherExpendituresAmt>
        <EndYearBalanceAmt>11511268</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>12663961</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-1854330</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>322281</OtherExpendituresAmt>
        <EndYearBalanceAmt>10487350</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>8082959</BeginningYearBalanceAmt>
        <ContributionsAmt>4343640</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>576481</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>339119</OtherExpendituresAmt>
        <EndYearBalanceAmt>12663961</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>429078</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>398508</DepreciationAmt>
        <BookValueAmt>30570</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2339677</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1663256</DepreciationAmt>
        <BookValueAmt>676420</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>37398904</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14502382</DepreciationAmt>
        <BookValueAmt>22896523</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>23603513</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liabilities</Desc>
        <Amt>3591256</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3591256</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>262791265</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1398865</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>1580753</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>2979618</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>259811647</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>61057</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>61057</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>259872704</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>267571562</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1729411</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>327887</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>2057298</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>265514264</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>61057</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>61057</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>265575321</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Orbis was incorporated in the State of New York and is exempt from Federal and State Income Taxes under section 501c3 of the Internal Revenue Code The Code. The Internal Revenue Service IRS has ruled that pursuant to section 501c3 of The Code, Orbis is exempt from Federal Income Taxes and is a publicly supported organization, as defined in section 509a1 of The Code. As a Not-For-Profit Organization, Orbis is also exempt from State and Local Income Taxes. Accordingly, Orbis is not subject to Income Taxes except to the extent it has taxable income from activities that are not related to its exempt purposes. Orbis utilizes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. No provision for income taxes was required for Fiscal Year 2023 or 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>V 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Board-Designated Endowment The board of directors has established a fund to provide for the long term financial stability of Orbis. The purpose of this fund is to provide a mechanism for the board of directors to set aside and invest certain fund. Accordingly, the board of directors has designated portions of surpluses in operating funds for this purpose. Donor-Restricted Endowment In further support of the long-term financial stability of the organization, Orbis received donations for which the principal must be maintained in perpetuity. Orbis maintains a spending rate policy on the invested assets. The spending rate policy was designed to preserve the value of the investment portfolio in real terms and to reduce the impact of market fluctuations on operations. The spending rate used for operations is set at 4.0 of the prior two year rolling average fair value.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="990F" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>47</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>FUNDRAISING AND OPERATIONS</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>4883287</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>510117</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>4</OfficesCnt>
        <EmployeeCnt>27</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>2562832</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>11998</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <EmployeeCnt>3</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>479145</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>1353294</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>3</OfficesCnt>
        <EmployeeCnt>35</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1563193</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>8652686</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>3</OfficesCnt>
        <EmployeeCnt>84</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>216556595</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>11</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>196</SubtotalEmployeesCnt>
      <TotalOfficeCnt>11</TotalOfficeCnt>
      <TotalEmployeeCnt>196</TotalEmployeeCnt>
      <SubtotalSpentAmt>236573147</SubtotalSpentAmt>
      <TotalSpentAmt>236573147</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>79010</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>51858</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>41162</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>31471</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>29192</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>29125</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>20312</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>18662</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>17491</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>12670</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>9216</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>8469</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>8320</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>7212</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>6739</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>6109</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>164207</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>159652</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>150513</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>116040</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>112607</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>94716</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>74807</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>69369</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>67025</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>58957</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>57168</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>39003</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>36056</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>25084</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>17659</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>14318</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>12732</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>11264</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>10844</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>8882</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>8346</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>2953850</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>889834</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>488066</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>408366</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>385134</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>349968</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>318453</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>297619</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>260099</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>225611</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>223324</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>180453</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>113884</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>96355</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>82534</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>79191</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>48991</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>44522</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>33654</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>33159</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>31864</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>31538</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>17379</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>13438</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>11167</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>10139</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Programs, Supplies, and Equipment</PurposeOfGrantTxt>
        <CashGrantAmt>7519</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <TotalOtherOrgCnt>61</TotalOtherOrgCnt>
      <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 outside the United States through a combination of site visits in which the organization monitors the progress of the grants and the final financial and programmtic reports as specified in the donor agreement.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="990G" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MKDM</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>612 EAST JEFFERSON STREET 2ND FLOOR</AddressLine1Txt>
          <CityNm>CHARLOTTESVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22902</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT MARKETING</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>2835999</GrossReceiptsAmt>
        <RetainedByContractorAmt>319150</RetainedByContractorAmt>
        <NetToOrganizationAmt>2516849</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>2835999</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>319150</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>2516849</TotalNetToOrganizationAmt>
      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>DC</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>HI</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <LicensedStatesCd>KS</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MO</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NV</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
      <LicensedStatesCd>WV</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Annual Gala</Event1Nm>
        <GrossReceiptsEvent1Amt>409389</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>366864</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>42525</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>253923</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Mid Autumn</Event2Nm>
        <GrossReceiptsEvent2Amt>379830</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>379830</CharitableContriEvent2Amt>
        <OtherDirectExpensesEvent2Amt>96442</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>6</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>357345</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>357345</CharitableContriOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>335362</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>1146564</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1104039</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>42525</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>685727</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>685727</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-643202</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>626481</GrossRevenueOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>28130</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>false</VolunteerLaborOtherGamingInd>
        <GrossRevenueTotalGamingAmt>626481</GrossRevenueTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>28130</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>28130</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>598351</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>false</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>1.00000</GamingOwnFacilityPct>
      <IndividualWithBooksNm>Ada Cheung Pui Fan</IndividualWithBooksNm>
      <PersonsWithBooksForeignAddress>
        <AddressLine1Txt>21 HUNG TO ROAD</AddressLine1Txt>
        <CityNm>KWUN TONG</CityNm>
        <ProvinceOrStateNm>KOWLOON</ProvinceOrStateNm>
        <CountryCd>HK</CountryCd>
      </PersonsWithBooksForeignAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>Ho Wan</GamingManagerPersonNm>
      <GamingManagerServicesProvTxt>PLANNING AND EXECUTION</GamingManagerServicesProvTxt>
      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>Gaming was conducted outside the United States</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="990J" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEREK HODKEY</PersonNm>
        <TitleTxt>PRESIDENT CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>430420</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34938</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>485158</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANUSIA DZIERZBINSKI</PersonNm>
        <TitleTxt>TREASURER CFAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>342404</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12337</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>374541</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MANU NATHAN</PersonNm>
        <TitleTxt>GENERAL COUNSEL CHIEF COMPLIANCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>278624</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16718</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2182</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>297524</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY LAU</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR - HONG KONG</TitleTxt>
        <BaseCompensationFilingOrgAmt>280144</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15747</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1946</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>297837</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATARZYNA BIEZCHUDEK</PersonNm>
        <TitleTxt>VP, LEADERSHIP GIVING</TitleTxt>
        <BaseCompensationFilingOrgAmt>215494</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13884</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34890</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>264268</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELISE CARLSON</PersonNm>
        <TitleTxt>GLOBAL DIRECTOR, FOUNDATIONS GOVERNMENT RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>212621</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13107</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1283</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>227011</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID HUNTER CHERWEK</PersonNm>
        <TitleTxt>VICE PRESIDENT OF CLINICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>278822</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17161</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11791</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>307774</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR, AIRCRAFT OPERATIONS MAINTENANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>216391</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13437</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23960</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>253788</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY JANE JAMAR</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>290309</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12337</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>320346</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DORIS MACHARIA</PersonNm>
        <TitleTxt>SENIOR VP - GLOBAL PROGRAMS</TitleTxt>
        <BaseCompensationFilingOrgAmt>300000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12326</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312326</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIM GOLDSMITH-N'DIAYE</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>269669</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>25000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18063</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12256</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>324988</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>During the reporting year, a one time payment of 25,000 was paid to Kim Goldsmith-NDiaye.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>213145972</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Pricing Source Inputs</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Travel and Hospitality</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>167185</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market Quotation</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>1</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions relates to the quantity of drugs and tranches delivered into Ethiopia as was as many medical supplies donated throughout the year across programs making the amount difficult to estimate. Headquarters does not track the individual donated items but records in the aggregate. The underlying documentation held reflects the detailed invoices and value of the quantities recorded.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 25</FormAndLineReferenceDesc>
        <ExplanationTxt>Data is the number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Section 1, Line Paragraph A</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2023, Orbis Internationals global programs made significant strides in designing and implementing comprehensive eye care approaches that included eye screenings and examinations, care and treatment, training of healthcare professionals, and community awareness campaigns. A total of 66 active programs were implemented in 11 countries Bangladesh, Bolivia, China, Ethiopia, Ghana, India, Mongolia, Peru, South Africa, Vietnam and Zambia through 328 strategic partners and in 41 new program locations. By the end of 2023, Orbis had supported a total of 542 health facilities, conducted 2,746,824 eye screenings and examinations, enabled 647,743 patient visits to health facilities, prescribed 88,358 eyeglasses, conducted 32,076 trainings, and supported 24,168 eye surgeries. Additionally, 8,848,523 doses of Azithromycin and Tetracycline eye ointment were distributed in Ethiopia to meet the goals of the Trachoma Elimination program. There were 24 Hospital Based Trainings conducted in country programs using a blended learning approach. It is worthy to note that the Flying Eye Hospital FEH conducted their first ever Artificial Intelligence simulation aboard the airplane. The workshop was delivered remotely by the Cybersight team while trainees participated hands-on in the FEH classroom. Two in-person FEH training programs were held in Vietnam and Zambia, and a virtual program convened in Chile. Cybersight Orbis Internationals digital training platform expanded its global reach and had 15,085 new users, a 20 growth. There was also a 33 growth in Cybersight library content, with 350 multi-language items added, including lectures, quizzes, surgical videos, textbooks, and manuals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Section 1, Line Paragraph B</FormAndLineReferenceDesc>
        <ExplanationTxt>Orbis programs in Asia incorporated diversity, crafting solutions sensitive to cultural nuances and community dynamics. Key program success stories that exemplify Orbis commitment to holistic care include Medical Social Worker Intervention, Digital Training Hubs, outreach to hard-to-reach populations, and Orbis Women Led Green Vision Center model, exemplifies our commitment to holistic care. In Africa, the administration of the 100th million dose of azithromycin in Ethiopia, the integration of primary eye care in Ghana and the uptake of human resources for eye health in Zambia underscore the dedication to global eye health impact. In Latin America, program efforts spanned from combating Diabetic Retinopathy, replicating the Vision Center model to pioneering a design of the new Spanish gender equity in eye care course in Cybersight.</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 by the Human Resources Department and presented to the Board of Directors for their deliberation and determination.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for senior management is discussed and approved by the CEO. Documentation of discussions in relation to compensation is documented with the Human Resources Department. This process involves gathering and analyzing comparable data, deliberation and determination that is conducted by the 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>F/X Gain Loss 125,377, Inventory Obsolescence 161,968 , and Asset Disposal 40,542</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors Committee members, Officers and Key Employees must complete the conflict of interest form annually. Any newly appointed individual during the year will complete the form upon hire or joining the Board of Directors. The General Counsel monitors and enforces compliance of the Conflict of Interest policy. The General Counsel in case of employees and the Audit Committee in the case of the Board 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by the Controller and reviewed by the CFO prior to presenting to the Audit Committee and sending to the Board of Directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
