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        <RelatedOrExemptFuncIncomeAmt>427714290</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>BILLING FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>4764578</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4764578</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LIVING ORGAN DONOR NET</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>317107</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>317107</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HISTOCOMPABILITY COURS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>54900</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54900</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>432850875</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>237420</TotalRevenueColumnAmt>
        <ExclusionAmt>237420</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>25000</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>25000</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>25000</TotalRevenueColumnAmt>
        <ExclusionAmt>25000</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>24594</TotalRevenueColumnAmt>
        <ExclusionAmt>24594</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>24594</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>433137889</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>4764578</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>287014</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>33178</TotalAmt>
        <ProgramServicesAmt>33178</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>554631</TotalAmt>
        <ManagementAndGeneralAmt>554631</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>165539</TotalAmt>
        <ManagementAndGeneralAmt>165539</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>6051</TotalAmt>
        <ManagementAndGeneralAmt>6051</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1715</TotalAmt>
        <ManagementAndGeneralAmt>1715</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>39832</TotalAmt>
        <ManagementAndGeneralAmt>39832</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>32792</TotalAmt>
        <ManagementAndGeneralAmt>32792</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>43025</TotalAmt>
        <ManagementAndGeneralAmt>43025</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>18148</TotalAmt>
        <ManagementAndGeneralAmt>18148</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>9550</TotalAmt>
        <ManagementAndGeneralAmt>9550</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>37187</TotalAmt>
        <ManagementAndGeneralAmt>37187</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>ORGAN SAC PAYMENTS</Desc>
        <TotalAmt>427714290</TotalAmt>
        <ProgramServicesAmt>427714290</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INCOME TAXES</Desc>
        <TotalAmt>1064285</TotalAmt>
        <ManagementAndGeneralAmt>1064285</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LIVING ORGAN DONOR NETW</Desc>
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        <ProgramServicesAmt>158570</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>HISTOCOMPATIBILITY COUR</Desc>
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        <ProgramServicesAmt>155576</ProgramServicesAmt>
      </OtherExpensesGrp>
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        <TotalAmt>93830</TotalAmt>
        <ManagementAndGeneralAmt>93830</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>428061614</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2066585</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <LandBldgEquipCostOrOtherBssAmt>761704</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>538068</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>195136</BOYAmt>
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      </LandBldgEquipBasisNetGrp>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2000</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>77007600</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11552001</BOYAmt>
        <EOYAmt>14664285</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>91671885</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>3009690</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>102594</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>275678459</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>341376409</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>275678459</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>341376409</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>428086297</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>40646</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>110651</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>344576965</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY509Pct>0.99030</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00040</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00030</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>83000</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>177547</DepreciationAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>87906</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RENT SECURITY DEPOSITS</Desc>
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      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2000</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>427714290</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>2413909</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2413909</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>427714290</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>430128199</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS A NONPROFIT ORGANIZATION AND IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA. THE FOUNDATION IS REQUIRED TO PAY UNRELATED BUSINESS INCOME TAX RELATED TO BILLING SERVICE FEES EARNED. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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    </IRS990ScheduleD>
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      <GrantsOtherAsstToIndivInUSGrp>
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        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>10503</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRAVEL GRANTS AWARDED TO SPEAKERS AT AFDT WORKSHOPS</GrantTypeTxt>
        <RecipientCnt>11</RecipientCnt>
        <CashGrantAmt>22675</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARLENE SKINNER</PersonNm>
        <TitleTxt>DIRECTOR OF OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>208773</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>27357</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30791</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4200</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>271121</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM HOWARD</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
        <BaseCompensationFilingOrgAmt>179573</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>40440</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>28547</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>252520</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS VOTING MEMBERS. VOTING MEMBERS HAVE THE RIGHT TO VOTE, TO ATTEND MEETINGS, AND PARTICIPATE IN ALL ACTIVITIES OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>VOTING MEMBERS ELECT THE DIRECTORS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>VOTING MEMBERS ELECT THE DIRECTORS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN PREPARER PROVIDES THE FINAL TAX RETURN TO MANAGEMENT OF THE ORGANIZATION AND MANAGEMENT FORWARDS AN ELECTRONIC COPY OF THE RETURN VIA EMAIL TO EACH VOTING MEMBER OF THE GOVERNING BODY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PERFORMANCE EVALUATIONS ARE COMPLETED ANNUALLY AND ARE REVIEWED BY THE BOARD. AS APPROVED BY THE BOARD, THE DIRECTOR OF OPERATIONS, THE CONTROLLER, AND THE CLINICAL AND EDUCATIONAL PLANNER RECEIVE A COMBINATION OF COST OF LIVING AND MERIT RAISE OF 6%. THE SALARY OF THE DIRECTOR OF OPERATIONS AND CONTROLLER ARE REVIEWED BY THE BOARD EVERY 3 YEARS WHICH INCLUDES ANALYSIS OF DATA OF COMPARABLE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SEOPF MEDICAL SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8154 FOREST HILL AVENUE SUITE 3</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>232353255</ZIPCd>
        </USAddress>
        <EIN>541597081</EIN>
        <PrimaryActivitiesTxt>PROVIDES MEDICINE AND SUPPLIES TO QUALIFIED ORGAN TRANSPLANT RECIPIENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AMERICAN FOUNDATION OF DONATION AND TRANSPLANTATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
