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        <CurrentTaxYearMinus3YearsAmt>251008</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>153</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>243</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1955</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9376</CurrentTaxYearAmt>
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        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10 Other Income</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION - MISC REVENUE, COLUMN A - 52.0, COLUMN B - 151.0, COLUMN C - 201.0, COLUMN D - 200.0, COLUMN E - 3389.0, COLUMN F - 3993.0;</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
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      <TotalEmployeeCnt>8</TotalEmployeeCnt>
      <SubtotalSpentAmt>110000</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>110000</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Banda Health project implementation</PurposeOfGrantTxt>
        <CashGrantAmt>110000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfers</MannerOfCashDisbursementTxt>
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      <Total501c3OrgCnt>1</Total501c3OrgCnt>
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      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
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        <FormAndLineReferenceDesc>Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Banda Health ensures that funds are used in Kenya for their intended purposes by requiring and receiving monthly line-item income and expense statements from SIM Kenya. In addition, Banda Health staff oversee all activity carried out by the SIM Kenya team with multiple real-time remote calls and asynchronous messaging, as well as in person meetings by the Banda Health team who reside in Kenya.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>SUB-SAHARAN AFRICA-Accrual</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>SUB-SAHARAN AFRICA-Accrual</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>Stephen Letchford MD</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <TotalCompensationFilingOrgAmt>69048</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME - STEPHEN LETCHFORD, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 69048, NAME OF UNRELATED ORGANIZATION - SIM INTERNATIONAL, TYPE OF COMPENSATION - WAGES</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not compensate its president or any other officers. Therefore, these lines were marked no in accordance with the instructions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>Elected Directors were previously required to take at least a one year break from serving after 3 consecutive terms. Updates to the bylaws now allow directors to serve an unlimited number of terms with no one year intervene required.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's form 990 is prepared by an independent CPA firm and reviewed in detail by the accounting personnel and the president. The President and Board Finance Committee then reviews the draft and sends a final recommended draft to the full board prior to submission to the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members and all officers of the organization complete annual conflict of interest disclosure statements. The President reviews these statements for potential conflicts. A person with a related interest in a decision at hand will not participate in the discussion or approval of the transaction except to present factual information at the request of the Board. Only disinterested board members shall be permitted to make motions, vote or execute agreements related to the subject.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, the conflict of interest policy and financial statements are available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
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</Return>