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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>620254528</ZIPCd>
          </USAddress>
          <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>287015</CompensationAmt>
          <EmployeeBenefitsAmt>40293</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>SERGIO MEDINA</PersonNm>
          <USAddress>
            <AddressLine1Txt>12 SAYBRIDGE CT</AddressLine1Txt>
            <CityNm>BALLWIN</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>630113574</ZIPCd>
          </USAddress>
          <TitleTxt>PHARMACIST IN CHARGE</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>198815</CompensationAmt>
          <EmployeeBenefitsAmt>52163</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>ERINN KAO</PersonNm>
          <USAddress>
            <AddressLine1Txt>15728 TRAPP RIDGE CT</AddressLine1Txt>
            <CityNm>TOWN AND COUNTRY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>630148789</ZIPCd>
          </USAddress>
          <TitleTxt>QUALITY COMPLIANCE P</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>186500</CompensationAmt>
          <EmployeeBenefitsAmt>25849</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>TIFFANY REDMAN</PersonNm>
          <USAddress>
            <AddressLine1Txt>4164 SHAW BLVD</AddressLine1Txt>
            <CityNm>SAINT LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>631103624</ZIPCd>
          </USAddress>
          <TitleTxt>PHARMACIST</TitleTxt>
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          <CompensationAmt>152068</CompensationAmt>
          <EmployeeBenefitsAmt>21910</EmployeeBenefitsAmt>
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        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>GINA EVANS</PersonNm>
          <USAddress>
            <AddressLine1Txt>610 McKINLEY AVE</AddressLine1Txt>
            <CityNm>SAINT LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63122</ZIPCd>
          </USAddress>
          <TitleTxt>CHIEF FINANCIAL OFFI</TitleTxt>
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          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <OtherEmployeePaidOver50kCnt>10</OtherEmployeePaidOver50kCnt>
        <CompOfHghstPdCntrctOrNONETxt>NONE</CompOfHghstPdCntrctOrNONETxt>
        <ContractorPaidOver50kCnt>0</ContractorPaidOver50kCnt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <SummaryOfDirectChrtblActyGrp>
        <Description1Txt>PROVIDED AFRODABLE MEDICATION TO LOW-INCOME INDIVIDUALS BY OFFERING NATIONWIDE ACCESS TO OVER 1,000 BRANDED AND GENERIC DRUGS. OVER 500,000 INDIVIDUALS HAVE BENEFITED FROM THE PROGRAM.</Description1Txt>
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      </SummaryOfDirectChrtblActyGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>531068</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>0</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>531068</TotalFMVOfUnusedAssetsAmt>
        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>531068</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>7966</CashDeemedCharitableAmt>
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      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <Sect4942j3j5FndtnAndFrgnOrgInd>X</Sect4942j3j5FndtnAndFrgnOrgInd>
        <DistributableAsAdjustedAmt>0</DistributableAsAdjustedAmt>
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      <PFQualifyingDistributionsGrp>
        <ExpensesAndContributionsAmt>21324692</ExpensesAndContributionsAmt>
        <QualifyingDistributionsAmt>21324692</QualifyingDistributionsAmt>
      </PFQualifyingDistributionsGrp>
      <UndistributedIncomeGrp>
        <DistributableAsAdjustedAmt>0</DistributableAsAdjustedAmt>
        <ExcessDistributionCyovYr5Amt>0</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>0</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>0</ExcessDistributionCyovYr3Amt>
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        <ExcessDistributionCyovYr1Amt>12232257</ExcessDistributionCyovYr1Amt>
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        <QualifyingDistributionsAmt>21324692</QualifyingDistributionsAmt>
        <TreatedAsDistriFromCorpusAmt>0</TreatedAsDistriFromCorpusAmt>
        <RemainingDistriFromCorpusAmt>21324692</RemainingDistriFromCorpusAmt>
        <TotalCorpusAmt>56810672</TotalCorpusAmt>
        <PriorYearUndistributedIncmAmt>0</PriorYearUndistributedIncmAmt>
        <Taxable1Amt>0</Taxable1Amt>
        <Taxable2Amt>0</Taxable2Amt>
        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
        <ExcessDistriCyovFromYr5Amt>0</ExcessDistriCyovFromYr5Amt>
        <ExcessDistriCyovToNextYrAmt>56810672</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear4Amt>0</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>0</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>23253723</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>12232257</ExcessFromYear1Amt>
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          <Year2Amt>32644</Year2Amt>
          <Year3Amt>67189</Year3Amt>
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        <Pct85LessorAdjIncmOrMinRetGrp>
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          <Year2Amt>27747</Year2Amt>
          <Year3Amt>57111</Year3Amt>
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          <Year2Amt>23253723</Year2Amt>
          <Year3Amt>23664535</Year3Amt>
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        <QualifyingDistriMadeDrtGrp>
          <CurrentYearAmt>21324692</CurrentYearAmt>
          <Year1Amt>12232257</Year1Amt>
          <Year2Amt>23253723</Year2Amt>
          <Year3Amt>23664535</Year3Amt>
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          <Year1Amt>20861</Year1Amt>
          <Year2Amt>21545</Year2Amt>
          <Year3Amt>44793</Year3Amt>
          <TotalAmt>104461</TotalAmt>
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      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <ProgramServiceRevenueDtl>
          <Desc>PROGRAM:PROVISION OF</Desc>
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        <ProgramServiceRevenueDtl>
          <Desc>AFFORDABLE PRESCRIPTIONS</Desc>
        </ProgramServiceRevenueDtl>
        <GainSalesAstOthThanInvntryGrp>
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        <SubtotalsIncmProducingActyGrp>
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        </SubtotalsIncmProducingActyGrp>
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      <RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1</LineNumberTxt>
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        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>2</LineNumberTxt>
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      </RlnOfActyToAccomOfExmptPrpsGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
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      <GeneralRuleInd>X</GeneralRuleInd>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <PersonContributionInd>X</PersonContributionInd>
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      <ContributorInformationGrp>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <TotalContributionsAmt>10000</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
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      <ContributorInformationGrp>
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        <ContributorPersonNm>Michael Holmes Sr</ContributorPersonNm>
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          <CityNm>Saint Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <TotalContributionsAmt>10000</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
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      <ContributorInformationGrp>
        <ContributorNum>4</ContributorNum>
        <ContributorPersonNm>Lutheran Foundation</ContributorPersonNm>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
      <ContributorInformationGrp>
        <ContributorNum>5</ContributorNum>
        <ContributorBusinessName>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>100175703</ZIPCd>
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        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
      <ContributorInformationGrp>
        <ContributorNum>6</ContributorNum>
        <ContributorPersonNm>Peter Neidorff</ContributorPersonNm>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63105</ZIPCd>
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        <PersonContributionInd>X</PersonContributionInd>
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      <ContributorInformationGrp>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63105</ZIPCd>
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      <ContributorInformationGrp>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <PersonContributionInd>X</PersonContributionInd>
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      <ContributorInformationGrp>
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        <ContributorBusinessName>
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          <ZIPCd>63113</ZIPCd>
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      <ContributorInformationGrp>
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          <StateAbbreviationCd>DE</StateAbbreviationCd>
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      <ContributorInformationGrp>
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      <ContributorInformationGrp>
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        <ContributorBusinessName>
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      <ContributorInformationGrp>
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        <ContributorBusinessName>
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          <ZIPCd>08512</ZIPCd>
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        <NoncashContributionInd>X</NoncashContributionInd>
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      <ContributorInformationGrp>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <NoncashContributionInd>X</NoncashContributionInd>
      </ContributorInformationGrp>
      <ContributorInformationGrp>
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        <ContributorBusinessName>
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        <ContributorUSAddress>
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        <NoncashContributionInd>X</NoncashContributionInd>
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      <ContributorInformationGrp>
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        <ContributorBusinessName>
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        <ReceivedDt>2023-12-31</ReceivedDt>
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      <NonCashPropertyContributionGrp>
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      <NonCashPropertyContributionGrp>
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        <NoncashPropertyDesc>Prescription medication</NoncashPropertyDesc>
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        <ReceivedDt>2023-12-31</ReceivedDt>
      </NonCashPropertyContributionGrp>
    </IRS990ScheduleB>
    <GainLossSaleOtherAssetsSch documentId="GainLossSaleOtherAssetsSch-01">
      <GainLossSaleOtherAssetGrp>
        <AssetDesc>Various</AssetDesc>
        <AcquiredDt>2010-10</AcquiredDt>
        <HowAcquiredTxt>Purchased</HowAcquiredTxt>
        <SoldDt>2023-12</SoldDt>
        <GrossSalesPriceAmt>0</GrossSalesPriceAmt>
        <BasisAmt>1374683</BasisAmt>
        <BasisMethodTxt>Cost</BasisMethodTxt>
        <SalesExpenseAmt>0</SalesExpenseAmt>
        <TotalNetAmt>-336196</TotalNetAmt>
        <AccumulatedDepreciationAmt>1038487</AccumulatedDepreciationAmt>
      </GainLossSaleOtherAssetGrp>
    </GainLossSaleOtherAssetsSch>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule-01">
      <OtherExpensesScheduleGrp>
        <Desc>Prescription drug costs, net of purchase discounts</Desc>
        <RevenueAndExpensesPerBooksAmt>2696781</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>2696781</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>In-kind inventory expenses</Desc>
        <RevenueAndExpensesPerBooksAmt>12383022</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>12383022</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Computer</Desc>
        <RevenueAndExpensesPerBooksAmt>561041</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>561041</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Other in-kind expenses</Desc>
        <RevenueAndExpensesPerBooksAmt>99559</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>99559</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Equipment rental, repair, and maintenance</Desc>
        <RevenueAndExpensesPerBooksAmt>99056</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>99056</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Insurance</Desc>
        <RevenueAndExpensesPerBooksAmt>111332</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>111332</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Membership and dues</Desc>
        <RevenueAndExpensesPerBooksAmt>6294</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>6294</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Miscellaneous</Desc>
        <RevenueAndExpensesPerBooksAmt>152179</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>152179</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Postage</Desc>
        <RevenueAndExpensesPerBooksAmt>1544</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>1544</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Supplies</Desc>
        <RevenueAndExpensesPerBooksAmt>62841</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>62841</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="OtherIncomeSchedule2-01">
      <OtherIncomeDetail>
        <Desc>PROGRAM REVENUE</Desc>
        <RevenueAndExpensesPerBooksAmt>9342976</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>9342976</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
    <TaxesSchedule documentId="TaxesSchedule-01">
      <TaxesDetail>
        <CategoryTxt>Taxes and licenses</CategoryTxt>
        <Amt>35210</Amt>
        <DisbursementsCharitablePrpsAmt>35210</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>