﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2024v5.0" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-10-24T11:44:35-07:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>460779062</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>DESIGN OUTREACH INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>DESI</BusinessNameControlTxt>
      <PhoneNum>9379250784</PhoneNum>
      <USAddress>
        <AddressLine1Txt>224 W Johnstown Rd</AddressLine1Txt>
        <CityNm>Columbus</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43230</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Randy Snyder</PersonNm>
      <PersonTitleTxt>Treasurer</PersonTitleTxt>
      <PhoneNum>9379250784</PhoneNum>
      <SignatureDt>2025-10-23</SignatureDt>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="R000001" referenceDocumentId="R000008" softwareId="24021167" softwareVersionNum="v1.00">
      <PrincipalOfficerNm>Gregory Bixler</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>133 Walcreek Dr E</AddressLine1Txt>
        <CityNm>Columbus</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43230</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>3764590</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.doutreach.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2012</FormationYr>
      <LegalDomicileStateCd>IN</LegalDomicileStateCd>
      <ActivityOrMissionDesc>Design Outreach is a Christian humanitarian organization that seeks to alleviate global poverty by creating life-sustaining technology.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>6</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>26</TotalEmployeeCnt>
      <TotalVolunteersCnt>31</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>3109289</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3567063</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>178444</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>182587</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1608</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>6240</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>17441</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>8700</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>3306782</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3764590</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>84713</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>128874</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1469654</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1678866</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>404670</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1455327</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1704842</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3009694</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>3512582</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>297088</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>252008</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1367868</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1567429</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>475497</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>423050</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>892371</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1144379</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>Design Outreach is a Christian humanitarian organization that seeks to alleviate global poverty by creating life-sustaining technology.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>895523</ExpenseAmt>
      <GrantAmt>128874</GrantAmt>
      <RevenueAmt>0</RevenueAmt>
      <Desc>Design Outreach (DO) is a Christian nonprofit organization that seeks to alleviate global poverty by creating innovative, life-sustaining solutions that help transform marginalized and low-income communities physically, economically, and spiritually. As a team of engineers with diverse experience and areas of expertise, DO focuses on innovative products that improve the lives of the most marginalized and vulnerable people living in developing countries. As an organization dedicated to alleviating global poverty, DO directed the majority of its funding in 2024 to Field Programs and the further establishment of its field offices. With field offices in Malawi, Zambia and the UK, DO is expanding globally to support its growing operations and to enhance its partnerships, manufacturing, and fundraising opportunities. The Malawi and Zambia field offices allow DO to be more available to meet with missionaries, non-governmental organizations (NGOs), community leaders, and government officials to work toward policy change, Gospel outreach, and appropriate technology implementation that will have generational impact in the communities where the organization works. The Malawi Field Office, in particular, also acts as an advocacy hub and field innovation center while providing warehouse space for LifePumps and spare parts and supporting rapid response teams to keep LifePumps up and running for decades to come. The number of LifePump installations is expanding each year-growth that would not be possible without the support and availability of local field staff who can lead installations, organize Gospel outreach events, distribute Christian literature, provide training for community and government leaders, and respond quickly to technology maintenance needs. This strategic field office also plays a critical role in the deployment of DO's new MaxLife Upgrade Kits, which have the potential to impact millions of people with a more reliable source of safe water. Furthermore, DO's local field offices have allowed the organization to meet additional needs such as disaster relief. In 2024, Malawi faced severe drought that led to agricultural failure and widespread food scarcity. As a result, DO provided critical disaster relief through the distribution of food and Bibles, which impacted 4,300 people. In addition, DO reached more than 26,000 people through Gospel Outreach programs, distributing 1,520 Bibles and 8,700 Bible storybooks. None of this would have been possible without DO's local field staff and in-country operations.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1144861</ExpenseAmt>
        <RevenueAmt>182587</RevenueAmt>
        <Desc>Another major focus for DO in 2024 was the development and deployment of the organization's water, sanitation and hygiene (WASH) solutions, including LifePumpTM and MaxLifeTM. DO's flagship technology, LifePump, has been installed in 12 countries, bringing safe and reliable water to over 400,000 people globally. The first permanent LifePump was installed in 2013 and has been operating since then with zero days of downtime. LifePump is designed to operate deeper in the ground and last longer than traditional hand pumps, providing safe and reliable water access in communities where other technologies have been unable to meet their needs. While LifePump remains a core focus, DO is also in the process of developing a hand pump upgrade kit that will help extend the life of commonly used hand pumps including the Afridev and India Mark II and III. Known as the MaxLifeTM Program, these kits are on their way to revolutionizing the way the world accesses water. The MaxLife centralizer, the first upgrade component ready for widespread rollout, addresses the root cause of up to 75% of Afridev pump failures. Because of its critical role in improving pump performance, DO has prioritized its development and release. Certain pumps in the pilot worked for only 2 weeks before needing major repairs, but now, with the MaxLife centralizer, they have been operating for over a year without any major repairs. These results are gaining the attention of the national Ministry of Water and many NGOs in Malawi who are looking for solutions to help prevent pump downtime. In 2024, a total of 210 upgrade kits were installed, impacting 52,500 people with sustainable access to safe water and bringing the total number of upgrades to 218. These efforts were all part of DO's 3-year Beyond Measure campaign aimed at delivering life-sustaining solutions of immeasurable global impact.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>794663</ExpenseAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>Another major program area is DO's Engineering Solutions efforts. Behind the scenes, DO engineers continue to design and develop breakthrough innovations that provide the resources communities need to thrive. As DO works toward its goals of delivering innovative solutions to end extreme poverty, the engineering team continues to develop new and innovative ways to give those living in poverty hope, dignity, and the possibility of a better life. LifePumpTM. In 2024, 73 new LifePumps were installed, bringing the total to 492 across 12 countries, providing clean water to 375,400 people. LifePump continues to be a game changer for remote communities where the water is at significant depths, making it difficult for other pump technologies to reliably access water. LifePumpLinkTM. DO's remote monitoring technology helps ensure that LifePump communities never experience a day without water. In August 2024, LifePumps equipped with LifePumpLink surpassed 1,000,000 hours of usage tracked since monitoring began in 2018, and they were being used at a rate of 500,000 hours per year. LifeTapTM. LifeTap, DO's reliable and robust self-closing valve, is providing water from tap stands in 7 countries, including at Malawi's Dzaleka Refugee Camp, home to 52,000 refugees who have fled war and genocide in neighboring nations. The camp faces overpopulation and has significant water needs, and LifeTap has proven to be a critical component in meeting these needs reliably. By the end of 2024, 362 LifeTaps had been sold or donated, impacting 21,720 people. LifeLatrineTM. LifeLatrine addresses sanitation and hygiene challenges facing rural communities in developing countries by providing an affordable, reliable, and safe latrine option that helps to eliminate disease, prevent dangerous pit wall collapse, and give families their dignity back. Field reports from 2024 have been extremely positive. Following visits to LifeLatrine demonstration sites in Lilongwe, Dowa, and Salima, it was reported that the PVC-lined pit latrines were suitable for all soil types, reducing structural failure. The plastic sanitation platform was easy to clean and well-received, and community members appreciated the user-friendly and odorless designs. LifeLatrine was deemed suitable for households, health facilities, schools, and offices. MaxLifeTM. Launched in 2022, DO's MaxLife Program aims to solve the problem of frequent breakdowns and lead contamination for the 2 billion people who rely on traditional public-domain hand pumps such as Afridev and India Mark II and III. In 2024, field testing was conducted at Dzaleka Refugee Camp in conjunction with WeltHungerHilfe (WHH). Two Afridev pumps at Dzaleka Refugee Camp were fitted with MaxLife centralizers, the first and most critical component of the upgrade kit. Since the installation of the new centralizers, the Afridev pumps went from breaking down every month to going more than six months without replacing these parts, even in this high-use scenario. Feedback from government officials on the new centralizer as part of the MaxLife Upgrade Kits has been extremely positive. At the end of the year, Afridev MaxLife Upgrade Kits had been installed on 218 Afridev hand pumps, improving water access and stability for more than 54,500 people. Wound Therapy Device. In 2024, DO Medical formed two impactful new partnerships that have provided essential feedback and insights for the development of the negative pressure wound therapy (NPWT) device. A new partnership with Kapsowar Mission Hospital in Kenya allowed us to expand our reach and gain valuable information by testing the device in an environment that is different than Malawi. Kenya also has a higher, more regulated standard of entry, so being able to operate there will better prepare DO as the organization continues to move forward to finalize the device, attain FDA approval, and get the device to where it is needed around the world.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalOtherProgSrvcExpenseAmt>0</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>0</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>0</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>2835047</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="R000002">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="R000003">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>0</DonorAdvisedFundInd>
      <ConservationEasementsInd>0</ConservationEasementsInd>
      <CollectionsOfArtInd>0</CollectionsOfArtInd>
      <CreditCounselingInd>0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="R000004">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="R000004">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd>0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="R000004">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="R000004">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>1</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="R000005">1</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="R000006">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="R000007">1</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>7</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>26</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>1</ForeignFinancialAccountInd>
      <ForeignCountryCd>MI</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>0</Form8899Filedind>
      <Form1098CFiledInd>0</Form1098CFiledInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>6</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>Sarah MacKenzie</PersonNm>
        <PhoneNum>6142211077</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2722 Erie Street</AddressLine1Txt>
          <AddressLine2Txt>Suite 219 PMB13888</AddressLine2Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45208</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Greg Bixler</PersonNm>
        <TitleTxt>Co-founder and CEO</TitleTxt>
        <AverageHoursPerWeekRt>50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>137692</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43275</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Abe Wright</PersonNm>
        <TitleTxt>Co-Founder and Chief Technology Officer</TitleTxt>
        <AverageHoursPerWeekRt>50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>123066</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15716</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dean Jessup</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>4</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Randy Snyder</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bradley Bryant</PersonNm>
        <TitleTxt>Treasurer and Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Holton</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Danielle Londree</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Duerksen</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>260758</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>58991</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>0</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3567063</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>3567063</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Sales of LifePump</Desc>
        <BusinessCd>333910</BusinessCd>
        <TotalRevenueColumnAmt>182587</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>182587</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>182587</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6240</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6240</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <OtherRevenueMiscGrp>
        <Desc>Credit Card Reward</Desc>
        <BusinessCd>522210</BusinessCd>
        <TotalRevenueColumnAmt>3982</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3982</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>4718</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4718</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>8700</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3764590</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>197527</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>128874</TotalAmt>
        <ProgramServicesAmt>128874</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>299031</TotalAmt>
        <ProgramServicesAmt>232526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7358</ManagementAndGeneralAmt>
        <FundraisingAmt>59147</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1108008</TotalAmt>
        <ProgramServicesAmt>885926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103896</ManagementAndGeneralAmt>
        <FundraisingAmt>118186</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>30286</TotalAmt>
        <ProgramServicesAmt>22199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3180</ManagementAndGeneralAmt>
        <FundraisingAmt>4907</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>112824</TotalAmt>
        <ProgramServicesAmt>82700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11847</ManagementAndGeneralAmt>
        <FundraisingAmt>18277</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>128717</TotalAmt>
        <ProgramServicesAmt>94350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13515</ManagementAndGeneralAmt>
        <FundraisingAmt>20852</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>93208</TotalAmt>
        <ProgramServicesAmt>68321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9787</ManagementAndGeneralAmt>
        <FundraisingAmt>15100</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>255697</TotalAmt>
        <ProgramServicesAmt>122547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57197</ManagementAndGeneralAmt>
        <FundraisingAmt>75953</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>54511</TotalAmt>
        <ProgramServicesAmt>12473</ProgramServicesAmt>
        <FundraisingAmt>42038</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>122488</TotalAmt>
        <ProgramServicesAmt>66548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39703</ManagementAndGeneralAmt>
        <FundraisingAmt>16237</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>31072</TotalAmt>
        <ProgramServicesAmt>23739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2884</ManagementAndGeneralAmt>
        <FundraisingAmt>4449</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>48408</TotalAmt>
        <ProgramServicesAmt>44612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1898</ManagementAndGeneralAmt>
        <FundraisingAmt>1898</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>189838</TotalAmt>
        <ProgramServicesAmt>182022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6553</ManagementAndGeneralAmt>
        <FundraisingAmt>1263</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2193</TotalAmt>
        <ProgramServicesAmt>2193</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>12873</TotalAmt>
        <ProgramServicesAmt>9436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1352</ManagementAndGeneralAmt>
        <FundraisingAmt>2085</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>132890</TotalAmt>
        <ProgramServicesAmt>95049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13615</ManagementAndGeneralAmt>
        <FundraisingAmt>24226</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>26671</TotalAmt>
        <ProgramServicesAmt>26671</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LifePump</Desc>
        <TotalAmt>686831</TotalAmt>
        <ProgramServicesAmt>686831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Life Latrine</Desc>
        <TotalAmt>2450</TotalAmt>
        <ProgramServicesAmt>2450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DO Medical</Desc>
        <TotalAmt>42670</TotalAmt>
        <ProgramServicesAmt>42670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3042</TotalAmt>
        <ProgramServicesAmt>2910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80</ManagementAndGeneralAmt>
        <FundraisingAmt>52</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3512582</TotalAmt>
        <ProgramServicesAmt>2835047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>272865</ManagementAndGeneralAmt>
        <FundraisingAmt>404670</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>321897</BOYAmt>
        <EOYAmt>502319</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>26539</BOYAmt>
        <EOYAmt>157295</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>1944</BOYAmt>
        <EOYAmt>1590</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>522762</BOYAmt>
        <EOYAmt>556191</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>65556</BOYAmt>
        <EOYAmt>32964</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>362485</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>182897</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>233599</BOYAmt>
        <EOYAmt>179588</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>191441</BOYAmt>
        <EOYAmt>133352</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4130</BOYAmt>
        <EOYAmt>4130</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1367868</BOYAmt>
        <EOYAmt>1567429</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>144702</BOYAmt>
        <EOYAmt>155087</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>3000</BOYAmt>
        <EOYAmt>3000</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>117000</BOYAmt>
        <EOYAmt>117000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>210795</BOYAmt>
        <EOYAmt>147963</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>475497</BOYAmt>
        <EOYAmt>423050</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <CapStkTrPrinCurrentFundsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>892371</BOYAmt>
        <EOYAmt>1144379</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>892371</BOYAmt>
        <EOYAmt>1144379</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1367868</BOYAmt>
        <EOYAmt>1567429</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>252008</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>0</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>0</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>0</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="24021167" softwareVersionNum="v1.00">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1642171</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2070253</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2497146</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3109289</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3567063</CurrentTaxYearAmt>
        <TotalAmt>12885922</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1642171</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2070253</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2497146</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3109289</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3567063</CurrentTaxYearAmt>
        <TotalAmt>12885922</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>12885922</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5005</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>119</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>198</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1608</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6240</CurrentTaxYearAmt>
        <TotalAmt>13170</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>2526</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3412</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17441</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8700</CurrentTaxYearAmt>
        <TotalAmt>32079</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>12931171</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>182587</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99650</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99633</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Credit Card Rewards, Miscellaneous receipts in Malawi Office</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="R000003" softwareId="24021167" softwareVersionNum="v1.00">
      <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="R000004" softwareId="24021167" softwareVersionNum="v1.00">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <BookValueAmt>0</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>44414</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23441</DepreciationAmt>
        <BookValueAmt>20973</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>312683</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>155864</DepreciationAmt>
        <BookValueAmt>156819</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>5388</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3592</DepreciationAmt>
        <BookValueAmt>1796</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>179588</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Building Lease Obligation</Desc>
        <Amt>147963</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>147963</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4953559</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>0</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>1203909</DonatedServicesAndUseFcltsAmt>
      <RecoveriesPriorYearGrantsAmt>0</RecoveriesPriorYearGrantsAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>1203909</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3749650</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>14940</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>14940</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3764590</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4716488</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1203909</DonatedServicesUseFcltsAmt>
      <PriorYearAdjustmentsAmt>0</PriorYearAdjustmentsAmt>
      <LossesReportedAmt>0</LossesReportedAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1203909</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3512579</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>0</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>3</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>3</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3512582</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Credit Card Rebate</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="R000005" softwareId="24021167" softwareVersionNum="v1.00">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>2</OfficesCnt>
        <EmployeeCnt>13</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Life sustaining equipment</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>731951</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <TotalOfficeCnt>2</TotalOfficeCnt>
      <TotalEmployeeCnt>13</TotalEmployeeCnt>
      <TotalSpentAmt>731951</TotalSpentAmt>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="R000006" softwareId="24021167" softwareVersionNum="v1.00">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>Greg Bixler</PersonNm>
        <TitleTxt>Co-founder and CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>137692</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>43275</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180967</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Abe Wright</PersonNm>
        <TitleTxt>Co-Founder and Chief Technology Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>123066</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15716</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>138782</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="R000007" softwareId="24021167" softwareVersionNum="v1.00">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Bradley Bryant</PersonNm>
        <RelationshipWithOrgTxt>Treasurer and Director</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Inventory</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>3000</OriginalPrincipalAmt>
        <BalanceDueAmt>3000</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>3000</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="R000008" softwareId="24021167" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 will be provided to the full board before filing. Form 990 will be reviewed and filed by the organization's CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Company has a conflict of interest policy. This policy is reviewed annually. Any board member with a conflict of interest during the year abstains from any voting related to the conflict. Each board member has the responsibility to disclose a potential conflict to the board as soon as that potential conflict is known.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Periodic reviews shall be conducted annually and shall, at a minimum, include review of the following: whether compensation arraignments and benefits are reasonable, are based on competent survey information, and are result of arm's length bargaining. When conducting the periodic review, the Corporation may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the Board of Directors of its responsibility for ensuring periodic reviews are conducted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All organizational documents are available to the public upon request with approval of senior leadership</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>