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      <TotExpnsEtcAuditedFinclStmtAmt>3393587</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3393587</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3393587</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Institute is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. However, income from activities not directly related to the Institutes tax-exempt purpose is subject to taxation as unrelated business income. The Institute did not engage in any unrelated business activities during the year ended December 31, 2024. The Institute has adopted the authoritative guidance relating to accounting for uncertainty in income taxes included in ASC Topic Income Taxes. These provisions provide consistent guidance for the accounting for uncertainty in income taxes recognized in an entitys financial statements and prescribe a threshold of more likely than not for recognition and de-recognition of tax positions taken or expected to be taken in a tax return. The Institute performed an evaluation of uncertain tax positions for the year ended December 31, 2024, and determined that there were no material matters that would require recognition in the financial statements or that may have an effect on its tax-exempt status. As of December 31, 2024, that statute of limitations for tax years 2021, 2022, and 2023 remain open with the Internal Revenue Service. It is the Associations policy to recognize interest and/or penalties related to uncertain tax positions, if any, in income tax expense.</ExplanationTxt>
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        <RegionTxt>Italy</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>program related activities</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Pub Hlth Prog-Liver Hlth</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>141178</RegionTotalExpendituresAmt>
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      <SubtotalEmployeesCnt>1</SubtotalEmployeesCnt>
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      <SubtotalSpentAmt>141178</SubtotalSpentAmt>
      <TotalSpentAmt>141178</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Donna R Cryer JD</PersonNm>
        <TitleTxt>Former Pres CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>250405</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>2500</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272905</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeff McIntyre</PersonNm>
        <TitleTxt>VP, Liver Health Programs</TitleTxt>
        <BaseCompensationFilingOrgAmt>140010</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10878</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150888</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Larry Holden</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>241671</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10878</NontaxableBenefitsFilingOrgAmt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Donna r cryer is the president and ceo of the organization. dennis cryer is a director on the board. The parties have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>990 is provided to the board to review before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>board members are surveyed annually. additionally, board members are requested to disclose conflicts at the start of board meetings or board actions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>comparability data was reviewed to determine compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>the organization's tax return is posted on guidestar.org and is publicly available. any and all other governing or financial documents are available and have been made available to the public and/or other organizations upon request.</ExplanationTxt>
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