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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Rodney S Ackley DMD</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Azzam Mustah MD</PersonNm>
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        <CurrentTaxYearMinus3YearsAmt>88394</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>103677</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>88622</CurrentTaxYearMinus1YearAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>To provide free quality healthcare to the uninsured and low income individuals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of other revenue Part I line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountAdminstrative Income 1,729</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountDepreciation from 4562 13,017Advertising &amp; Promotion 628Office Expenses 2,224Medical &amp; Dental Supplies 14,376Insurance 360Computer Supplies 8,666Equipment Rental 636Licenses 171Training 800Travel 208Volunteer Recognition 803</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of other assets Part II line 24</FormAndLineReferenceDesc>
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