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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE GONZALEZ MD</PersonNm>
        <TitleTxt>PAST-PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARILYN FALCK MD</PersonNm>
        <TitleTxt>TRUSTEE (PART YEAR)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>3400</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIENNE E ABRENICA DNP</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY GIVLER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA L ABRAHAM MD</PersonNm>
        <TitleTxt>TRUSTEE (PART YEAR)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRICK A LANTZ MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINE D DOHERTY BA</PersonNm>
        <TitleTxt>STUDENT TRUSTEE (PART YEAR)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER ZAMORA DHSC PA-C</PersonNm>
        <TitleTxt>TRUSTEE, ASSOCIATE CATEGORY (PART YEAR)</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRYSTAL MATTOX DDS</PersonNm>
        <TitleTxt>YOUNG TRUSTEE (PART YEAR)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MADISON C CHAPMAN MD</PersonNm>
        <TitleTxt>RESIDENT TRUSTEE (PART YEAR)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL CROUCH MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MITCHELL DUININCK MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>REGINA FROST-CLARK MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN C BERGESON MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VAN B HAYWOOD DMD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM P CHESHIRE JR MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAYLA E GROOTERS</PersonNm>
        <TitleTxt>STUDENT TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANET Y KIM MD MA MPH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDRE K MICKEL DDS MSD MDIVDMIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY L NEAL DHAMHAMBA</PersonNm>
        <TitleTxt>TRUSTEE, ASSOCIATE CATEGORY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE P SCARBROUGH MD MSC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY SCIRE MD</PersonNm>
        <TitleTxt>RESIDENT TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN THERIOT</PersonNm>
        <TitleTxt>TRUSTEE, FRIEND CATEGORY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL E CHUPP MD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>L SCOTT LEDFORD</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CONNIE A FOX</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF BARROWS DO</PersonNm>
        <TitleTxt>SENIOR VP FOR BIOETHICS &amp; PUBLIC POLICY (PARTYEAR)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE COURTNEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>K SCOTT RIMELL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM T GRIFFIN DDS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA BURGESS</PersonNm>
        <TitleTxt>GHO DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COREY WHITTAKER</PersonNm>
        <TitleTxt>AREA DIRECTOR</TitleTxt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JOHN CONSULTING LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2656 DEER PARK ROAD</AddressLine1Txt>
            <CityNm>FINKSBURG</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21048</ZIPCd>
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      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>466570</TotalRevenueColumnAmt>
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      <GrossRentsGrp>
        <RealAmt>31525</RealAmt>
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      <RentalIncomeOrLossGrp>
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        <TotalRevenueColumnAmt>24407</TotalRevenueColumnAmt>
        <ExclusionAmt>24407</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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        <OtherAmt>28200</OtherAmt>
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        <SecuritiesAmt>1473119</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
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        <SecuritiesAmt>173418</SecuritiesAmt>
        <OtherAmt>28200</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>201618</TotalRevenueColumnAmt>
        <ExclusionAmt>201618</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>41995</FundraisingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>-11</TotalRevenueColumnAmt>
        <ExclusionAmt>-11</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>70444</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>83522</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-13078</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-13078</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>88453</TotalRevenueColumnAmt>
        <ExclusionAmt>88453</ExclusionAmt>
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      <OtherRevenueTotalAmt>88453</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15275466</TotalRevenueColumnAmt>
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        <ExclusionAmt>781037</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>26793</TotalAmt>
        <ProgramServicesAmt>26793</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>36945</TotalAmt>
        <ProgramServicesAmt>36945</ProgramServicesAmt>
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      <ForeignGrantsGrp>
        <TotalAmt>725704</TotalAmt>
        <ProgramServicesAmt>725704</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>611118</TotalAmt>
        <ProgramServicesAmt>397227</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152779</ManagementAndGeneralAmt>
        <FundraisingAmt>61112</FundraisingAmt>
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        <TotalAmt>4921951</TotalAmt>
        <ProgramServicesAmt>3408384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>955874</ManagementAndGeneralAmt>
        <FundraisingAmt>557693</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>115304</ProgramServicesAmt>
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        <ExplanationTxt>THE ORGANIZATION IS A PUBLIC CHARITY UNDER SECTION 509(A)(2) AND COMPLETES SCHEDULE A (FORM 990), PART III. THE ORGANIZATION HAS ANALYZED SCHEDULE A (FORM 990), PART II AND ESTABLISHED THAT IT MEETS THE 33 1/3% PUBLIC SUPPORT REQUIREMENTS UNDER SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI), THUS IT QUALIFIES TO USE THE FIRST LISTED SPECIAL RULE FOR SCHEDULE B (FORM 990) REPORTING.</ExplanationTxt>
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        <OtherCostOrOtherBasisAmt>3967972</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3771496</DepreciationAmt>
        <BookValueAmt>196476</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>580164</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>439230</DepreciationAmt>
        <BookValueAmt>140934</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2405509</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN PERPETUAL TRUSTS</Desc>
        <BookValueAmt>6572344</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PROPERTY SUBJECT TO LIFE ESTATE AGREEMENT</Desc>
        <BookValueAmt>1355000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>7927344</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ANNUITIES PAYABLE</Desc>
        <Amt>369080</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LIFE ESTATE PAYABLE</Desc>
        <Amt>633703</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1002783</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>17847514</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>353521</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>1530271</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>741258</OtherRevenueAmt>
      <RevenueNotReportedAmt>2625050</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15222464</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>53002</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>53002</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15275466</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15237212</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1530271</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>132635</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1662906</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>13574306</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>53002</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>53002</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13627308</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VARIOUS MISSION GRANTS AND SCHOLARSHIP FUNDS ARE USED FOR THE FOLLOWING PURPOSES: TO PROVIDE AID SO THAT MEDICAL/DENTAL STUDENTS AND RESIDENTS CAN PARTICIPATE IN SHORT-TERM MEDICAL MISSION TRIPS; TO SUPPORT GLOBAL HEALTH OUTREACH MISSION TRIPS; TO HELP FUND GENERAL OPERATIONS OF CMDA; TO AID MEDICALLY TRAINED PERSONS EXPLORING OR BEGINNING MEDICAL SERVICE IN EAST ASIA; AND TO STIMULATE CMDA LEADERSHIP IN MEDICAL STUDENTS AND RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 7,118. FUNDRAISING EVENT EXPENSES 41,995. COST OF GOODS SOLD 83,522. CHANGE IN ANNUITY FUND 26,538. CHANGE IN LIFE ESTATE TRUST AGREEMENT 26,211. CHANGE IN PERPETUAL TRUST 555,874.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 7,118. FUNDRAISING EVENT EXPENSES 41,995. COST OF GOODS SOLD 83,522.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>636162</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>13460</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE (INCLUDING ICELAND &amp; GREENLAND)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>15490</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>NORTH AMERICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>2630</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>57962</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EDUCATIONAL TOUR</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>232653</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE (INCLUDING ICELAND &amp; GREENLAND)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EDUCATIONAL TOUR</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>465823</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>MIDDLE EAST AND NORTH AFRICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EDUCATIONAL TOUR</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>11400</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>1435580</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>1435580</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>26694</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>98569</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>23947</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>18213</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>42396</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>29085</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>21250</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>162031</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>12460</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EUROPE (INCLUDING ICELAND &amp; GREENLAND)</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>15000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>31512</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>21448</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>12</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>MISSION GRANTS</TypeOfAssistanceTxt>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <RecipientCnt>155</RecipientCnt>
        <CashGrantAmt>213977</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>MISSION GRANTS</TypeOfAssistanceTxt>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>1000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>MISSION GRANTS</TypeOfAssistanceTxt>
        <RegionTxt>NORTH AMERICA</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>2630</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>MISSION GRANTS</TypeOfAssistanceTxt>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>213977</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSION GRANTS ARE GIVEN FOR MISSION TRIPS RELATED TO GLOBAL HEALTH OUTREACH PROJECTS. RECIPIENTS OF MISSION GRANTS ARE REQUIRED TO REPORT ON THE MINISTRY ACCOMPLISHMENTS TO CMDA, INCLUDING PHOTOGRAPHS IF POSSIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION TRACKED EXPENDITURES IN ACCORDANCE WITH THE ACCRUAL BASIS OF ACCOUNTING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>HOUSTON BANQUET</Event1Nm>
        <GrossReceiptsEvent1Amt>19615</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>19615</CharitableContriEvent1Amt>
        <RentFacilityCostsEvent1Amt>9317</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>9750</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>435</OtherDirectExpensesEvent1Amt>
        <Event2Nm>RICHMOND BANQUET</Event2Nm>
        <GrossReceiptsEvent2Amt>19144</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>250</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>18894</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>2775</RentFacilityCostsEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>24608</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>1518</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>23090</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>7651</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>9151</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>2201</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>715</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>63367</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>21383</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>41984</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>19743</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>18901</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>2201</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1150</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>41995</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-11</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GRACE VILLAGE MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>815 NORTH PARK BOULEVARD</AddressLine1Txt>
          <CityNm>CLARKSON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30021</ZIPCd>
        </USAddress>
        <RecipientEIN>871210014</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CONFERENCE GRANTS</GrantTypeTxt>
        <RecipientCnt>23</RecipientCnt>
        <CashGrantAmt>36945</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFERENCE GRANTS ARE GIVEN TO STUDENTS/RESIDENTS FOR MISSION TRIPS OR STUDENT LEADERSHIP DEVELOPMENT. RECIPIENTS OF MISSION GRANTS ARE REQUIRED TO REPORT ON THE MINISTRY ACCOMPLISHMENTS TO CMDA, INCLUDING PHOTOGRAPHS IF POSSIBLE. CONFERENCE GRANTS ARE MONITORED BY AREA DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <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>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL E CHUPP MD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>150653</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>217</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8197</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6111</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22244</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187422</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>L SCOTT LEDFORD</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>118578</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>217</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3129</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4928</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24736</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151588</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A DISCRETIONARY BONUS WAS PROVIDED TO CERTAIN OFFICERS AND EMPLOYEES OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>17</ContributionCnt>
        <NoncashContributionsRptF990Amt>234904</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>19</ContributionCnt>
        <NoncashContributionsRptF990Amt>96706</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <Desc>MEDICAL EQUIPMENT</Desc>
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        <NoncashContributionsRptF990Amt>16077</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
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        <Desc>AIRFARE</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1220</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>STONE FIREPLACE</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>600</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>48</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF CONTRIBUTIONS REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED, NOT THE NUMBER OF ITEMS DONATED.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 1, DOING BUSINESS AS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OPERATES UNDER THE FOLLOWING DBA NAMES: CHRISTIAN MEDICAL &amp; DENTAL ASSOCIATIONS CHRISTIAN MEDICAL ASSOCIATION CHRISTIAN DENTAL ASSOCIATION AMERICAN ACADEMY OF MEDICAL ETHICS SIDE BY SIDE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, PRESIDENT-ELECT, BOARD SECRETARY/TREASURER, IMMEDIATE PAST PRESIDENT, THE CHAIR OF THE GOVERNANCE COMMITTEE, THE CEO AND ONE ADDITIONAL MEMBER OF THE BOARD APPOINTED AT THE DISCRETION OF THE PRESIDENT. THE CEO WILL BE A NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE WILL SERVE AS ADVISORY ON MATTERS OF PERSONNEL TO THE CEO, AS THE APPEAL COMMITTEE IN CASES OF MEMBER DISCIPLINE, AS THE PRESIDENTIAL NOMINATING COMMITTEE FOR THE ORGANIZATION, AND WILL HAVE THE POWER OF THE BOARD OF TRUSTEES TO ACT ON THESE MATTERS, EXCEPT THE COMMITTEE MAY NOT HAVE THE POWER TO: ELECT TRUSTEES, AMEND THE BYLAWS OR ARTICLES OF THE CORPORATION, CHANGE THE STATEMENT OF FAITH, OR HIRE OR TERMINATE THE CEO. ANY PERMITTED ACTION TAKEN BY THE EXECUTIVE COMMITTEE AS WELL AS THE MINUTES OF ANY MEETING OF THE COMMITTEE MUST BE RATIFIED BY THE BOARD OF TRUSTEES AT ITS NEXT REGULAR OR SPECIAL MEETING OTHERWISE THE ACTION TAKEN AT ANY SUCH EXECUTIVE COMMITTEE MEETING WILL DEEMED TO BE VOID.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORE CONSTITUENCY OF THE ORGANIZATION'S MEMBERS IS MADE UP OF PHYSICIANS, DENTISTS, AND STUDENTS IN THOSE FIELDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS HAVE A RIGHT TO VOTE FROM A LIST OF NOMINEES FOR THE PRESIDENT OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS HAVE THE RIGHT TO VOTE ON ANY CHANGES RECOMMENDED TO THE ARTICLES OF INCORPORATION, OR STATEMENT OF FAITH. DISSOLUTION OF THE ORGANIZATION ALSO REQUIRES APPROVAL OF THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY AN INDEPENDENT TAX PREPARER AND REVIEWED IN DETAIL BY THE ORGANIZATION'S TOP MANAGEMENT. THE REVIEWED FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL STATEMENTS OF CONFLICTS OF INTEREST ARE SIGNED BY TRUSTEES, OFFICERS, AND KEY EMPLOYEES. THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR REVIEWING THE SIGNED STATEMENTS. THE CHIEF EXECUTIVE OFFICER IS RESPONSIBLE FOR REVIEWING THE CHIEF FINANCIAL OFFICER'S SIGNED DISCLOSURE. SHOULD ANY POTENTIAL CONFLICTS OF INTEREST BE DISCLOSED, THE BOARD MEMBER OR OFFICER WOULD BE ASKED TO REFRAIN FROM PARTICIPATION IN ANY DELIBERATION OR DECISION WITH REGARD TO MATTERS AFFECTED BY THE RELATIONSHIP. ANY CONFLICTS OF INTEREST MUST BE DISCUSSED AT THE BOARD LEVEL AND DECIDED UPON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 15A: THE CEO'S SALARY IS REVIEWED AND ESTABLISHED BY THE EXECUTIVE COMMITTE. THIS PROCESS USES COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS IS DONE ANNUALLY BY PERSONS APPROPRIATELY INDEPENDENT OF THE PERSON FOR WHOM COMPENSATION IS BEING ESTABLISHED. DOCUMENTATION OF SALARY FOR THE CEO IS DONE VIA THE BUDGETING PROCESS AND DOCUMENTED IN COMMITTEE MEETING MINUTES. LINE 15B: OTHER OFFICERS' SALARIES ARE REVIEWED AND ESTABLISHED BY THE CEO. THIS PROCESS USES COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS IS DONE ANNUALLY BY PERSONS APPROPRIATELY INDEPENDENT OF THE PERSON FOR WHOM COMPENSATION IS BEING ESTABLISHED. DOCUMENTATION OF SALARY FOR OTHER OFFICERS IS DONE VIA THE BUDGETING PROCESS THEN APPROVED BY THE CEO AND THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AND ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF ANNUITIES 26,538. CHANGE IN VALUE OF PERPETUAL LIFE TRUST 555,874. CHANGE IN VALUE OF LIFE ESTATE TRUST 26,211.</ExplanationTxt>
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      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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