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      <MissionDesc>The clinic provides 24-7 primary healthcare that includes: Triage, health education and medicine for the impoverished communities around Tola, Nicaragua at a free or low-cost rate. Services provided are free to seniors and children, while adults are on a sliding scale fee basis. The clinic believes in promoting "prevention through education." Therefore, the clinic recently expanded its mission to include working closely with other local community leaders, non-profit organizations and foundations. The joint goal is to educate local citizens on healthy living through building skills, improving sanitation practices and systems, playing sports and participaing in physical fitness.</MissionDesc>
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      <Desc>Clinic Primary Program and Mission - Our primary program is to provide affordable access to high quality health care in Limon and surrounding 49 rural communitites on the Southwestern coast of Nicaragua. This includes primary care, diagnostics and urgent care for all ages.Over 25,000 people were helped at the Clinic across many services. Services that included standard medical attention to 11,628 patients, 14,147 pharmacy services and preventive education talks with over 10,000 local Nicaraguans. Our Community Outreach Program allowed us to reach over 17,000 individuals in 20 different communities. For example, delivery of hygiene kits to those in the community, purified water and medicines to those affected. Our facilities were maintained clean and sanitized 24/7. Implementation of a waiting area outside the Clinic, with a hand-washing station and isolation room for febrile patients allowed us continue operating. All staff were required to wear protective materials.</Desc>
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        <Desc>Padrino Sponsor-a-Child Program - Children registered in the program from different communities, such as Limon 1, Limon 2, Canas de Garcia, Las Salinas, Virgen Morena, San Ignacio, Las Mercedes, El Asentamiento, among others. Children are matched with volunteers who provide financial sponsorship of monthly healthcare and education costs. The sponsors are called "Padrinos and they enable each child to have healthcare and a formal education.The Padrino Program handed out uniforms and school supplies to each sponsored child. During the event, they also received physical examinations, laboratory tests, assessments of their nutrition and growth levels, and dental checkups offered by a volunteer from the ARTS (A Reason to Smile) organization.The clinic also partnered with ANF to start a Nutrition Program to fight malnutrition. The ANF Program consists of providing "manapacks" to each child in our Padrino Program, as well as providing grains, cereals and other food supplements to other members of the family. The "Padrino" Program consisted of 71 children: three preschoolers, 29 elementary children, 19 high school children, and eight university students. The program also promotes schooling and university studies.</Desc>
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        <Desc>Healthy Eating Initiative - Our enthusiastic gardner, Eliezer, was extremely busy taking care of our organic garden and teaching his valuable knowledge in basic gardening, soil enhancement, nutrition and natural pest control to the community on a daily basis. Through the use of drip irrigation and the arrival of the rainy season, he had our garden looking beautiful most of the year.Since we started the program, we've created 52 organic gardens- including three at other local NGO's and three at local public schools, more than 250 people have directly benefited from the creation of the organic gardens, more than 1,000 individuals have purchased vegetables from the gardens and the Clinic. As part of the Healthy Eating Initiative, our beekeeping program is growing strong. One of the benefits or breeding bees is ecological balance. Our current goal is to increase the production of each plant species grown in our garden. Our beehives are currently solid and our plan is to multiply them little by little; however, our success is strictly linked to climatic behavior. The importance of promoting organic agriculture has special meaning for us and we are determined to continue our arduous efforts.Our biointensive gardens were found in over 16 communities. Organic gardens were benefited from by 110 families and two non-governmental organizations and community markets increased to 13 in the region. The Healthy Eating Initiative aided over 9,000 people.</Desc>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>4034</ManagementAndGeneralAmt>
        <FundraisingAmt>15776</FundraisingAmt>
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        <ProgramServicesAmt>22929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9933</ManagementAndGeneralAmt>
        <FundraisingAmt>1090</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>21190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9081</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50</ManagementAndGeneralAmt>
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        <Desc>Bank &amp; Exchange Fees</Desc>
        <TotalAmt>106007</TotalAmt>
        <ProgramServicesAmt>63604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31802</ManagementAndGeneralAmt>
        <FundraisingAmt>10601</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Community Activities</Desc>
        <TotalAmt>79698</TotalAmt>
        <ProgramServicesAmt>79698</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Medical</Desc>
        <TotalAmt>44766</TotalAmt>
        <ProgramServicesAmt>44766</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>License and Fees</Desc>
        <TotalAmt>6993</TotalAmt>
        <ProgramServicesAmt>6993</ProgramServicesAmt>
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        <TotalAmt>10933</TotalAmt>
        <ProgramServicesAmt>9834</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1099</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>474065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77467</ManagementAndGeneralAmt>
        <FundraisingAmt>27467</FundraisingAmt>
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        <EOYAmt>286202</EOYAmt>
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        <EOYAmt>51641</EOYAmt>
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        <EOYAmt>51641</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>529557</BOYAmt>
        <EOYAmt>389558</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>28219</EOYAmt>
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        <EOYAmt>417777</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>469418</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-166162</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1652</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>false</FSAuditedInd>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="23017517" softwareVersionNum="2023v5.1">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
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      <LandGrp>
        <OtherCostOrOtherBasisAmt>61859</OtherCostOrOtherBasisAmt>
        <BookValueAmt>61859</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>75356</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>30142</DepreciationAmt>
        <BookValueAmt>45214</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>210892</DepreciationAmt>
        <BookValueAmt>66808</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>29087</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23605</DepreciationAmt>
        <BookValueAmt>5482</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>179363</TotalBookValueLandBuildingsAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America &amp; Caribbean</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>24</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Free or low cost medical care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>578999</RegionTotalExpendituresAmt>
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      <SubtotalOfficesCnt>1</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>24</SubtotalEmployeesCnt>
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      <TotalEmployeeCnt>24</TotalEmployeeCnt>
      <SubtotalSpentAmt>578999</SubtotalSpentAmt>
      <TotalSpentAmt>578999</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3f - Investments and Expenditures</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenditures: In 2023, the organization spent $578,999 USD equivalent on clinic operations and related activities.</ExplanationTxt>
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    </IRS990ScheduleF>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Healthy Eating Initiative - Our enthusiastic gardner, Eliezer, was extremely busy taking care of our organic garden and teaching his valuable knowledge in basic gardening, soil enhancement, nutrition and natural pest control to the community on a daily basis. Through the use of drip irrigation and the arrival of the rainy season, he had our garden looking beautiful most of the year.Since we started the program, we've created 52 organic gardens- including three at other local NGO's and three at local public schools, more than 250 people have directly benefited from the creation of the organic gardens, more than 1,000 individuals have purchased vegetables from the gardens and the Clinic. As part of the Healthy Eating Initiative, our beekeeping program is growing strong. One of the benefits or breeding bees is ecological balance. Our current goal is to increase the production of each plant species grown in our garden. Our beehives are currently solid and our plan is to multiply them little by little; however, our success is strictly linked to climatic behavior. The importance of promoting organic agriculture has special meaning for us and we are determined to continue our arduous efforts.Our biointensive gardens were found in over 16 communities. Organic gardens were benefited from by 110 families and two non-governmental organizations and community markets increased to 13 in the region. The Healthy Eating Initiative aided over 9,000 people.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was reviewed and approved by the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization has a written conflict of interest policy and is shared with the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policy and financial statements are available to the public upon written request to the Organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>