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Primarily based on public and proprietary information, business info supplier Dun & Bradstreet reported that Tenpenny's clinic, recognized as the Tenpenny Integrative Medical Heart, has $4.04 million in estimated annual sales. As well as the "Disinformation Dozen," she was named in a separate Middle for Countering Digital Hate (CCDH) list of "Pandemic Profiteers," anti-vaccine figures who operate companies or organizations with important revenues. A Facebook page set up a decade ago to mock the osteopath places it extra bluntly. Recognized within the anti-vaccine movement for more than 20 years, Tenpenny published a 2008 e book titled "Saying No To Vaccines," which pushed the discredited theory that vaccines trigger autism. She underpins her stance with a Christian message, in step with most of the American conservatives who have railed in opposition to lockdowns, masking and other measures to contain the pandemic. In it, she linked "rulers, authorities, cosmic powers within the darkness around us and evil spiritual forces within the heavenly realm" to the disease that has killed greater than 630,000 individuals within the United States, and 4.5 million worldwide.