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      </AnalysisIncomeProducingActyGrp>
      <RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1a</LineNumberTxt>
          <RelationshipStatementTxt>each activity for which income is reported contributes to the exempt purpose</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1a</LineNumberTxt>
          <RelationshipStatementTxt>by providing healthcare professionals with different forms of media of information</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1a</LineNumberTxt>
          <RelationshipStatementTxt>with which they are kept abreast of developing and proven healthcare topics</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1a</LineNumberTxt>
          <RelationshipStatementTxt>and procedures.</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
      </RlnOfActyToAccomOfExmptPrpsGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <DepreciationSchedule documentId="990PF:129" softwareId="23017659" softwareVersionNum="23.1.0.0"></DepreciationSchedule>
    <LandEtcSchedule2 documentId="990PF:132" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <LandEtcGrp>
        <CategoryOrItemTxt>Totals</CategoryOrItemTxt>
        <CostOrOtherBasisAmt>7650</CostOrOtherBasisAmt>
        <AccumulatedDepreciationAmt>7650</AccumulatedDepreciationAmt>
      </LandEtcGrp>
    </LandEtcSchedule2>
    <LoansFromOfficersSchedule documentId="990PF:118" softwareId="23017659" softwareVersionNum="23.1.0.0"></LoansFromOfficersSchedule>
    <OtherDecreasesSchedule documentId="990PF:134" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <OtherDecreasesDetail>
        <Desc>no difference between fair market value and the book value</Desc>
        <Amt>1</Amt>
      </OtherDecreasesDetail>
    </OtherDecreasesSchedule>
    <OtherExpensesSchedule documentId="990PF:115" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <OtherExpensesScheduleGrp>
        <Desc>Insurance</Desc>
        <RevenueAndExpensesPerBooksAmt>5410</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>5410</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Office Expense</Desc>
        <RevenueAndExpensesPerBooksAmt>14862</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>14862</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Charity</Desc>
        <RevenueAndExpensesPerBooksAmt>1331</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>1331</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Dues Subscriptions</Desc>
        <RevenueAndExpensesPerBooksAmt>6064</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>6064</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Licenses Permits</Desc>
        <RevenueAndExpensesPerBooksAmt>34714</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>34714</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Equipment Rental</Desc>
        <RevenueAndExpensesPerBooksAmt>560</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>560</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Miscellaneous</Desc>
        <RevenueAndExpensesPerBooksAmt>515</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>515</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Project Costs</Desc>
        <RevenueAndExpensesPerBooksAmt>2433914</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>2433914</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Offsite Storage</Desc>
        <RevenueAndExpensesPerBooksAmt>1756</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>1756</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Health Insurance</Desc>
        <RevenueAndExpensesPerBooksAmt>92232</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>92232</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Marketing Business Development</Desc>
        <RevenueAndExpensesPerBooksAmt>6585</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>6585</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="990PF:110" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <OtherIncomeDetail>
        <Desc>Medical Education</Desc>
        <RevenueAndExpensesPerBooksAmt>3346518</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>3346518</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
    <OtherIncreasesSchedule documentId="990PF:133" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <OtherIncreasesDetail>
        <Desc>no difference between fair market value and the book value</Desc>
        <Amt>1</Amt>
      </OtherIncreasesDetail>
    </OtherIncreasesSchedule>
    <OtherProfessionalFeesSchedule documentId="990PF:113" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <OtherProfessionalFeesDetail>
        <CategoryTxt>Other Professional Fees</CategoryTxt>
        <Amt>19341</Amt>
        <NetInvestmentIncomeAmt>967</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>18374</AdjustedNetIncomeAmt>
      </OtherProfessionalFeesDetail>
    </OtherProfessionalFeesSchedule>
    <TaxesSchedule documentId="990PF:114" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <TaxesDetail>
        <CategoryTxt>Federal employment taxes</CategoryTxt>
        <Amt>26378</Amt>
        <AdjustedNetIncomeAmt>26378</AdjustedNetIncomeAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>State employment taxes</CategoryTxt>
        <Amt>655</Amt>
        <AdjustedNetIncomeAmt>655</AdjustedNetIncomeAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>Local property taxes</CategoryTxt>
        <Amt>795</Amt>
        <AdjustedNetIncomeAmt>795</AdjustedNetIncomeAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>Other taxes</CategoryTxt>
        <Amt>178</Amt>
        <AdjustedNetIncomeAmt>178</AdjustedNetIncomeAmt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>