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        <EndYearBalanceAmt>277669</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>20693</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>12789</OtherExpendituresAmt>
        <EndYearBalanceAmt>277729</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>20722</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>12999</OtherExpendituresAmt>
        <EndYearBalanceAmt>269825</EndYearBalanceAmt>
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        <BookValueAmt>126145</BookValueAmt>
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      <TotalRevEtcAuditedFinclStmtAmt>11412948</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>11412948</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>11412948</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>9301352</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>9301352</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PURCHASE MEDICAL EQUIPMENT TO BE USED IN CONJUCTION WITH THE ORGANIZATION'S MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      </RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS BUGBEE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>10154</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL M CAREW</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>18018</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL GUALTIERI</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>3270</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>161808</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED AND APPROVED BY BOARD PRIOR TO SUBMISSION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION B - POLICIES ITEM 12C DOES THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WTH A CONFLICT OF INTEREST POLICY? THE BOARD OF DIRECTORS EACH HAS THEIR PERSONAL COPY OF THE BY-LAWS OF THE HEATLH CENTER WHICH SPECIFIES IN ARTICLE VI, SECTION 5 THAT "MEMBERS OF THE BOARD SHALL EXCLUDE THEMSELVES FROM VOTING ON ANY ISSUE, MOTION, OR RESOLUTION WHICH MAY DIRECTLY OR INDIRECTLY INURE TO THEIR BENEFIT." CONFLICT OF INTEREST MAY BE RAISED BY ANY BOARD MEMBER AT ANY BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ITEMS 15A AND 15B-THE BOARD DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION FOR ALL OTHER EMPLOYEES INCLUDING KEY EMPLOYEES. THE DECISIONS USE THE MANAGMENT COMPENSATION SURVEY ISSUED ANNUALLY BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION FOR THE EXECUTIVE DIRECTOR'S COMPENSATION COMPARABILITY. THE KEY EMPLOYEES' COMPENSATION IS DETERMINED USING THE PHYSICIAN COMPENSATION AND PRODUCTION SURVEY ISSUED ANNUALLY BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION. THE BOARD ANNUALLY APPOINTS A COMMITTEE OF THE BOARD TO REVIEW AND EVALUATE THE EXECUTIVE DIRECTOR. THE COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD FOR ITS CONSIDERATION. THE BOARD DELEGATES ALL PERSONNEL MATTERS TO THE EXECUTIVE DIRECTOR. ANNUAL REVIEWS ARE CONDUCTED. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED USING THE PHYSICIAN COMPENSATION AND PRODUCTION SURVEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ITEMS 15A AND 15B-THE BOARD DELEGATES ALL PERSONNEL MATTERS TO THE EXECUTIVE DIRECTOR. ANNUAL REVIEWS ARE CONDUCTED. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED USING THE PHYSICIAN COMPENSATION AND PRODUCTION SURVEY. OFFICERS ARE NOT COMPENSATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE BY-LAWS AND RECENT AUDITED FINANCIAL STATEMENTS IS AVAILABLE ON REQUEST FOR PUBLIC REVIEW DURING REGULAR BUSINESS HOURS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS 6,752 25,548 0 COMPUTER NETWORK SERVICE 293,141 4,279 0 OUTSIDE SERVICES 527,825 126,637 0 TRANSCRIPTION 5,105 0 0 TOTAL 832,823 156,464 0</ExplanationTxt>
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  </ReturnData>
</Return>
