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        <NamePerson>Leslie Norwalk</NamePerson>
        <Title>Director</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>Edwin Phelps</NamePerson>
        <Title>Director</Title>
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        <BonusFilingOrg>0</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Morris Reid</NamePerson>
        <Title>Director</Title>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <NamePerson>Gerald Sigal</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Blair Watters</NamePerson>
        <Title>Director</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>Robert Watters</NamePerson>
        <Title>Director</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
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      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000008" softwareId="12000197" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>Rob Watters, Director of the Board (served until Dec 2013) and Blair Watters, Director of the Board (served from Jan 2013 to current), are husband and wife.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The CEO and CFO review the form 990 and the form is presented to the Board of Directors at its regular meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The Conflict of Interest policy is reviewed by the board annually. Officers, directors or trustees, and key employees are required to disclose any conflicts annually. The Compliance Department regularly and consistently monitor and enforce the policy by: requiring the annual disclosure; reviewing all potential conflicts; and putting in place appropriate measures to manage potential conflicts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>The Board has a compensation committee who meets to review the salary of the CEO, President, Chairmen, and all other highly compensated employees in the Company. The review is performed annually prior to the start of the new fiscal year and is based off of industry specific salary data and benchmarks.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>All of the organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Requests can be made in writing via regular mail or email.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P09_S00_L11g</Identifier>
        <ReturnReference>Form 990, Part IX, Line 11g</ReturnReference>
        <Explanation>Other fee for services mainly consists of fees paid to contracted physicians, total $46.6 millions and misc. patient care purchased services such as sign language, dictation, etc, total of $2.7 millions.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>