﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.0" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-12-13T14:31:26-08:00</Timestamp>
    <TaxPeriodEndDate>2013-01-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>ScottSingletonFincher &amp; Co</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>4815 King Street Suite A</AddressLine1>
        <City>Greenville</City>
        <State>TX</State>
        <ZIPCode>75401</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-02-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>751528614</EIN>
      <Name>
        <BusinessNameLine1>COMMUNITY HEALTH SERVICE AGENCY INC</BusinessNameLine1>
      </Name>
      <NameControl>COMM</NameControl>
      <Phone>9034555986</Phone>
      <USAddress>
        <AddressLine1>P O BOX 1908</AddressLine1>
        <City>GREENVILLE</City>
        <State>TX</State>
        <ZIPCode>75403</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>CAROL ARRINGTON</Name>
      <Title>CFO</Title>
      <DateSigned>2013-12-13</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Hannah C Nelson</Name>
      <PTIN>P00448733</PTIN>
      <Phone>9034554765</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <NameOfPrincipalOfficerPerson>MICHELLE CARTER</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1660 GENA DR</AddressLine1>
        <City>SULPHER SPRINGS</City>
        <State>TX</State>
        <ZIPCode>75482</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>8537913</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <AllAffiliatesIncluded>false</AllAffiliatesIncluded>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.completemedicalhome.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1976</YearFormation>
      <StateLegalDomicile>TX</StateLegalDomicile>
      <ActivityOrMissionDescription>To provide community oriented primary health care, including, medical &amp; dental care, education, and social services to the residents of Hunt, Fannin, Kaufman, Delta, and Collin counties, with a particular emphasis on those individuals and families that have difficulty accessing health care services because of financial, language, and/or cultural barriers.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>8</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>8</NbrIndependentVotingMembers>
      <TotalNbrEmployees>164</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>4479416</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>3648686</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>5461976</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>4858723</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>5298</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>3738</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>26766</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>9946690</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>8537913</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>5874135</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>5647110</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>3766383</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>2998262</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>9640518</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>8645372</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>306172</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-107459</RevenuesLessExpensesCY>
      <TotalAssetsBOY>6051588</TotalAssetsBOY>
      <TotalAssetsEOY>6001969</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2344558</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2402398</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>3707030</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>3599571</NetAssetsOrFundBalancesEOY>
      <MissionDescription>To provide community oriented primary health care, including, medical &amp; dental care, education, and social services to the residents of Hunt, Fannin, Kaufman, Delta, and Collin counties, with a particular emphasis on those individuals and families that have difficulty accessing health care services because of financial, language, and/or cultural barriers.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>6673577</Expense>
      <Revenue>4885489</Revenue>
      <Description>The organization provided general health and family planning services to its service area. During the year the Agency provided over 65,000 patient encounters under the Section 330 grant, Medicaid and Medicare.</Description>
      <TotalProgramServiceExpense>6673577</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt referenceDocumentId="IRS990ScheduleM">false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>48</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>false</ComplianceWithBackupWitholding>
      <NumberOfEmployees>164</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <Form990-TFiled>false</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <NumberOf8282Filed>0</NumberOf8282Filed>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <FiledLieu1041>false</FiledLieu1041>
      <LicensedMoreThanOneState>false</LicensedMoreThanOneState>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>8</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>8</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>CAROL ARRINGTON</NamePerson>
        <TelephoneNumber>9034555986</TelephoneNumber>
        <AddressUS>
          <AddressLine1>4500 WESLEY STREET</AddressLine1>
          <City>GREENVILLE</City>
          <State>TX</State>
          <ZIPCode>75403</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>KEITH WINTERS</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES BARR PHD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STAN MCKEE</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TIFFANY WILLIS</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHANNON REIMER</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRENDA SUE GREGG</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL PAINTER</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NONA JORDAN</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHELLE CARTER</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>84857</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8206</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAN SHEPHERD</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>161996</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9688</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROL ARRINGTON</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>60285</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>1892</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RONALD PERON MD</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>118311</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6463</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANN MARIE LEDLEY OB</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>212844</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10906</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RIZWANA KHAN MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>148500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5188</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PRETI LEMO MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>155063</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8125</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACK LEWIS</NamePerson>
        <Title>DENTIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>114723</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9075</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1056579</TotalReportableCompFromOrg>
      <TotalOtherCompensation>59543</TotalOtherCompensation>
      <NumberIndividualsGT100K>6</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LABCORP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O BOX 12140</AddressLine1>
            <City>BURLINGTON</City>
            <State>NC</State>
            <ZIPCode>27216</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LABORATORY SRVCS</DescriptionOfServices>
        <Compensation>250201</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <GovernmentGrants>3341155</GovernmentGrants>
      <AllOtherContributions>307531</AllOtherContributions>
      <NoncashContributions>138516</NoncashContributions>
      <TotalContributions>3648686</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PRIVATE PATIENT FEES</Description>
        <TotalRevenueColumn>2153675</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2153675</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID</Description>
        <TotalRevenueColumn>2705048</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2705048</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>4858723</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>3738</TotalRevenueColumn>
        <ExclusionAmount>3738</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISCELLAENOUS INCOME</Description>
        <TotalRevenueColumn>26766</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>26766</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>26766</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>8537913</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4885489</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>3738</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>451698</Total>
        <ProgramServices>70570</ProgramServices>
        <ManagementAndGeneral>381128</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>4194604</Total>
        <ProgramServices>3448445</ProgramServices>
        <ManagementAndGeneral>746159</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>32352</Total>
        <ProgramServices>24588</ProgramServices>
        <ManagementAndGeneral>7764</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>593832</Total>
        <ProgramServices>460371</ProgramServices>
        <ManagementAndGeneral>133461</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>374624</Total>
        <ProgramServices>284714</ProgramServices>
        <ManagementAndGeneral>89910</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>10912</Total>
        <ProgramServices>9019</ProgramServices>
        <ManagementAndGeneral>1893</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>26075</Total>
        <ManagementAndGeneral>26075</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>608949</Total>
        <ProgramServices>596239</ProgramServices>
        <ManagementAndGeneral>12710</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>8524</Total>
        <ProgramServices>7544</ProgramServices>
        <ManagementAndGeneral>980</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>806667</Total>
        <ProgramServices>693443</ProgramServices>
        <ManagementAndGeneral>113224</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>174553</Total>
        <ProgramServices>112598</ProgramServices>
        <ManagementAndGeneral>61955</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>378103</Total>
        <ProgramServices>263908</ProgramServices>
        <ManagementAndGeneral>114195</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>90005</Total>
        <ProgramServices>13478</ProgramServices>
        <ManagementAndGeneral>76527</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>35373</Total>
        <ProgramServices>13266</ProgramServices>
        <ManagementAndGeneral>22107</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>397445</Total>
        <ProgramServices>283284</ProgramServices>
        <ManagementAndGeneral>114161</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>MEMBERSHIPS</Description>
        <Total>40617</Total>
        <ProgramServices>4545</ProgramServices>
        <ManagementAndGeneral>36072</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITMENT &amp; TRAINING</Description>
        <Total>58868</Total>
        <ProgramServices>30896</ProgramServices>
        <ManagementAndGeneral>27972</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DONATED PHARMACY</Description>
        <Total>138516</Total>
        <ProgramServices>138516</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT PROVISION</Description>
        <Total>193925</Total>
        <ProgramServices>193925</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>29730</Total>
        <ProgramServices>24228</ProgramServices>
        <ManagementAndGeneral>5502</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>8645372</Total>
        <ProgramServices>6673577</ProgramServices>
        <ManagementAndGeneral>1971795</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>133402</BOY>
        <EOY>232830</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>951715</BOY>
        <EOY>1055703</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>371968</BOY>
        <EOY>333738</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>47924</BOY>
        <EOY>54295</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>7228524</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2903121</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4546579</BOY>
        <EOY>4325403</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>6051588</BOY>
        <EOY>6001969</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>495892</BOY>
        <EOY>789019</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>209314</BOY>
        <EOY>103941</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1568035</BOY>
        <EOY>1453739</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>71317</BOY>
        <EOY>55699</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2344558</BOY>
        <EOY>2402398</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3687626</BOY>
        <EOY>3570590</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>19404</BOY>
        <EOY>28981</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3707030</BOY>
        <EOY>3599571</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>6051588</BOY>
        <EOY>6001969</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-107459</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>2961541</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3372022</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3655853</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4479416</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3648686</CurrentTaxYear>
        <Total>18117518</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>2961541</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3372022</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3655853</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4479416</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3648686</CurrentTaxYear>
        <Total>18117518</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>18117518</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>29222</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15311</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8048</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5298</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3738</CurrentTaxYear>
        <Total>61617</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus3Years>8463</CurrentTaxYearMinus3Years>
        <CurrentTaxYear>26766</CurrentTaxYear>
        <Total>35229</Total>
      </OtherIncome170>
      <TotalSupport>18214364</TotalSupport>
      <PublicSupportPertcentage170>0.99470</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99170</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Land>
        <OtherCostOrOtherBasis>237668</OtherCostOrOtherBasis>
        <BookValue>237668</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4337850</OtherCostOrOtherBasis>
        <Depreciation>956661</Depreciation>
        <BookValue>3381189</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>2173371</OtherCostOrOtherBasis>
        <Depreciation>1626796</Depreciation>
        <BookValue>546575</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>479635</OtherCostOrOtherBasis>
        <Depreciation>319664</Depreciation>
        <BookValue>159971</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4325403</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>CAPITAL LEASES PAYABLE</Description>
        <Amount>55699</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>55699</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>8537913</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>8537913</RevenueSubtotal>
      <TotalRevenuePerForm990>8537913</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>8645372</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>8645372</ExpensesSubtotal>
      <TotalExpensesPerForm990>8645372</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>THE AGENCY ADOPTED THE PROVISIONS OF FASB ASC TOPIC 740-10, INCOME TAXES (PREVIOUSLY KNOW AS FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES). MANAGEMENT BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS, AND ACCORDINGLY THERE IS NO LIABILITY RECORDED FOR UNRECOGNIZED TAX BENEFITS AT JANUARY 31, 2013 AND 2012.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>RIZWANA KHAN MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>148500</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>5188</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>153688</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PRETI LEMO MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>155063</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>2400</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5725</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>163188</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAN SHEPHERD</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>161996</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3963</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5725</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>171684</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANN MARIE LEDLEY OB</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>212844</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>5181</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5725</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>223750</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="12000229" softwareVersion="2012v2.0">
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>138516</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MKT VALUE</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>SALARY COMPARISONS FOR KEY EMPLOYEES ARE COMPARED TO LOCAL SERVICE AREA PAY RATES IN ORDER TO REMAIN COMPETITIVE. KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</ReturnReference>
        <Explanation>COMPENSATION FOR KEY MANAGEMENT, INCLUDING THE CEO AND CFO, IS COMPARED TO REGIONAL &amp; STATE SALARY SURVEYS BASED ON BUDGET, ANNUAL ENCOUNTERS, AND YEARS OF SERVICE. THIS SALARY SURVEY IS SPECIFIC TO COMMUNITY HEALTH CENTERS. SALARY COMPARISONS FOR KEY EMPLOYEES ARE ALSO COMPARED TO LOCAL SERVICE AREA PAY RATES IN ORDER TO REMAIN COMPETITIVE. THE CEO'S COMPENSATION PACKAGE IS DETERMINED, REVIEWED, AND APPROVED BY THE BOARD OF DIRECTORS. ALL OTHER KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>THIS POLICY IS PART OF A CODE OF CONDUCT THAT ALL EMPLOYEES AND THE BOARD OF DIRECTORS SIGN. IT IS ALSO PART OF THE BYLAWS OF THE AGENCY AND INCLUDED IN THE BOARD OF DIRECTORS ORIENTATION. THIS POLICY IS REVIEWED AT ANNUAL BOARD TRAININGS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>THE CEO AND CFO OF THE AGENCY WILL PARTICIPATE IN COMPLETING THE FORM 990 AS WELL AS REVIEWING THE 990 BEFORE SUBMISSION. THE AGENCY'S CFO WILL REVIEW THE FORM 990 WITH THE BOARD OF DIRECTORS BEFORE SUBMISSION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>