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        <Fundraising>9450</Fundraising>
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      <Advertising>
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        <ProgramServices>427</ProgramServices>
        <ManagementAndGeneral>4795</ManagementAndGeneral>
        <Fundraising>1726</Fundraising>
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        <ProgramServices>34915</ProgramServices>
        <ManagementAndGeneral>10715</ManagementAndGeneral>
        <Fundraising>5658</Fundraising>
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        <ProgramServices>29467</ProgramServices>
        <ManagementAndGeneral>6598</ManagementAndGeneral>
        <Fundraising>2985</Fundraising>
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        <ManagementAndGeneral>21704</ManagementAndGeneral>
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        <ProgramServices>1864</ProgramServices>
        <ManagementAndGeneral>3058</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
        <Total>0</Total>
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        <ProgramServices>49094</ProgramServices>
        <ManagementAndGeneral>12274</ManagementAndGeneral>
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        <ProgramServices>21571</ProgramServices>
        <ManagementAndGeneral>1915</ManagementAndGeneral>
        <Fundraising>503</Fundraising>
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        <ProgramServices>128647</ProgramServices>
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      <OtherExpenses>
        <Description>LABORATORY EXPENSE</Description>
        <Total>21450</Total>
        <ProgramServices>21450</ProgramServices>
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      <OtherExpenses>
        <Description>DRUGS/MEDICAL SUPPLIES/MEDICAL WASTE</Description>
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        <ProgramServices>13755</ProgramServices>
        <ManagementAndGeneral>105</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>CONTINUING EDUCATION</Description>
        <Total>5128</Total>
        <ProgramServices>3712</ProgramServices>
        <ManagementAndGeneral>1247</ManagementAndGeneral>
        <Fundraising>169</Fundraising>
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        <ProgramServices>6457</ProgramServices>
        <ManagementAndGeneral>8708</ManagementAndGeneral>
        <Fundraising>3890</Fundraising>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>216613</ManagementAndGeneral>
        <Fundraising>132707</Fundraising>
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        <EOY>164040</EOY>
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        <EOY>55804</EOY>
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      <LandBldgEquipmentAccumDeprec>429508</LandBldgEquipmentAccumDeprec>
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        <EOY>224150</EOY>
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        <BOY>1500</BOY>
        <EOY>1500</EOY>
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        <BOY>1108511</BOY>
        <EOY>1139405</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>69129</BOY>
        <EOY>45418</EOY>
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      <DeferredRevenue>
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      <TotalLiabilities>
        <BOY>69129</BOY>
        <EOY>68118</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>816136</BOY>
        <EOY>991100</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>212746</BOY>
        <EOY>69687</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>10500</BOY>
        <EOY>10500</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>1039382</BOY>
        <EOY>1071287</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>1108511</BOY>
        <EOY>1139405</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>31905</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <PublicSupportPertcentage170>0.00000</PublicSupportPertcentage170>
      <GiftsGrantsContribReceived509>
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        <CurrentTaxYearMinus3Years>515001</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>559888</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>887558</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>754721</CurrentTaxYear>
        <Total>3159519</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>1166146</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1285229</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1352727</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1328073</CurrentTaxYear>
        <Total>6221469</Total>
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      <Total509>
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        <CurrentTaxYearMinus3Years>1681147</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1845117</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2240285</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2082794</CurrentTaxYear>
        <Total>9380988</Total>
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      <PublicSupportTotal509>9380988</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus3Years>6526</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7235</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5338</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5509</CurrentTaxYear>
        <Total>25222</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>6526</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7235</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5338</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5509</CurrentTaxYear>
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      <NetIncomeFromOtherUBI>
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        <CurrentTaxYearMinus1Year>2245623</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2088303</CurrentTaxYear>
        <Total>9406210</Total>
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      <PublicSupportPercentage509>0.99730</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99770</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00270</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00230</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
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        <ContributorNameBusiness>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    <IRS990ScheduleD documentId="990D" softwareId="11000218" softwareVersion="2011.0.0">
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      <LeaseholdImprovements>
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        <BookValue>264589</BookValue>
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      <Equipment>
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        <BookValue>389069</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <BookValue>-429508</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>224150</TotalOfBookValueLandBuildings>
      <TotalRevenue>2073205</TotalRevenue>
      <TotalExpenses>2041300</TotalExpenses>
      <ExcessOrDeficitForYear>31905</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>31905</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>2207239</TotRevenueEtcAuditedFinclStmt>
      <DonatedSrvcAndUseOfFacilities>134034</DonatedSrvcAndUseOfFacilities>
      <RevenueNotRptdF990>134034</RevenueNotRptdF990>
      <RevenueSubtotal>2073205</RevenueSubtotal>
      <TotalRevenuePerForm990>2073205</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2175334</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>134034</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>134034</ExpensesNotRptdF990>
      <ExpensesSubtotal>2041300</ExpensesSubtotal>
      <TotalExpensesPerForm990>2041300</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The Organization files an annual income tax return. With few exceptions, the Organization is no longer subject to U.S. federal income tax examinations by tax authorities for years before 2008. The Organization has adopted the provisions of FASB ASC 740, Accounting for Uncertainty in Income Taxes. There were no unrecognized tax benefits as of December 31, 2011 and 2010.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The Organization recognizes interest accrued related to unrecognized tax benefits in interest expense and penalties in operating expense. There were no such interest and penalties for 2011 and 2010.</Explanation>
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        <CharitableContributionsEvent1>30986</CharitableContributionsEvent1>
        <GrossRevenueEvent1>18274</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>28910</OtherDirectExpensesEvent1>
        <NameOfEvent2>FASHION SHOW</NameOfEvent2>
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        <CharitableContributionsEvent2>9265</CharitableContributionsEvent2>
        <GrossRevenueEvent2>3918</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>8380</OtherDirectExpensesEvent2>
        <GrossReceiptsTotal>62443</GrossReceiptsTotal>
        <CharitableContributionsTotal>40251</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>22192</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>37290</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>37290</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-15098</NetIncomeSummary>
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      <OtherNonCashContributionsTable>
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        <Description>SOFTWARE</Description>
        <NoncashContribsRptdF990>96776</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>BOOK VALUE</MethodOfDeterminingRevenues>
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      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
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    <IRS990ScheduleO documentId="990O" softwareId="11000218" softwareVersion="2011.0.0">
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>After preparation of the Form 990 and before filing of the form, the preparer provided a copy for the finance committee to review. A copy of the tax return was provided to the organization for its files.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>The tone for a high level of ethics is set at the top. The board of directors imparts its expectations to all levels of management. In connection therewith, all board members, members of committees who are not board members, officers and employees are required to review the conflict of interest policy and to annually sign a conflict of interest statement. The signed forms are reviewed and the accounting department is advised of any disclosed conflicts. Any individual with a possible conflict, or who perceives or recognizes a conflict of others, is encouraged to discuss the matter with their immediate supervisor. All conflicts are ultimately to be discussed with the board of directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15b</ReturnReference>
        <Explanation>The President CEOs compensation is reviewed annually by a committee appointed by the chair of the board of directors. Base salary is compared with similar not-for-profit and for-profit organizations. Staff size, annual budget, market trends and skill level is used to determine comparable salaries. Benchmark information from other employers and summary data compiled from not-for-profit entity surveys presented bi-annually by the Community Council of Greater Dallas is consulted. Annual performance measurements are established to evaluate bonus guidelines.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>Copies of requested governing documents and open pages of Form 990 are made available upon request. No such requests were received during 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VII</Identifier>
        <ReturnReference>1</ReturnReference>
        <Explanation>Community Medical Associates, Inc., 385 W Main St., Suite A, Lewisville, Texas 75057, Contract Physician Service, 128,647</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 11b After preparation of the Form 990 and before filing of the form, the preparer provided a copy for the finance committee to review. A copy of the tax return was provided to the organization for its files. Form 990 Part VI Section B Line 12c The tone for a high level of ethics is set at the top. The board of directors imparts its expectations to all levels of management. In connection therewith, all board members, members of committees who are not board members, officers and employees are required to review the conflict of interest policy and to annually sign a conflict of interest statement. The signed forms are reviewed and the accounting department is advised of any disclosed conflicts. Any individual with a possible conflict, or who perceives or recognizes a conflict of others, is encouraged to discuss the matter with their immediate supervisor. All conflicts are ultimately to be discussed with the board of directors. Form 990 Part VI Section B Line 15b The President CEOs compensation is reviewed annually by a committee appointed by the chair of the board of directors. Base salary is compared with similar not-for-profit and for-profit organizations. Staff size, annual budget, market trends and skill level is used to determine comparable salaries. Benchmark information from other employers and summary data compiled from not-for-profit entity surveys presented bi-annually by the Community Council of Greater Dallas is consulted. Annual performance measurements are established to evaluate bonus guidelines. Form 990 Part VI Section C Line 19 Copies of requested governing documents and open pages of Form 990 are made available upon request. No such requests were received during 2011. Form 990 Part VII Section B Line 1 Community Medical Associates, Inc., 385 W Main St., Suite A, Lewisville, Texas 75057, Contract Physician Service, 128,647</Explanation>
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    </IRS990ScheduleO>
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</Return>