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        <Total>28677</Total>
        <ManagementAndGeneral>28677</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>295989</Total>
        <ProgramServices>97234</ProgramServices>
        <ManagementAndGeneral>198755</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>84080</Total>
        <ManagementAndGeneral>84080</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>666069</Total>
        <ProgramServices>509388</ProgramServices>
        <ManagementAndGeneral>156681</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>193927</Total>
        <ProgramServices>131581</ProgramServices>
        <ManagementAndGeneral>62346</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>5122</Total>
        <ProgramServices>5122</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>279322</Total>
        <ProgramServices>213616</ProgramServices>
        <ManagementAndGeneral>65706</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>586148</Total>
        <ProgramServices>448267</ProgramServices>
        <ManagementAndGeneral>137881</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>144304</Total>
        <ProgramServices>144304</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>128382</Total>
        <ProgramServices>128382</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES, DUES &amp; SUBSCRIPTIONS</Description>
        <Total>39115</Total>
        <ManagementAndGeneral>39115</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVIDER TAX AND FEES</Description>
        <Total>856144</Total>
        <ProgramServices>856144</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES &amp; DRUGS</Description>
        <Total>1707864</Total>
        <ProgramServices>1707864</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>16615273</Total>
        <ProgramServices>13835652</ProgramServices>
        <ManagementAndGeneral>2779621</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1063692</BOY>
        <EOY>368058</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1008561</BOY>
        <EOY>1208335</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1678015</BOY>
        <EOY>1886291</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>122272</BOY>
        <EOY>136001</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>331615</BOY>
        <EOY>306713</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>15430383</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>8088282</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>6121677</BOY>
        <EOY>7342101</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>457542</BOY>
        <EOY>825084</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>10783374</BOY>
        <EOY>12072583</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1106978</BOY>
        <EOY>1134679</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>3400</BOY>
        <EOY>3800</EOY>
      </DeferredRevenue>
      <EscrowAccountLiability>
        <BOY>23838</BOY>
        <EOY>21371</EOY>
      </EscrowAccountLiability>
      <MortNotesPyblSecuredInvestProp>
        <BOY>6024440</BOY>
        <EOY>6650499</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>67311</BOY>
        <EOY>50528</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>7225967</BOY>
        <EOY>7860877</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3557407</BOY>
        <EOY>4211706</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3557407</BOY>
        <EOY>4211706</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10783374</BOY>
        <EOY>12072583</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>654299</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>100</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5038</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2900</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2318</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2581</CurrentTaxYear>
        <Total>12937</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>12840632</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14321099</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15624285</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>16660471</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17040495</CurrentTaxYear>
        <Total>76486982</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>12840732</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14326137</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15627185</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>16662789</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17043076</CurrentTaxYear>
        <Total>76499919</Total>
      </Total509>
      <PublicSupportTotal509>76499919</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>59185</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>50952</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15305</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8065</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4803</CurrentTaxYear>
        <Total>138310</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>59185</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>50952</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15305</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8065</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4803</CurrentTaxYear>
        <Total>138310</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>12899917</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14377089</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15642490</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>16670854</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17047879</CurrentTaxYear>
        <Total>76638229</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99820</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99763</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00181</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00237</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>2116</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>4812</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>6928</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1G</ReturnReference>
        <Explanation>MEMBERS OF TOP MANAGEMENT ANNUALLY MEET WITH LOCALLY ELECTED MISSOURI SENATORS AND REPRESENTATIVES TO DISCUSS MATTERS AFFECTING THE ORGANIZATION.</Explanation>
      </Form990ScheduleCPartIV>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS ANNUAL DUES TO AHCA AND MHCA. A PORTION OF THESE DUES IS ATTRIBUTABLE TO LOBBYING EXPENSE.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>true</IncludedOnFS>
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>204655</OtherCostOrOtherBasis>
        <BookValue>204655</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>10879690</OtherCostOrOtherBasis>
        <Depreciation>5968670</Depreciation>
        <BookValue>4911020</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2856931</OtherCostOrOtherBasis>
        <Depreciation>1928239</Depreciation>
        <BookValue>928692</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>1489107</OtherCostOrOtherBasis>
        <Depreciation>191373</Depreciation>
        <BookValue>1297734</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>7342101</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>396801</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CERTIFICATE OF NEED LICENSE</Description>
        <BookValue>401989</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM THIRD PARTY PAYERS</Description>
        <BookValue>26294</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>825084</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYERS</Description>
        <Amount>50528</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>50528</TotalOfAmounts>
      <TotalRevenue>17269572</TotalRevenue>
      <TotalExpenses>16615273</TotalExpenses>
      <ExcessOrDeficitForYear>654299</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>654299</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>17269572</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>17269572</RevenueSubtotal>
      <TotalRevenuePerForm990>17269572</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>16615273</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>16615273</ExpensesSubtotal>
      <TotalExpensesPerForm990>16615273</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>ESCROW ACCOUNT LIABILITY</Identifier>
        <ReturnReference>SCHEDULE D, PART IV, LINE 2</ReturnReference>
        <Explanation>THE CORPORATION IS THE TRUSTEE OF $21,371 AND $23,838, AT JUNE 30, 2011 AND 2010, RESPECTIVELY, IN FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE CORPORATION HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNT AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRAD MILLER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SPOUSE OF SHERRY MILLER</Relationship>
        <AmountOfTransaction>86699</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CONNIE FIKTER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>HALF-SISTER OF RITA HAFF</Relationship>
        <AmountOfTransaction>77525</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATI0N</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JULIE OWENS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF DEANNA MCNEW</Relationship>
        <AmountOfTransaction>16291</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>TOTAL NUMBER OF VOLUNTEERS</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 6</ReturnReference>
        <Explanation>TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND MEMBERS OF THE COMMUNITY WHO VOLUNTEER THEIR TIME TO SERVE RESIDENTS AND PARTICIPATE IN SPECIAL ACTIVITIES, INCLUDING BINGO, DINNERS, ETC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>WILLOW HEALTH CARE, INC. WILL ASSUME A LEADERSHIP ROLE IN PROVIDING A CONTINUUM OF CARE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. OUR CONTINUUM OF CARE WILL BE ADAPTED TO SUCCESSFULLY ANTICIPATE CHANGE IN THE HEALTH NEEDS OF THE COMMUNITY. THE RANGE OF SERVICES WILL ENCOMPASS GENERAL AND SPECIALIZED SERVICES PROVIDING: LONG TERM SKILLED NURSING, POST-ACUTE CARE, REHABILITATION (INPATIENT AND OUTPATIENT), HOUSING, WELLNESS, TRANSPORTATION, NUTRITION, INDEPENDENT LIVING AND ASSISTED LIVING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE DESCRIPTIONS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4</ReturnReference>
        <Explanation>OUR SKILLED NURSING FACILITIES ARE ACTIVE IN THE COMMUNITIES THEY OPERATE IN. WE PARTICIPATE IN MANY COMMUNITY EVENTS AND OFFER A CONTINUUM OF CARE TO THE COMMUNITY MEMBERS. OUR FACILITIES OFFER EXTENSIVE THERAPY SERVICES INCLUDING AN ACUTE REHAB UNIT AT ONE FACILITY OFFERED TO OUR INPATIENT RESIDENTS. WE ALSO OFFER A FULL RANGE OF OUT PATIENT THERAPY SERVICES, INCLUDING AQUATIC THERAPY SERVICES AT THE INDOOR THERAPY POOL, AT ONE LOCATION. WE HAVE EXCELLENT DIETARY DEPARTMENTS OFFERING A FULL RANGE OF BAKED GOODS AND A SODA SHOP WITH LUNCH OPTIONS FOR OUR RESIDENTS, STAFF AND VISITORS. TWO OF OUR FACILITIES CURRENTLY OFFER LOCKED SPECIAL CARE UNITS WITH SERVICES GEARED TOWARDS MEETING THE SPECIAL NEEDS OF PATIENTS WITH DEMENTIA. WE HAVE MID LEVEL PRACTITIONERS AVAILABLE IN OUR FACILITIES SEVERAL TIMES A WEEK TO ADDRESS CONCERNS OF FAMILIES AND THE NURSING STAFF WITH OUR RESIDENT NEEDS, AS WELL AS PHYSICIANS VISITS MONTHLY. OUR ASSISTED LIVING FACILITIES OFFER APARTMENTS FOR OUR RESIDENTS OFFERING ALL THE AMENITIES OF HOME. DINING SERVICES ARE AVAILABLE AT ALL THREE MEALS, ACTIVITIES ARE PLANNED ON SITE AND OUT IN THE COMMUNITIES, ASSISTANCE WITH MEDICATIONS, AND SECURITY ARE ALL AVAILABLE. THESE FACILITIES OFFER THE INDEPENDENCE OF YOUR OWN APARTMENT, BUT THE SAFETY OF HAVING STAFF AVAILABLE FOR THE THINGS YOU NEED ON A DAILY BASIS. BEAUTY SHOP SERVICES ARE ALSO AVAILABLE ON SITE FOR THE RESIDENTS. THE HOME HEALTH AGENCY IS ACTIVELY INVOLVED IN THE APPROVED COUNTIES OF SERVICE. THE AGENCY PARTICIPATES IN HEALTH FAIRS HELD IN OUR AREA MEETING THE COMMUNITY, OFFERING FREE BLOOD PRESSURE CHECKS AND INFORMATION REGARDING THE OPTIONS OF CARE THEY HAVE AVAILABLE TO PEOPLE IN THEIR HOMES. OUR NURSES, THERAPISTS AND CARE GIVERS TAKE AN ACTIVE ROLE IN MEETING THE NEEDS OF THEIR CLIENTS IN THEIR HOMES. THE AGENCY WORKS WITH THE CLIENT'S PHYSICIANS AND FAMILY MEMBERS TO OFFER TO THE CLIENT THE BEST CARE OPTIONS POSSIBLE FOR THAT CLIENT'S NEEDS, WHILE ALLOWING THEM TO HAVE THE LUXURY OF REMAINING OR RETURNING TO THEIR HOME AFTER A MEDICAL PROCEDURE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>THE ORGANIZATION'S BYLAWS WERE AMENDED TO ALLOW ANY MEMBER OF THE CORPORATION TO SUBMIT ADDITIONAL NOMINATIONS FOR BOARD MEMBERS BY PROVIDING THE NAME AND ADDRESS OF THE NOMINEE TO THE EXECUTIVE DIRECTOR AT LEAST 60 DAYS PRIOR TO THE NEXT SCHEDULE ANNUAL MEETING OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CORPORATE MEMBERSHIP</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINES 6 &amp; 7</ReturnReference>
        <Explanation>MEMBERSHIPS QUALIFICATIONS: (1) TO MAKE APPLICATION FOR MEMBERSHIP, (2) TO BE INTERESTED IN THE PROVISION OF HEALTH SERVICES, (3) TO BE A CONTRIBUTOR TO THE FUND DRIVE, (4) TO BE APPROVED BY THE BOARD OF DIRECTORS, (5) TO BE OF LEGAL VOTING AGE. MEMBERSHIP FEES: MEMBERSHIP FEES ARE TO BE DETERMINED BY THE BOARD OF DIRECTORS AT THE BEGINNING OF THE FISCAL YEAR. MEMBERSHIP VOTING RIGHTS: EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. ALL MEMBERS VOTE ON THE BOARD OF DIRECTOR MEMBERS AT THE ANNUAL MEMBERSHIP MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT VERSION OF FORM 990 IS FIRST REVIEWED BY THE VP OF FINANCE AND THEN PRESENTED TO THE BOARD OF DIRECTORS FOR FULL REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY IS ANNUALLY REVIEWED WITH THE BOARD AND EACH BOARD MEMBER MUST SIGN THE POLICY NOTING THEIR UNDERSTANDING AND COMPLIANCE WITH SUCH. ANY CONFLICT OF INTEREST IS BROUGHT OUT AT THAT TIME AND A WRITTEN DISCLOSURE IS SIGNED BY THE BOARD MEMBER INVOLVED, WHICH SPECIFICALLY STATES THE NATURE OF THE CONFLICT AND THAT THEY WILL ABSTAIN FROM VOTING ON ANY MATTER RELATED TO THIS CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW POLICIES</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ANNUALLY, COMPENSATION COMPARISONS ARE OBTAINED THROUGH INDUSTRY PUBLICATIONS AND ANNUALLY THE BOARD IS PRESENTED WITH A COMPARISON OF SALARIES BASED ON THIS DATA FOR ALL KEY POSITIONS, INCLUDING THE ORGANIZATION'S EXECUTIVE MANAGEMENT, OTHER OFFICERS AND KEY EMPLOYEES. INDIVIDUAL COMPENSATION LEVELS ARE REVIEWED AND APPROVED BY THE BOARD AS A PART OF THE ANNUAL BUDGET REVIEW AND APPROVAL. THIS APPROVAL IS DOCUMENTED IN THE MINUTES OF THE BOARD. SALARIES OF ALL ADMINISTRATIVE AND MANAGEMENT EMPLOYEES ARE REVIEWED ANNUALLY BY THE EXECUTIVE STAFF. A COMPARISON OF THESE WAGE LEVELS IS MADE WITH INDUSTRY PUBLICATIONS AND ALL ARE PRESENTED TO THE BOARD OF DIRECTORS AND APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>