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      <OtherExpenses>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>-6137329</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-1263482</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
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      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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      <Equipment>
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      <TotalOfBookValueLandBuildings>26705470</TotalOfBookValueLandBuildings>
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      <ExcessOrDeficitForYear>-6137329</ExcessOrDeficitForYear>
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        <NamePerson>JULIE BONELLO</NamePerson>
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        <Identifier>Pt I Line 7</Identifier>
        <Explanation>Physicians listed received certain compensation payments based upon measured productivity.</Explanation>
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        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>The return was e-mailed to all board members for review</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>and approval.</Explanation>
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      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>The board is required to complete conflict of interest</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>statements on an annual basis and submit to the Corporate</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Compliance Officer</Explanation>
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      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>The Compensation Committee reviews the salaries of the</Explanation>
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      <GeneralExplanation>
        <Explanation>senior leadership team on an annual basis.</Explanation>
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      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>Governing documents are made public upon written request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <Explanation>PROGRAMS FUNDED BY THE U.S. DEPARTMENT OF HEALTH &amp; HUMAN SERVICES 18392366. 0. 20720825.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>ADMINISTRATIVE CHARGES DRUGS &amp; PHARMACEUTICALS MEDICAL SUPPLIES</Explanation>
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      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
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