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        <ManagementAndGeneral>230795</ManagementAndGeneral>
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        <ManagementAndGeneral>428257</ManagementAndGeneral>
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        <ManagementAndGeneral>1279004</ManagementAndGeneral>
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        <ManagementAndGeneral>98345</ManagementAndGeneral>
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        <ManagementAndGeneral>27682</ManagementAndGeneral>
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        <ManagementAndGeneral>55859</ManagementAndGeneral>
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        <ManagementAndGeneral>605056</ManagementAndGeneral>
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        <ManagementAndGeneral>726682</ManagementAndGeneral>
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        <ManagementAndGeneral>93697</ManagementAndGeneral>
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        <ManagementAndGeneral>89794</ManagementAndGeneral>
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        <ManagementAndGeneral>181985</ManagementAndGeneral>
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        <ManagementAndGeneral>805700</ManagementAndGeneral>
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        <ManagementAndGeneral>46430</ManagementAndGeneral>
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        <ManagementAndGeneral>60061</ManagementAndGeneral>
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      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>DURING 2009 THE ORGANIZATION IMPLEMENTED THE GUIDANCE FOR INCOME TAXES IN ACCORDANCE WITH ASC TOPIC 740, AS IT RELATES TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CLARIFIES THE TREATMENT OF THE ORGANIZATION'S POSITION OF ACCOUNTING FOR INCOME TAXES RECOGNIZED IN THE FINANCIAL STATEMENTS. THE GUIDANCE ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN THE TAX RETURN. IN ADDITION, IT PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S., FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2007.</Explanation>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>PRIOR TO FILING, THE DRAFT FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS. BOTH THE FINANCE SUBCOMMITTEE AND THE FULL BOARD OF DIRECTORS REVIEWS THE FINANCIAL STATEMENTS ON A QUARTERLY BASIS.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ITS COMPLIANCE DEPARTMENT. THE COMPLIANCE DEPARTMENT CONSISTS OF FOUR STAFF MEMBERS THAT MONITOR AND ENFORCE THE CONFLICT OF INTEREST AND CODE OF CONDUCT POLICY. TO ENSURE THAT THE POLICIES ARE PROPERLY UNDERSTOOD AND FOLLOWED THE COMPLIANCE DEPARTMENT CONDUCTS TRAINING COURSES FOR ALL EMPLOYEES. AS PART OF THE AUDITED FINANCIAL STATEMENTS; THE INTERNAL CONTROLS ARE REVIEWED UNDER THE GUIDELINES OF SARBANES-OXLEY ACT OF 2002.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>AN OUTSIDE CONSULTING FIRM, WELL KNOWN FOR ITS WORK IN DEVELOPING EXECUTIVE COMPENSATION PACKAGE, WAS HIRED BY THE ORGANIZATION TO CREATE A REASONABLE COMPENSATION PACKAGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. REQUESTS SHOULD BE ADDRESSED TO THE ATTENTION OF THE BOARD OR ADMINISTRATIVE STAFF. THE DOCUMENTATION WILL BE SENT EITHER IN HARD COPY FORMAT OR ELECTRONICALLY. THE ORGANIZATION WORKS CLOSELY WITH THE DIFFERENT AGENCY'S OF THE COMMONWEALTH OF MASSACHUSETTS FORWARDING TO THEM FINANCIAL AND GOVERNING DOCUMENTATION, ON A PERIODIC BASIS. IN ADDITION, FINANCIAL HIGHLIGHTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AND THE FORM 990 IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION:</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>ROBERT J. MASTER, M.D. IS A PHYSICIAN FOR A RELATED ORGANIZATION AND WORKS ON AVERAGE 5 HOURS PER WEEK IN THIS CAPACITY.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMONWEALTH CLINICAL ALLIANCE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>30 WINTER STREET 11TH FLOOR</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>02108</ZIPCode>
        </AddressUS>
        <EIN>562382058</EIN>
        <PrimaryActivities>MEDICAL SERVICES</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BOSTON'S COMMUNITY MEDICAL GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE BOSTON MEDICAL CTR PL DOWLING B</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>02118</ZIPCode>
        </AddressUS>
        <EIN>260100022</EIN>
        <PrimaryActivities>MEDICAL SERVICES</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COMMONWEALTH CLINICAL ALLIANCE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>4436952</AmountInvolved>
        <MethodOfAmtDetermination>BOOK METHOD</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BOSTON'S COMMUNITY MEDICAL GROUP INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>4049975</AmountInvolved>
        <MethodOfAmtDetermination>BOOK METHOD</MethodOfAmtDetermination>
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