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      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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      <FeesForServicesLegal>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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      <Advertising>
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        <ProgramServices>12938</ProgramServices>
        <ManagementAndGeneral>1617</ManagementAndGeneral>
        <Fundraising>1617</Fundraising>
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      <InformationTechnology>
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      <Royalties>
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      <ConferencesMeetings>
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      <Interest>
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      <OtherExpenses>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>COPIES OF REQUESTED GOVERNING DOCUMENTS AND OPEN PAGES OF FORM 990 ARE MADE AVAILABLE UPON REQUEST. NO SUCH REQUESTS WERE RECEIVED DURING 2010..</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>THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY BY A COMMITTEE APPOINTED BY THE PRESIDENT 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 COUNCIL OF GREATER DALLAS IS CONSULTED. ANNUAL PERFORMANCE MEASUREMENTS ARE ESTABLISHED TO EVALUATE BONUS GUIDELINES.</Explanation>
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      <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>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>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>IN APRIL 2011, AFTER PREPARATION OF THE FORM 990 AND BEFORE FILING OF THE FORM, THE PREPARER ATTENDED THE EXECUTIVE COMMITTEE MEETING. THE FILING REQUIREMENTS AND INFORMATION REQUIREMENTS WERE DISCUSSED AND ANY QUESTIONS RELATING TO THE 2010 FORM 990 WERE ADDRESSED. A COPY OF THE TAX RETURN WAS PROVIDED TO THE ORGANIZATION FOR ITS FILES.</Explanation>
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          <State>TX</State>
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      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COMMUNITY MEDICAL ASSOCIATES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>125712</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>