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      <CurrentYearMinus4Years />
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        <ReturnReference>SCHEDULE D, PART XI, LINES 2D AND 4B</ReturnReference>
        <Explanation>REVENUE ON AUDIT, NOT ON RETURN: BAD DEBT EXPENSE IN AUDIT REVENUE ($1,050,723) REVENUE ON RETURN, NOT ON AUDIT: MISCELLANEOUS REVENUES IN AUDIT EXPENSES $ 26,951</Explanation>
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        <ReturnReference>SCHEDULE D, PART XII, LINES 2D AND 4B</ReturnReference>
        <Explanation>EXPENSES ON AUDIT, NOT ON RETURN: MISCELLANEOUS REVENUES IN AUDIT EXPENSES ($ 26,951) EXPENSES ON RETURN, NOT ON AUDIT: BAD DEBT EXPENSE IN AUDIT REVENUE $1,050,723</Explanation>
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      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JOSE A ANZALDUA MD</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>JOHN M BUTLER MD</NamePerson>
        <Title>BOARD MEMBER/SECR/TREAS</Title>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>231172</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOE FREUDENBERGER</NamePerson>
        <Title>PRESIDENT</Title>
        <CompBasedOnRelatedOrgs>279138</CompBasedOnRelatedOrgs>
        <DeferredCompRelatedOrgs>10302</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>16237</NontaxableBenefitsRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>OBIGELI OBIJIOFOR</NamePerson>
        <Title>PHYSICIAN</Title>
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        <NamePerson>YASSIR SONBOL</NamePerson>
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        <Identifier>MEMBERS OF THE ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 6 &amp; 7</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE CORPORATION IS THE EXECUTIVE DIRECTOR OF OAKBEND MEDICAL CENTER, ALSO KNOWN AS POLLY RYON HOSPITAL AUTHORITY. THE MEMBER HAS THE POWER TO APPOINT AND REMOVE THE BOARD AND MANAGEMENT. ADDITIONALLY, OTHER POWERS RESERVED TO THE MEMBER INCLUDE: APPROVAL OF ALL BUDGETS, MERGERS, ACQUISITIONS AND SALE OF REAL ASSETS; CREATION OF PARTNERSHIPS OR JOINT VENTURES AND DISSOLUTION OR LIQUIDATION, AMONG OTHER POWERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF THE FINANCIAL STATEMENTS. THE CFO REVIEWS THE RETURN PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S POLICIES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 12 THROUGH 14</ReturnReference>
        <Explanation>THE MEDICAL GROUP ADHERES TO THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY AND DOCUMENT RETENTION POLICY OF A RELATED ORGANIZATION, OAKBEND MEDICAL CENTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO DISCLOSE POSSIBLE CONFLICTS OF INTEREST ANNUALLY THROUGH COMPLETION OF A QUESTIONNAIRE. ADDITIONALLY, WHEN A POSSIBLE CONFLICT OF INTEREST ARISES, THE BOARD MEMBER IS REQUIRED TO DISCLOSE THE CONFLICT AND SHOULD NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW AND APPROVAL PROCESS FOR TOP MANAGEMENT</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A</ReturnReference>
        <Explanation>COMPENSATION FOR THE BOARD PRESIDENT AND MEDICAL CENTER CEO IS DETERMINED BY A COMPENSATION COMMITTEE COMPRISED OF DIRECTORS OF THE OAKBEND MEDICAL CENTER. OUTSIDE CONSULTANTS ADVISE THE COMMITTEE ON COMPENSATION INFORMATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW AND APPROVAL PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15B</ReturnReference>
        <Explanation>COMPENSATION FOR OFFICERS AND OTHER DIRECTORS IS DETERMINED BY EMPLOYMENT CONTRACTS. THE CONTRACT COMPENSATION AMOUNTS ARE BASED UPON DATA FROM AMERICAN MEDICAL ASSOCIATION SURVEYS AS WELL AS PERFORMANCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATIONAL DOCUMENTS MADE AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION CONTRACTED WITH ONE STOP MEDICAL SOLUTIONS, INC TO PROVIDE THE COO MANAGEMENT SERVICES. DURING 2012, THE ORGANIZATION PAID $92,000 TO ONE STOP MEDICAL SOLUTIONS, INC WHICH INCLUDED MANAGEMENT FEES AND RENT REIMBURSEMENTS.</Explanation>
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          <State>TX</State>
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      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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</Return>