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            <ZIPCd>20005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LOBBYING &amp; CONSULTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>735316</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>735316</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ANNUAL CONFERENCE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>142110</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>142110</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CMMI PROJECT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>126292</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>126292</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>WEBSITE JOB BOARD REVE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1157</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>1004875</TotalRevenueColumnAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      <AdvertisingGrp>
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      <OfficeExpensesGrp>
        <TotalAmt>10274</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1500</TotalAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>8875</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>84426</TotalAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>3690</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>1132</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>AWARDS</Desc>
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        <EOYAmt>352764</EOYAmt>
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        <EOYAmt>40934</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>8811</EOYAmt>
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        <BOYAmt>449960</BOYAmt>
        <EOYAmt>402509</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>14940</BOYAmt>
        <EOYAmt>16533</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>30000</BOYAmt>
        <EOYAmt>9000</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>44940</BOYAmt>
        <EOYAmt>25533</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>405020</BOYAmt>
        <EOYAmt>376976</EOYAmt>
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        <BOYAmt>405020</BOYAmt>
        <EOYAmt>376976</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
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        <BOYAmt>449960</BOYAmt>
        <EOYAmt>402509</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-28044</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>735316</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>508880</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>246943</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>755823</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>259251</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>476065</CarriedOverAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS OR THAT WOULD HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. THERE ARE NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES THAT NEED TO BE RECORDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST PRESIDENT, SECRETARY, AND TREASURER OF THE ASSOCIATION. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO ACT BETWEEN REGULAR OR SPECIAL MEETINGS OF THE BOARD, SUBJECT TO REVIEW AND APPROVAL, BY THE BOARD OF DIRECTORS AT ITS NEXT REGULAR MEETING AND SUBJECT TO THE LIMITATIONS ON POWERS OF EXECUTIVE COMMITTEES AS SET FORTH IN THE CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN HOSPITALS OF AMERICA (PHA) HAS ENTERED INTO A MANAGEMENT CONTRACT WITH SMITHBUCKLIN CORPORATION. UNDER THE TERMS OF THIS AGREEMENT, PHA MAKES PAYMENTS TO SMITHBUCKLIN WHICH COVER STAFF SALARIES, EXECUTIVE DIRECTOR, AND OTHER OVERHEAD EXPENSES. THE FEES INCURRED BY PHA DURING THE CURRENT FISCAL YEAR WERE $459,267 WHICH WERE BROKEN DOWN AS FOLLOWS: EXECUTIVE MANAGEMENT - $157,500 MEMBERSHIP AND OPERATIONS - $130,911 FINANCIAL MANAGEMENT AND ACCOUNTING - $29,503 EVENT SERVICES - $32,890 EDUCATION AND LEARNING SERVICES - $11,000 MARKETING AND COMMUNICATIONS - $11,872 GOVERNMENT RELATIONS - $45,864 REGISTRATION SERVICES - $5,075 FULFILLMENT SERVICES - $10,750 SITE SELECTION AND CONTRRACTING - $2,500 AMS PLATFORM AND SUPPORT - $16,500 PROJECT PRINTING AND SUPPORT - $954 PROMOTIONAL PROJECTS AND SUPPORT - $2,203 REGISTRATION TOOL AND SUPPORT - $1,050 WEB CONFERENCE TOOL AND SUPPORT - $695 SMITHBUCKLIN'S PERFORMANCE UNDER THIS AGREEMENT IS MONITORED BY THE BOARD OF PHA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS 2 CLASSES OF MEMBERSHIP: VOTING MEMBERS AND NON-VOTING MEMBERS. VOTING MEMBERS INCLUDE INDUSTRY LEADERS, FACILITY MEMBERS, AND CORPORATE MEMBERS. NON-VOTING MEMBERS MEMBERS INCLUDE ASSOCIATE AND PROFESSIONAL MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>VOTING MEMBERS IN GOOD STANDING ELECT THE MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS IN GOOD STANDING MAY VOTE ON ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE FORM 990 ARE PROVIDED TO THE GOVERNING BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ALL BOARD MEMBERS AND OFFICERS MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>REGULATORY CONSULTING 244,266.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHYSICIAN HOSPITALS OF AMERICA POLITICAL ACTION COMMITTEE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2001 K STREET NW 3RD FLOOR NORTH</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
        </USAddress>
        <EIN>452447282</EIN>
        <PrimaryActivitiesTxt>CANDIDATE SUPPORT OF THOSE WHO UNDERSTAND/SUPPORT ISSUES IMPACTING PHA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHYSICIAN HOSPITALS OF AMERICA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>