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        <ExclusionAmount>4292</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>58350</TotalRevenueColumn>
        <ExclusionAmount>58350</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>58350</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>3689009</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>50850</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>62642</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticIndividuals>
        <Total>2000</Total>
        <ProgramServices>2000</ProgramServices>
      </GrantsToDomesticIndividuals>
      <CompCurrentOfficersDirectors>
        <Total>238921</Total>
        <ProgramServices>173194</ProgramServices>
        <ManagementAndGeneral>62308</ManagementAndGeneral>
        <Fundraising>3419</Fundraising>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>821349</Total>
        <ProgramServices>595390</ProgramServices>
        <ManagementAndGeneral>214008</ManagementAndGeneral>
        <Fundraising>11951</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>38890</Total>
        <ProgramServices>28150</ProgramServices>
        <ManagementAndGeneral>10151</ManagementAndGeneral>
        <Fundraising>589</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>62640</Total>
        <ProgramServices>45493</ProgramServices>
        <ManagementAndGeneral>16642</ManagementAndGeneral>
        <Fundraising>505</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>79223</Total>
        <ProgramServices>56996</ProgramServices>
        <ManagementAndGeneral>21346</ManagementAndGeneral>
        <Fundraising>881</Fundraising>
      </PayrollTaxes>
      <FeesForServicesOther>
        <Total>470064</Total>
        <ProgramServices>440287</ProgramServices>
        <ManagementAndGeneral>29777</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>1676</Total>
        <ProgramServices>838</ProgramServices>
        <ManagementAndGeneral>838</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>188069</Total>
        <ProgramServices>137320</ProgramServices>
        <ManagementAndGeneral>50749</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>20679</Total>
        <ProgramServices>20679</ProgramServices>
      </InformationTechnology>
      <Occupancy>
        <Total>117610</Total>
        <ProgramServices>1380</ProgramServices>
        <ManagementAndGeneral>116230</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>182198</Total>
        <ProgramServices>146024</ProgramServices>
        <ManagementAndGeneral>36174</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>262737</Total>
        <ProgramServices>254653</ProgramServices>
        <ManagementAndGeneral>8084</ManagementAndGeneral>
      </ConferencesMeetings>
      <PaymentsToAffiliates>
        <Total>1123918</Total>
        <ProgramServices>1123918</ProgramServices>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>61791</Total>
        <ProgramServices>55992</ProgramServices>
        <ManagementAndGeneral>5799</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>18860</Total>
        <ProgramServices>14176</ProgramServices>
        <ManagementAndGeneral>4684</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>OTHER EXPENSE</Description>
        <Total>218</Total>
        <ProgramServices>218</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Allocation of indirect</Description>
        <Total>0</Total>
        <ProgramServices>390896</ProgramServices>
        <ManagementAndGeneral>-394399</ManagementAndGeneral>
        <Fundraising>3503</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>3690843</Total>
        <ProgramServices>3487604</ProgramServices>
        <ManagementAndGeneral>182391</ManagementAndGeneral>
        <Fundraising>20848</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>30924</BOY>
        <EOY>33741</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>999191</BOY>
        <EOY>1017118</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>573184</BOY>
        <EOY>951794</EOY>
      </PledgesAndGrantsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>61268</BOY>
        <EOY>76997</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>429937</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>300252</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>171322</BOY>
        <EOY>129685</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>3280</BOY>
        <EOY>3310</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>1839169</BOY>
        <EOY>2212645</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>342433</BOY>
        <EOY>736892</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>77375</BOY>
        <EOY>58226</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>419808</BOY>
        <EOY>795118</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>881382</BOY>
        <EOY>950948</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>537979</BOY>
        <EOY>466579</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1419361</BOY>
        <EOY>1417527</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1839169</BOY>
        <EOY>2212645</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>3687777</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3511747</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3622099</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3506459</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3575517</CurrentTaxYear>
        <Total>17903599</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>3687777</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3511747</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3622099</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3506459</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3575517</CurrentTaxYear>
        <Total>17903599</Total>
      </Total170>
      <PublicSupportTotal170>17903599</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>4179</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6913</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21573</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5263</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4292</CurrentTaxYear>
        <Total>42220</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>43261</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>47745</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>44356</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>90476</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>58350</CurrentTaxYear>
        <Total>284188</Total>
      </OtherIncome170>
      <TotalSupport>18230007</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>82185</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.98210</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.98260</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
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        <FilingOrganizationsTotals>11053</FilingOrganizationsTotals>
      </TotalGrassrootsLobbying>
      <TotalDirectLobbying>
        <FilingOrganizationsTotals>27852</FilingOrganizationsTotals>
      </TotalDirectLobbying>
      <TotalLobbyingExpenditures>
        <FilingOrganizationsTotals>38905</FilingOrganizationsTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
        <FilingOrganizationsTotals>3651938</FilingOrganizationsTotals>
      </OtherExemptPurposeExpenditures>
      <TotalExemptPurposeExpenditures>
        <FilingOrganizationsTotals>3690843</FilingOrganizationsTotals>
      </TotalExemptPurposeExpenditures>
      <LobbyingNontaxableAmount>
        <FilingOrganizationsTotals>334542</FilingOrganizationsTotals>
      </LobbyingNontaxableAmount>
      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>83636</FilingOrganizationsTotals>
      </GrassrootsNontaxableAmount>
      <TotLobbyingGrassrootMinusNonTx>
        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
      </TotLobbyingGrassrootMinusNonTx>
      <TotLobbyExpendMnsLobbyingNontx>
        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
      </TotLobbyExpendMnsLobbyingNontx>
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus2>346028</CurrentYearMinus2>
        <CurrentYearMinus1>329049</CurrentYearMinus1>
        <CurrentYear>334542</CurrentYear>
        <Total>1009619</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>1514429</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
        <CurrentYearMinus2>45899</CurrentYearMinus2>
        <CurrentYearMinus1>43124</CurrentYearMinus1>
        <CurrentYear>38905</CurrentYear>
        <Total>127928</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus2>86507</CurrentYearMinus2>
        <CurrentYearMinus1>82262</CurrentYearMinus1>
        <CurrentYear>83636</CurrentYear>
        <Total>252405</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>378608</GrassrootsCeilingAmount>
      <GrassrootsLobbyingExpenditures>
        <CurrentYearMinus2>41545</CurrentYearMinus2>
        <CurrentYearMinus1>11182</CurrentYearMinus1>
        <CurrentYear>11053</CurrentYear>
        <Total>63780</Total>
      </GrassrootsLobbyingExpenditures>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1039900001">
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      <DonorAdvisedContributions>3500</DonorAdvisedContributions>
      <GrantsPaidFromDonorFunds>2000</GrantsPaidFromDonorFunds>
      <AggregateDAFValue>1300</AggregateDAFValue>
      <DisclosedOrgsLegalControl>1</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>1</DisclosedForCharitablePurposes>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>429937</OtherCostOrOtherBasis>
        <Depreciation>300252</Depreciation>
        <BookValue>129685</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>129685</TotalOfBookValueLandBuildings>
      <TotalRevenue>3689009</TotalRevenue>
      <TotalExpenses>3690843</TotalExpenses>
      <ExcessOrDeficitForYear>-1834</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-1834</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>3760409</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>71400</OtherRevenues>
      <RevenueNotRptdF990>71400</RevenueNotRptdF990>
      <RevenueSubtotal>3689009</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>3689009</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>3690843</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>3690843</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>3690843</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Decrease in temporarily restricted net assets: 71400.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>ELIZABETH GIESTING</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>144703</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>6000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7535</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4881</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>163119</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The organization provided a copy of this Form 990 to the entire Board to review prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15a</Identifier>
        <Explanation>The Executive Committee reviews and approves the CEO's compensation. Comparative data is obtained from other similar organizations as well as other state primary care associations. Discussions and decisions are documented in committee notes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization makes its governing documents, conflicts of interest policy, and financial statements available to the public by providing copies on request or inspection at the organization's office.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>