group cooperative purchasing agent services; contract negotiation services for others in the field of pharmacy programs, food service programs, materials management programs, and medical and surgical devices purchasing programs; procurement of group contracts for information services, telecommunications services, and utility services for others; procurement and facilitation of physician practice management services for others, namely, appraisal services of physician practices, patient satisfaction measurement services, physician compensation services, and physician practice group purchasing services; business performance evaluation services; clinical practice management services for others; consultation in the field of Medicare/Medicaid federal reimbursement compliance; outsourcing and outplacement services for others in the field of health care service delivery; all for health care provider-owned service alliance members

investment and financial services, namely, capital revenue and investment management services; financial advisory services; medical equipment financing services; administration of employee benefits services for others; all for health care provider-owned service alliance members

educational services, namely, providing seminars in the field of medical practice management and management development for health care managers; employee computer-based training services to satisfy OSHA-mandated and JCAHO (Joint Commission for Accreditation of Health Care Organizations)-mandated training requirements; all for health care provider-owned service alliance members