Exhibit 19: Citizenship of International Medical Graduates in Active Practice in the United States as of 2013 Nigeria 3.287 United States Iran Egypt 44.150 3.992 3.777 Philippines Russia Former Soviet Pakistan Syria China 10.527 Republics? 11.152 3.837 5.431 5.115 This exhibit re?ects the top 10 countries of citizenship for the 206.376 physicians in patient care activities. including residents. full-time hospital staff. and those in of?ce-based practice. in the United States of 2013. Citizenship is as of the time of entrance into medical school. 'Russia and Former Soviet Republics includes the countries of Armenia. Azerbaijan, Belarus. Georgia. Kazakhstan. Moldova. Russia. Tajikistan. Turkmenistan. Ukraine. USSR. and Uzbekistan. Source: American Medical Assocmibn Physician Master?ie and ECFMG database. Data current as of December 31. 2013.