A total of 353 consumer (patient) complaints, notice of malpractice suits, reservable claim reports from insurance companies and/or complaints from other sources were closed between January 1, 2009 and December 31, 2009. Of those total matters closed, 11 were unfounded pursuant to RSA 329:17, XIII, which deems a complaint is unfounded if it does not fall within the jurisdiction of the Board, does not relate to the actions of the licensee, or is determined by the Board to be frivolous; 254 were voted on by the Board for no further action; 74 confidential Letters of Concern were issued, pursuant to RSA 329:17, VII-a. These letters advise the licensee that while there is insufficient evidence to support disciplinary action, the Board believes the physician should modify or eliminate certain practices, and that continuation of the activities which led to the information being submitted to the Board may result in action against the licensee's license. These letters are not released to the public or any other licensing authority, except that the letters may be used as evidence in subsequent disciplinary proceedings by the Board. Also during this time frame, the Board imposed disciplinary action in 14 matters: nine Settlement Agreements for professional misconduct, two Voluntary Surrender of Licenses and three Preliminary Agreements for Practice Restrictions.