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      <Form990PartVIISectionAGrp>
        <PersonNm>Alondra Maldonado</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Debbie Romero</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Pollmiller</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>159877</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>57</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Douglas Colony Group Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>David C Brown</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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        <RelatedOrExemptFuncIncomeAmt>37626587</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>653539</RelatedOrExemptFuncIncomeAmt>
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        <CurrentTaxYearMinus1YearAmt>37627</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26621</CurrentTaxYearAmt>
        <TotalAmt>157074</TotalAmt>
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      <PublicSupportPY170Pct>0.99450</PublicSupportPY170Pct>
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          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <CurrentYearAmt>1000000</CurrentYearAmt>
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        <TotalAmt>77978</TotalAmt>
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      <CYMinus4YrEndwmtFundGrp />
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      <LeaseholdImprovementsGrp>
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      <EquipmentGrp>
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        <BookValueAmt>611623</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>136572</BookValueAmt>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PHYSICIAN PTO</Desc>
        <Amt>105874</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1290857</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>52532338</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>52532338</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>812232</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>812232</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>53344570</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>47765531</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>47765531</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>812232</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>812232</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>48577763</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health System is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code and a similar provision of state law. The Health System believes that it does not have any uncertain tax positions that are material to the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT Reclassed TO EXPENSES FOR 990 REPORTING: $812,232</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT Reclassed TO EXPENSES FOR 990 REPORTING: $812,232</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>WIC VOUCHERS</GrantTypeTxt>
        <RecipientCnt>934</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>818466</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>stated value</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>vouchers for food</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, Part I, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING: ALL RECIPIENTS ARE DIRECTLY PROVIDED THE BENEFITS. ALL RECIPIENTS HAVE COMPLETED THE NECESSARY DOCUMENTATION AND MET THE REQUIREMENT TO QUALIFY FOR THE BENEFITS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PART 3, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF RECIPIENTS IS BASED ON THE NUMBER OF FAMILIES IDENTIFIED AS RECEIVING THE WIC VOUCHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Jania Arnoldi</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>222660</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11643</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9719</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20567</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269589</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emelin Martinez</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>208000</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>10509</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5385</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8559</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232453</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stacey Robben</PersonNm>
        <TitleTxt>Chief Dental Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>184352</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>7492</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7827</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>207990</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Javier Martinez</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
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        <OtherCompensationFilingOrgAmt>7580</OtherCompensationFilingOrgAmt>
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        <PersonNm>Phyllis Pennington</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nancy Panter</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <OtherCompensationFilingOrgAmt>8130</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Perry</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <OtherCompensationFilingOrgAmt>15225</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Norman Macleod</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <OtherCompensationFilingOrgAmt>7088</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8333</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13790</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236856</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule j, line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO JANIA ARNOLDI RECEIVED A BONUS DURING THE 2021 CALENDAR AT THE DISCRETION OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <ArtFractionalInterestGrp />
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      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
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        <ContributionCnt>934</ContributionCnt>
        <NoncashContributionsRptF990Amt>818466</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>STATED VALUE</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
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        <ContributionCnt>17624</ContributionCnt>
        <NoncashContributionsRptF990Amt>514762</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Stated Value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
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      <ArchaeologicalArtifactsGrp />
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      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>SCH M, COLUMN B, LINES 19, 20</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN (B) FOR LINE 19, FOOD INVENTORY, REPORTS THE NUMBER OF FAMILIES ASSISTED WITH WIC VOUCHERS. COLUMN (B) FOR LINE 20, DRUG AND MEDICAL SUPPLIES, REPORTS THE NUMBER OF VACCINES RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTINUED: THE MISSION OF THE ORGANIZATION DIRECTS VALLEY-WIDE'S SCOPE OF SERVICES WHICH IS TO PROVIDE QUALITY, COMPREHENSIVE HEALTHCARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER, WITH SPECIAL CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS. SPECIFICALLY INCLUDED ARE PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR WHO HAVE LIMITED ACCESS TO PRIMARY HEALTH AND DENTAL CARE SERVICES. VALLEY-WIDE PROVIDES SAFE AND EFFECTIVE COMPREHENSIVE PRIMARY AND ORAL HEALTH CARE SERVICES TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS, this includes A FARMWORKER HEALTH SERVICE PROGRAM THAT PROVIDES SERVICES THROUGH VOUCHERS IN AREAS OF THE STATE THAT DO NOT HOUSE C/MHCS. DURING FISCAL YEAR 2021/2022 VALLEY-WIDE PROVIDED 154,796 PATIENT SERVICES VISITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED AT THE MONTHLY BOARD OF DIRECTORS MEETING PRIOR TO THE SUBMISSION OF THE 990 TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE ORGANIZATION REVIEWS AND DISCUSSES THE CONFLICT OF INTEREST POLICY AND REQUESTS THAT EACH BOARD MEMBER LIST AND ACKNOWLEDGE ANY KNOWN CONFLICTS. ALL MEMBERS OF THE BOARD OF DIRECTORS AND STAFF ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. AT EACH BOARD AND COMMITTEE MEETING, IF THERE IS A DISCUSSION OF SELECTING OR ENGAGING A VENDOR OR SERVICE PROVIDER, ALL IN ATTENDANCE ARE ASKED TO RECUSE THEMSELVES FROM THIS DISCUSSION IF THERE COULD BE A PERCEIVED CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER BY COMPARING THEIR COMPENSATION TO THE COMPENSATION OF INDIVIDUALS IN LIKE POSITIONS, IN COMPARABLE ORGANIZATIONS USING FORMS 990, COMPENSATION STUDIES, AND OTHER AVAILABLE DATA INCLUDING, BUT LIMITED TO: CCHN, BOFL AND MOUNTAIN STATE EMPLOYEE COMPENSATION SURVEYS. THE BOARD THEN APPROVES ANY CHANGES IN COMPENSATION BASED ON THIS INFORMATION. THE CHIEF EXECUTIVE OFFICER IS RESPONSIBLE FOR EVALUATING PAY RATES OF OTHER KEY EMPLOYEES USING THE SAME COMPENSATION STUDIES AND DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL PROVIDE IN A TIMELY MANNER, COPIES OF ALL GOVERNING DOCUMENTS INCLUDING ITS CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS WHEN REQUESTED IN WRITING OR IN PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROGRAM &amp; NURSING ADMIN TOTAL FEES:1471000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
