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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13476</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HAKEEM ADENIYI JR</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>291398</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9750</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN WIMSATT</PersonNm>
        <TitleTxt>PROG. &amp; DEV. OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11178</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AARON CLEVELAND MD</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>251991</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23643</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAMYAR FARHANGFAR</PersonNm>
        <TitleTxt>PHYSICIAN INTERNAL MED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>244234</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS PADLA</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>225426</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17074</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FUE YANG</PersonNm>
        <TitleTxt>DIRECTOR DENTAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>197774</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17754</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN S SOSNICKI MD</PersonNm>
        <TitleTxt>PHYSICIAN FAMILY MED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>177540</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12926</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2449122</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>187535</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEXTGEN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ATLANTA 3525 PIEDMONT RD NE BUILD</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30305</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRONIC HEALTH RECORD SOFTWARE</ServicesDesc>
        <CompensationAmt>743404</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MED TECH SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24307 MAGIC MOUNTAIN PKWY 76</AddressLine1Txt>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91355</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MS OFFICE CLOUD SERVICES</ServicesDesc>
        <CompensationAmt>319226</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY OF CALIFORNIA DAVIS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 SHIELDS AVE</AddressLine1Txt>
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            <ZIPCd>95616</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROVIDER SERVICES</ServicesDesc>
        <CompensationAmt>162990</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LANGUAGE LINE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 LOWER RAGSDALE DR BLDG 2</AddressLine1Txt>
            <CityNm>MONTEREY</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93940</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERPRETATION SERVICES</ServicesDesc>
        <CompensationAmt>123484</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6452804</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES &amp; CONTRAC</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>13691665</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13691665</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1631378</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1631378</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>595780</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>595780</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>15918823</TotalProgramServiceRevenueAmt>
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        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>293363</TotalRevenueColumnAmt>
        <ExclusionAmt>293363</ExclusionAmt>
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      <OtherRevenueTotalAmt>293363</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24316336</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15918823</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>293363</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1448671</TotalAmt>
        <ProgramServicesAmt>1238479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210192</ManagementAndGeneralAmt>
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        <TotalAmt>13413318</TotalAmt>
        <ProgramServicesAmt>11008889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2404429</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>292574</TotalAmt>
        <ProgramServicesAmt>239805</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1410894</TotalAmt>
        <ProgramServicesAmt>1160638</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1108880</TotalAmt>
        <ProgramServicesAmt>913575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195305</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>74125</TotalAmt>
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      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
        <TotalAmt>48366</TotalAmt>
        <ProgramServicesAmt>39847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8519</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>2081134</TotalAmt>
        <ProgramServicesAmt>1714587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>366547</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>283343</TotalAmt>
        <ProgramServicesAmt>233438</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49905</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1727465</TotalAmt>
        <ProgramServicesAmt>1423210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304255</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>111761</TotalAmt>
        <ProgramServicesAmt>92077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19684</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>143687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30718</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>148949</TotalAmt>
        <ProgramServicesAmt>122715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26234</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>1047126</TotalAmt>
        <ProgramServicesAmt>1047126</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HEALTH SERVICE SUPPLIES</Desc>
        <TotalAmt>756709</TotalAmt>
        <ProgramServicesAmt>623431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133278</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>239488</TotalAmt>
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        <ManagementAndGeneralAmt>42181</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEMBERSHIP AND SUBSCRIP</Desc>
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        <ProgramServicesAmt>135281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28921</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>218920</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>21758420</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4427687</ManagementAndGeneralAmt>
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        <EOYAmt>14544538</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>190</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>475391</EOYAmt>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>582164</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>14071998</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2745489</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2573155</BOYAmt>
        <EOYAmt>11326509</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>1993863</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>18896210</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>27778870</BOYAmt>
        <EOYAmt>50173428</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>4663069</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>9873241</BOYAmt>
        <EOYAmt>8046101</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>4000000</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>19202497</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>35911667</EOYAmt>
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        <EOYAmt>12322174</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>782963</BOYAmt>
        <EOYAmt>1939587</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>16172916</BOYAmt>
        <EOYAmt>14261761</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>27778870</BOYAmt>
        <EOYAmt>50173428</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1869771</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-41384</PriorPeriodAdjustmentsAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3698933</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4140580</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7244867</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9021767</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8104150</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3698933</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4140580</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7244867</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9021767</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8104150</CurrentTaxYearAmt>
        <TotalAmt>32210297</TotalAmt>
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      <PublicSupportTotal170Amt>32210297</PublicSupportTotal170Amt>
      <OtherIncome170Grp>
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        <TotalAmt>293363</TotalAmt>
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      <TotalSupportAmt>32503660</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>84848084</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99100</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98400</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2022 AMOUNT: $ 293,363.</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE ASSET</Desc>
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      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>18896210</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>19202497</Amt>
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      <TotalLiabilityAmt>19202497</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>-1047126</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24316336</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24316336</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25138981</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>25138981</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1047126</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1047126</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>26186107</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SNAHC HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC AND 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <PersonNm>FUE YANG</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON TOWEY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>192388</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL UNDERWOOD</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>182975</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>204089</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PRISCILA AYALA</PersonNm>
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        <PersonNm>STEPHEN S SOSNICKI MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN WIMSATT</PersonNm>
        <TitleTxt>PROG. &amp; DEV. OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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    <IRS990ScheduleM documentId="RetDoc1042900001">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>COMPUTER RELATED EQUIPMENT</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>59226</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>CUBICLES</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>5000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS NUMBER REFLECTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS CONTRIBUTED.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM AND IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE OF THE BOARD OF DIRCTORS PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY MEMBERS OF THE BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST POLICY. A POTENTIAL CONFLICT IS FULLY DISCLOSED TO THE BOARD UPON DISCOVERY. THE MEMBER WILL ABSTAIN FROM VOTING ON ANY RELATED BOARD ACTIONS. EMPLOYEES ARE ALSO REQUIRED TO SIGN AN ACKNOWLEDGEMENT OF THE POLICY WHEN HIRED WITH THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES ANNUALLY BASED ON COMPARATIVE DATA(CALIFORNIA PRIMARY CARE ASSOCIATION, NATIONAL ASSOCIATION FOR COMMUNITY HEALTH CENTERS, AND INDEED.COM) AND PERFORMANCE. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. FOR ALL OFFICERS AND DIRECTORS, SALARIES WERE COMPARED TO SALARY SURVEY INFORMATION PROVIDED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION FOR HEALTH CENTERS OF SIMILAR SIZE ANDSCOPE. SNAHC LEADERSHIP RECOMMENDED SALARY INCREASES UP TO THE MEDIAN FOR EACH STAFF MEMBER, AND THE RECOMMENDATIONS WERE PRESENTED TO SNAHC BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THIS PROCESS WAS LAST UNDERTAKEN IN 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, POLICIES AND FINACIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO, THE ORGANIZATION DOES NOT MAKE DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
