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      <PublicSupportPY170Pct>0.97890</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <FilingOrganizationsTotalAmt>65852</FilingOrganizationsTotalAmt>
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      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>65852</FilingOrganizationsTotalAmt>
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      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>33031258</FilingOrganizationsTotalAmt>
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        <FilingOrganizationsTotalAmt>33097110</FilingOrganizationsTotalAmt>
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        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
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      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
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        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
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      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>96184</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>96101</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>88240</CurrentYearMinus1Amt>
        <CurrentYearAmt>65852</CurrentYearAmt>
        <TotalAmt>346377</TotalAmt>
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      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
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      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
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        <BookValueAmt>908274</BookValueAmt>
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        <BookValueAmt>18110404</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>163118</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>108425</DepreciationAmt>
        <BookValueAmt>54693</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>3905860</DepreciationAmt>
        <BookValueAmt>980000</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2136236</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2136236</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>22189607</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>46327267</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>46327267</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>538563</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>538563</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>46865830</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>41942141</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>41942141</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>538563</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>538563</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>42480704</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: $476,367 Pass-through grant income not reported on audit 62,196</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT Reclassed TO EXPENSES FOR 990 REPORTING: $476,367 Pass-through grant income not reported on audit 62,196</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>Charity Play</Event1Nm>
        <GrossReceiptsEvent1Amt>62196</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>62196</CharitableContriEvent1Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>62196</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>62196</CharitableContributionsTotAmt>
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    </IRS990ScheduleG>
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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>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jania Arnoldi</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>171497</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>101</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>10684</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>182282</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emelin Martinez</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>194433</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>101</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2700</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>6901</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210828</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stacey Robben</PersonNm>
        <TitleTxt>Chief Dental Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>173817</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>101</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7088</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6657</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>187663</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Smith Patrick C</PersonNm>
        <TitleTxt>Physician/Regional Medical Off</TitleTxt>
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        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lind Allison</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
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        <PersonNm>Kasza Susan</PersonNm>
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        <PersonNm>Pennington Phyllis</PersonNm>
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        <PersonNm>DeRuiter Scott</PersonNm>
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        <TotalCompensationFilingOrgAmt>214388</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
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        <NoncashContributionsRptF990Amt>522481</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Stated Value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
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        <Desc>WIC Vouchers</Desc>
        <ContributionCnt>0</ContributionCnt>
        <NoncashContributionsRptF990Amt>829137</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>STATED VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
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        <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 HEALTH CARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER, WITH SPECIAL CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS. THIS SPECIFICALLY INCLUDES 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, IN ADDITION TO A FARMWORKER HEALTH SERVICE PROGRAM THAT PROVIDES SERVICES THROUGH VOUCHERS IN AREAS OF THE STATE THAT DO NOT HOUSE C/MHCS, AND TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS. DURING FISCAL YEAR 2019/2020 VALLEY WIDE PROVIDED 132,439 PATIENT SERVICES VISITS. PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED AT THE MONTHLY BOARD OF DIRECTORS MEETING PRIOR TO THE SUBMISSION OF THE 990 TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED ANNUALLY, CONFLICTS ARE DECLARED AT THE BEGINNING OF EACH BOARD OF DIRECTORS MEETING. EMPLOYEES ARE REQUIRED TO UPDATE ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET SURVEY FROM NUMEROUS SOURCES, INCLUDING CCHN, BOFL AND MOUNTAIN STATE EMPLOYERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:1932740</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT SERVICES TOTAL FEES:2957729</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>