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        <Desc>Estimated 3rd Party Overpayments</Desc>
        <Amt>3041350</Amt>
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      <TotalLiabilityAmt>3041350</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>91027508</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>91027508</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>91027508</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>86153257</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>86153257</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>86153257</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under the guidance, the Organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for fiscal year 2015.</ExplanationTxt>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="14000265" softwareVersionNum="2014v6.0">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anika Moore</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>323619</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>204</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18298</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>346621</TotalCompensationFilingOrgAmt>
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        <PersonNm>Bhupendra Lotawala</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>202613</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3118</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>6757</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>42666</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>John Khan-Variba</PersonNm>
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        <PersonNm>Neil Correia</PersonNm>
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        <BonusFilingOrganizationAmount>101</BonusFilingOrganizationAmount>
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        <PersonNm>Reshma Mahmood</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert McGhie</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>204</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>4116</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>Ron Castle</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>31331</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Satish Raj</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>259397</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>204</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38669</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sophia Sosa</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>197871</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1226</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7914</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17165</NontaxableBenefitsFilingOrgAmt>
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      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>306625</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Market Value</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000265" softwareVersionNum="2014v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>To organizations form 990 is prepared by an independent CPA, reveiwed by the organization's CFO, then reviewed and signed by the CEO and filed by the independent CPA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization engages in normal due diligence in assuring there is no conflict of interest in any material transactions. The organization also relies partly on self-declaration of the parties involved. The organization regularly communicates this policy to it's key employees and board members.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization conducts periodic surveys of compensation at other similiar organizations in the state. This is done through the California Primary Care Association, MGMA, and the National Association of Community Health Centers. The local cost of living and housing are also factors in determining salaries. Compensation is reviewed periodically.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization conducts periodic surveys of compensation at other similiar organizations in the state. This is done through the California Primary Care Association, MGMA, and the National Association of Community Health Centers. The local cost of living and housing are also factors in determining salaries. Compensation is reviewed periodically.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 1023 &amp; Form 990 is available upon written request during normal business hours at the organizations administrative office in Nipomo, CA. No Form 990T is filed.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>