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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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      <BenefitsToMembers>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>61812</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>79876</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      <FeesForServicesInvstMgmntFees>
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      <OfficeExpenses>
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      <InformationTechnology>
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      <Royalties>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
        <Total>0</Total>
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      <Interest>
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        <ProgramServices>23821</ProgramServices>
        <ManagementAndGeneral>485705</ManagementAndGeneral>
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        <Total>1627096</Total>
        <ProgramServices>390876</ProgramServices>
        <ManagementAndGeneral>1236220</ManagementAndGeneral>
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        <ManagementAndGeneral>85605</ManagementAndGeneral>
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      <OtherExpenses>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      <TaxExemptBondLiabilities>
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      <UnsecuredNotesLoansPayable>
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      <TemporarilyRestrictedNetAssets>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>3232855</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
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      <ValueSrvcFcltsFurnishedByGovt>
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      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
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      <Equipment>
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        <Depreciation>801887</Depreciation>
        <BookValue>560823</BookValue>
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      <OtherLandBuildings>
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        <BookValue>2819386</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>17326415</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Other liabilities</Description>
        <Amount>53709</Amount>
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      <TotalOfAmounts>53709</TotalOfAmounts>
      <TotalRevenue>65254140</TotalRevenue>
      <TotalExpenses>62021285</TotalExpenses>
      <ExcessOrDeficitForYear>3232855</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>3232855</ExcessOrDeficitPerFS>
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      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
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      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
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        <NamePerson>John Khan-Variba</NamePerson>
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        <NumberOfContributions>1</NumberOfContributions>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Form 990 is available upon written request during normal business hours at the organizations administrative office in Nipomo, CA</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The organization's 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</Explanation>
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