﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2011v1.2" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-08-20T13:28:06-07:00</Timestamp>
    <TaxPeriodEndDate>2012-03-31</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>202707086</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>TCA Partners LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1111 E Herndon Avenue Suite 211</AddressLine1>
        <City>Fresno</City>
        <State>CA</State>
        <ZIPCode>93720</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-04-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>942196086</EIN>
      <Name>
        <BusinessNameLine1>Golden Valley Health Center</BusinessNameLine1>
      </Name>
      <NameControl>GOLD</NameControl>
      <Phone>2093831848</Phone>
      <USAddress>
        <AddressLine1>737 West Childs Avenue</AddressLine1>
        <City>Merced</City>
        <State>CA</State>
        <ZIPCode>95341</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Christine Noguera</Name>
      <Title>CEO</Title>
      <Phone>2093831848</Phone>
      <DateSigned>2012-08-20</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Jeremy Ware</Name>
      <PTIN>P00642659</PTIN>
      <Phone>5594317708</Phone>
      <DatePrepared>2012-08-09</DatePrepared>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="R000001" referenceDocumentId="R000005" softwareId="11000129" softwareVersion="v1.00">
      <NameOfPrincipalOfficerPerson>Michael Sullivan</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>737 West Childs Avenue</AddressLine1>
        <City>Merced</City>
        <State>CA</State>
        <ZIPCode>95341</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>71118287</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1972</YearFormation>
      <StateLegalDomicile>CA</StateLegalDomicile>
      <ActivityOrMissionDescription>Facility Provides Health Care Services to Low Income Migrant and Homeless Individuals</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>10</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>10</NbrIndependentVotingMembers>
      <TotalNbrEmployees>744</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>13934315</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>21788359</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>43100239</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>47990860</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>139663</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>119082</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>1431341</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>1219986</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>58605558</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>71118287</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>42175049</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>45703019</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>13871151</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>17067842</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>56046200</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>62770861</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>2559358</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>8347426</RevenuesLessExpensesCY>
      <TotalAssetsBOY>44618064</TotalAssetsBOY>
      <TotalAssetsEOY>50857427</TotalAssetsEOY>
      <TotalLiabilitiesBOY>12660089</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>10552026</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>31957975</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>40305401</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>Golden Valley Health Center Provides Health Care Services to Low Income, Migrant and Homeless Individuals.</MissionDescription>
      <SignificantNewProgramServices>1</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>51000999</Expense>
      <Revenue>47990860</Revenue>
      <Description>Medical and Dental Services Rendered to primarily Low Income, Migrant and Homeless Individuals. The health center is operating 35 sites, with 24 primary care, 8 dental and 1 optometrist mobile. Many kinds of services offered. 11 Mental Health Professionals, OB, FP, ENT, INT, DPM, PEDS. Also, many outreach and case workers, health education; primary visits totaled 425,928 and serviced 97,877 patients. GVHC completed three major construction projects and opened up two new clinics.</Description>
      <TotalOfOtherProgramServiceExp>0</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>0</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>0</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>51000999</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="R000002">1</DescribedIn501C3>
      <ScheduleBRequired>0</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds>0</DonorAdvisedFunds>
      <ConservationEasements>0</ConservationEasements>
      <CollectionsOfArt>0</CollectionsOfArt>
      <CreditCounseling>0</CreditCounseling>
      <TermOrPermanentEndowments>0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="R000003">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities>0</ReportInvestOthSecurities>
      <ReportProgRelInvest>0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="R000003">1</ReportOtherAssets>
      <ReportOtherLiabilities>0</ReportOtherLiabilities>
      <ReportFin48Footnote>0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="R000003">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="R000003">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="R000004">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>100</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>744</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>10</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>10</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>0</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>0</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>CA</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Lue Thao</NamePerson>
        <TelephoneNumber>2093855409</TelephoneNumber>
        <AddressUS>
          <AddressLine1>737 West Childs Avenue</AddressLine1>
          <City>Merced</City>
          <State>CA</State>
          <ZIPCode>95341</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Peter Broderick</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Alicia Dicochea</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen Endsley</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Alfred Hunt</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas Keene</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Flora Martinez</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Price</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Karla Rivera</NamePerson>
        <Title>Chairperson</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Maria Vargas</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Barbara Weaver</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ernestine Woods</NamePerson>
        <Title>Vice Chair</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Sullivan</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>218288</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53726</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Christine Noguera</NamePerson>
        <Title>DCEO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>142398</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54016</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lue Thao</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>138337</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54004</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ray Parris</NamePerson>
        <Title>CIO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>144232</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53726</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Silvia Diego</NamePerson>
        <Title>CMO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>323643</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54004</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lisa Swenson</NamePerson>
        <Title>CDO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>143803</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54004</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>George Alkhouri</NamePerson>
        <Title>OB</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>491255</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54004</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Yasser Salim Mrad</NamePerson>
        <Title>OB</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>384867</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54004</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Millard Johnson</NamePerson>
        <Title>Pediatric Hospitalist</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>467385</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54004</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sabrina Hussain</NamePerson>
        <Title>OB</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>403310</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51532</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rebecca Brock</NamePerson>
        <Title>OB</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>367901</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>56304</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>3225419</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>593328</TotalOtherCompensation>
      <NumberIndividualsGT100K>78</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Huff Construction Co</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4917 Stoddard Road</AddressLine1>
            <City>Modesto</City>
            <State>CA</State>
            <ZIPCode>95356</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Building Construction</DescriptionOfServices>
        <Compensation>6609523</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Simile Construction Service Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4725 Enterprise Way</AddressLine1>
            <AddressLine2>Suite 1</AddressLine2>
            <City>Modesto</City>
            <State>CA</State>
            <ZIPCode>95356</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Building Construction</DescriptionOfServices>
        <Compensation>1345633</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>IT1 Source LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4100 North Scottsdale Road</AddressLine1>
            <AddressLine2>Suite 300</AddressLine2>
            <City>Scottsdale</City>
            <State>AZ</State>
            <ZIPCode>85251</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Technology and Software Support</DescriptionOfServices>
        <Compensation>833953</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NextGen Healthcare Information System</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>18111 Von Karman Avenue</AddressLine1>
            <AddressLine2>Suite 700</AddressLine2>
            <City>Irvine</City>
            <State>CA</State>
            <ZIPCode>92612</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Technology and Software Support</DescriptionOfServices>
        <Compensation>808716</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Service Master Commercial Cleaning Service</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 3528</AddressLine1>
            <City>Merced</City>
            <State>CA</State>
            <ZIPCode>95344</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Janitorial Services</DescriptionOfServices>
        <Compensation>525617</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>17</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>0</FundraisingEvents>
      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>21330732</GovernmentGrants>
      <AllOtherContributions>457627</AllOtherContributions>
      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>21788359</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Service Revenue, net</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>47990860</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>47990860</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>47990860</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>119082</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>119082</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>63130</Real>
        <Personal>0</Personal>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>63130</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>63130</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>63130</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
      <OtherRevenueMisc>
        <Description>340B Pharmaceutical Revenue</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>981140</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>981140</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Miscellaneous Income</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>175716</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>175716</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>1156856</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>71118287</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>49329928</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>36068277</Total>
        <ProgramServices>30056594</ProgramServices>
        <ManagementAndGeneral>6011683</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>9634742</Total>
        <ProgramServices>8050210</ProgramServices>
        <ManagementAndGeneral>1584532</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <FeesForServicesOther>
        <Total>7848045</Total>
        <ProgramServices>5335201</ProgramServices>
        <ManagementAndGeneral>2512844</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>5618893</Total>
        <ProgramServices>4917853</ProgramServices>
        <ManagementAndGeneral>701040</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>1060026</Total>
        <ProgramServices>862899</ProgramServices>
        <ManagementAndGeneral>197127</ManagementAndGeneral>
      </Occupancy>
      <ConferencesMeetings>
        <Total>613882</Total>
        <ProgramServices>218048</ProgramServices>
        <ManagementAndGeneral>395834</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>251419</Total>
        <ProgramServices>246139</ProgramServices>
        <ManagementAndGeneral>5280</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1249933</Total>
        <ProgramServices>952618</ProgramServices>
        <ManagementAndGeneral>297315</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>235379</Total>
        <ProgramServices>235379</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </Insurance>
      <AllOtherExpenses>
        <Total>190265</Total>
        <ProgramServices>126058</ProgramServices>
        <ManagementAndGeneral>64207</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>62770861</Total>
        <ProgramServices>51000999</ProgramServices>
        <ManagementAndGeneral>11769862</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>9491964</BOY>
        <EOY>4777081</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3859233</BOY>
        <EOY>4345265</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>1057505</BOY>
        <EOY>1021387</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2323118</BOY>
        <EOY>4363991</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>40117</BOY>
        <EOY>150678</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>310010</BOY>
        <EOY>386818</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>45503816</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>13629942</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>21739948</BOY>
        <EOY>31873874</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>5796169</BOY>
        <EOY>3938333</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>44618064</BOY>
        <EOY>50857427</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>6270471</BOY>
        <EOY>6196822</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>150000</BOY>
        <EOY>369377</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>1970000</BOY>
        <EOY>1840000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2216486</BOY>
        <EOY>2145827</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2053132</BOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>12660089</BOY>
        <EOY>10552026</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>31378165</BOY>
        <EOY>40175178</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>579810</BOY>
        <EOY>130223</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>31957975</BOY>
        <EOY>40305401</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>44618064</BOY>
        <EOY>50857427</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>8347426</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="11000129" softwareVersion="v1.00">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>11491696</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>46607692</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>49431838</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>56724370</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>70823057</CurrentTaxYear>
        <Total>235078653</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>11491696</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>46607692</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>49431838</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>56724370</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>70823057</CurrentTaxYear>
        <Total>235078653</Total>
      </Total170>
      <PublicSupportTotal170>235078653</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>496576</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>369494</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>268234</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>139663</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>119082</CurrentTaxYear>
        <Total>1393049</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>145984</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1008624</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1604008</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1572855</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1165735</CurrentTaxYear>
        <Total>5497206</Total>
      </OtherIncome170>
      <TotalSupport>241968908</TotalSupport>
      <PublicSupportPertcentage170>0.97152</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.9699</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>None</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="R000003" softwareId="11000129" softwareVersion="v1.00">
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>1229628</OtherCostOrOtherBasis>
        <BookValue>1229628</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>24341614</OtherCostOrOtherBasis>
        <Depreciation>7910144</Depreciation>
        <BookValue>16431470</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>6570908</OtherCostOrOtherBasis>
        <Depreciation>5719798</Depreciation>
        <BookValue>851110</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>13361666</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>13361666</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>31873874</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Assets Limited as to Use</Description>
        <BookValue>3938333</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>3938333</TotalBookValueOtherAssets>
      <TotalRevenue>71118287</TotalRevenue>
      <TotalExpenses>62770861</TotalExpenses>
      <ExcessOrDeficitForYear>8347426</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>0</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
      <OtherAmount>0</OtherAmount>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>8347426</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>71118287</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>71118287</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>0</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>71118287</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>62770861</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>0</DonatedServicesUseOfFacilities>
      <PriorYearAdjustments>0</PriorYearAdjustments>
      <LossesReported>0</LossesReported>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>62770861</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>62770861</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="R000004" softwareId="11000129" softwareVersion="v1.00">
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Michael Sullivan</NamePerson>
        <BaseCompensationFilingOrg>213791</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>14807</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>27148</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>38480</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>294226</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Christine Noguera</NamePerson>
        <BaseCompensationFilingOrg>150063</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>11967</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16450</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>54016</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>232496</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lue Thao</NamePerson>
        <BaseCompensationFilingOrg>158963</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4693</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>21744</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>54004</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>239404</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ray Parris</NamePerson>
        <BaseCompensationFilingOrg>151416</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4693</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8580</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>53726</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>218415</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Silvia Diego</NamePerson>
        <BaseCompensationFilingOrg>188395</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>86740</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>78412</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25900</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>54004</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>433451</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>George Alkhouri</NamePerson>
        <BaseCompensationFilingOrg>203551</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>64310</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>259995</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>33000</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>54004</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>614860</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Yasser Salim Mrad</NamePerson>
        <BaseCompensationFilingOrg>184665</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>22521</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>181319</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>54004</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>442509</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Millard Johnson</NamePerson>
        <BaseCompensationFilingOrg>39146</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>51</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>432173</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>54004</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>525374</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sabrina Hussain</NamePerson>
        <BaseCompensationFilingOrg>203487</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18641</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>182153</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>51352</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>455633</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rebecca Brock</NamePerson>
        <BaseCompensationFilingOrg>203605</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>26201</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>181976</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>38500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>56304</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>506586</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000005" softwareId="11000129" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P03_S00_L02</Identifier>
        <ReturnReference>Form 990, Part III, Line 2</ReturnReference>
        <Explanation>GVHC implemented a new practice management system and implemented an EHR system, where Golden Valley is the host for four additional organizations, GVHC opened two new clinics.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>No review conducted</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Compliance officer and committee conduct regular meetings to review any activities that pertain to the conflict policy and report any potential conflicts to the board of directors for action.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>CEO has contract approved by the board of directors</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Available upon request</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>