﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-10-29T08:56:35-07:00</Timestamp>
    <TaxPeriodEndDate>2012-03-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>ROBINSON FARMER COX ASSOCIATES PLLC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>47 LEE HWY</AddressLine1>
        <City>VERONA</City>
        <State>VA</State>
        <ZIPCode>244822505</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-04-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>540887287</EIN>
      <Name>
        <BusinessNameLine1>CENTRAL VIRGINIA HEALTH SERVICES INC</BusinessNameLine1>
      </Name>
      <NameControl>CENT</NameControl>
      <Phone>4345813271</Phone>
      <USAddress>
        <AddressLine1>PO BOX 220</AddressLine1>
        <City>NEW CANTON</City>
        <State>VA</State>
        <ZIPCode>23123</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>CHARLES ALLBAUGH</Name>
      <Title>CHIEF FINANCIAL OFFICER</Title>
      <Phone>4345813271</Phone>
      <DateSigned>2012-07-11</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>JAMES W KELLY</Name>
      <Phone>5402487300</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="00000001" referenceDocumentName="IRS990ScheduleO ReasonableCauseExplanation" softwareId="11000175">
      <NameOfPrincipalOfficerPerson>CHARLES ALLBAUGH</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>PO BOX 220</AddressLine1>
        <City>NEW CANTON</City>
        <State>VA</State>
        <ZIPCode>23123</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>29508471</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.cvhsinc.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1970</YearFormation>
      <StateLegalDomicile>VA</StateLegalDomicile>
      <ActivityOrMissionDescription>Central Virginia Health Services is committed to providing safe, accessible, affordable, comprehensive, high quality and culturally sensitive health and dental services to the people it serves. Anyone can receive health care services, insured or uninsured. Low income patients may be eligible for a discount based on their income and family size.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>17</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>17</NbrIndependentVotingMembers>
      <TotalNbrEmployees>402</TotalNbrEmployees>
      <TotalNbrVolunteers>208</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>10836886</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>11665012</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>16817513</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>17751866</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>101290</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>91593</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>27755689</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>29508471</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>19622256</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>20137193</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>182471</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>6264909</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>6762827</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>25887165</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>26900020</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1868524</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>2608451</RevenuesLessExpensesCY>
      <TotalAssetsBOY>24226279</TotalAssetsBOY>
      <TotalAssetsEOY>24256134</TotalAssetsEOY>
      <TotalLiabilitiesBOY>6518517</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>3917228</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>17707762</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>20338906</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Central Virginia Health Services, Inc. (Organization) is a non-profit community health care organization</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>22584828</Expense>
      <Revenue>17751866</Revenue>
      <Description>PROVIDED OUT-PATIENT HEALTH AND DENTAL CARE TO RESIDENTS OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE,BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KING AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE AND RICHMOND COUNTIES AND THE CITY OF PETERSBURG, HOPEWELL AND FREDERICKSBURG SERVING OVER 39,000 PATIENTS IN CALENDAR YEAR 2011</Description>
      <TotalProgramServiceExpense>22584828</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="00000002" referenceDocumentName="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="00000003" referenceDocumentName="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments>false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="00000004" referenceDocumentName="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets>false</ReportOtherAssets>
      <ReportOtherLiabilities>false</ReportOtherLiabilities>
      <ReportFin48Footnote>false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="00000004" referenceDocumentName="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt>false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>402</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>17</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>17</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>false</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>THE CORPORATION</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>4345813271</TelephoneNumber>
        <AddressUS>
          <AddressLine1>25892 JAMES MADISON HWY</AddressLine1>
          <City>NEW CANTON</City>
          <State>VA</State>
          <ZIPCode>23123</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>RODERICK MANIFOLD</NamePerson>
        <Title>EXECUTIVE DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>212329</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28133</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RANDALL BASHORE</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>390369</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25769</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES ALLBAUGH</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>172308</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31243</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANK SHERIDAN</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BOB SMITH</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SAMUEL BATEMAN</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARGARET HENDRICK</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PEGGY SCOTT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICIA HARVEY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REV DR RUDOLPH DUNBAR</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BYRON ADKINS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARGUERITE YOUNG</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TYLER WILLIAMS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DONNA ISOM</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVEN MANSTER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CARLA MARTINDALE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEARLINE A TAYLOR</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CANDYACE DUNN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JANE WILLS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CLARA SMITH</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GRANVILLE FISHER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID M CAMPANELLI</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>200132</ReportableCompFromOrganization>
        <OtherCompensation>25772</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRIAN BLACKWELL</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>291651</ReportableCompFromOrganization>
        <OtherCompensation>14550</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID A NEFF</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>210411</ReportableCompFromOrganization>
        <OtherCompensation>11888</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SON DUONG</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>195802</ReportableCompFromOrganization>
        <OtherCompensation>7868</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1850382</TotalReportableCompFromOrg>
      <TotalOtherCompensation>162724</TotalOtherCompensation>
      <NumberIndividualsGT100K>8</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <GovernmentGrants>10244603</GovernmentGrants>
      <AllOtherContributions>1420409</AllOtherContributions>
      <TotalContributions>11665012</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net medical/dental charges</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>17212217</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other revenue</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>539649</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>17751866</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>91593</TotalRevenueColumn>
        <ExclusionAmount>91593</ExclusionAmount>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>29508471</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>17751866</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>91593</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>1142327</Total>
        <ProgramServices>254884</ProgramServices>
        <ManagementAndGeneral>795424</ManagementAndGeneral>
        <Fundraising>92019</Fundraising>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>15478586</Total>
        <ProgramServices>14884281</ProgramServices>
        <ManagementAndGeneral>556431</ManagementAndGeneral>
        <Fundraising>37874</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>416866</Total>
        <ProgramServices>309886</ProgramServices>
        <ManagementAndGeneral>102525</ManagementAndGeneral>
        <Fundraising>4455</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2023135</Total>
        <ProgramServices>1789576</ProgramServices>
        <ManagementAndGeneral>227482</ManagementAndGeneral>
        <Fundraising>6077</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1076279</Total>
        <ProgramServices>980222</ProgramServices>
        <ManagementAndGeneral>86247</ManagementAndGeneral>
        <Fundraising>9810</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>11708</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>11708</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>32700</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>32700</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>707617</Total>
        <ProgramServices>590062</ProgramServices>
        <ManagementAndGeneral>117555</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>18874</Total>
        <ProgramServices>14652</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>4222</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>617142</Total>
        <ProgramServices>517593</ProgramServices>
        <ManagementAndGeneral>82893</ManagementAndGeneral>
        <Fundraising>16656</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>22203</Total>
        <ProgramServices>6142</ProgramServices>
        <ManagementAndGeneral>16061</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>1075630</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1075630</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>37559</Total>
        <ProgramServices>31180</ProgramServices>
        <ManagementAndGeneral>3109</ManagementAndGeneral>
        <Fundraising>3270</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>36458</Total>
        <ProgramServices>7922</ProgramServices>
        <ManagementAndGeneral>23926</ManagementAndGeneral>
        <Fundraising>4610</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>106</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>106</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>567187</Total>
        <ProgramServices>246609</ProgramServices>
        <ManagementAndGeneral>320578</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>35581</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>35581</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>2781346</Total>
        <ProgramServices>2556193</ProgramServices>
        <ManagementAndGeneral>225153</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equipment rental/maintenance</Description>
        <Total>482767</Total>
        <ProgramServices>241712</ProgramServices>
        <ManagementAndGeneral>241055</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other expenses</Description>
        <Total>335949</Total>
        <ProgramServices>153914</ProgramServices>
        <ManagementAndGeneral>178557</ManagementAndGeneral>
        <Fundraising>3478</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>26900020</Total>
        <ProgramServices>22584828</ProgramServices>
        <ManagementAndGeneral>4132721</ManagementAndGeneral>
        <Fundraising>182471</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>821631</BOY>
        <EOY>867550</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>7297578</BOY>
        <EOY>8191387</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>4106849</BOY>
        <EOY>2083179</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2452183</BOY>
        <EOY>1854703</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>175550</BOY>
        <EOY>186408</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>5000</BOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>15462505</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5696710</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>8096786</BOY>
        <EOY>9765795</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1239604</BOY>
        <EOY>1276014</EOY>
      </InvestmentsPubTradedSecurities>
      <IntangibleAssets>
        <BOY>12000</BOY>
        <EOY>12000</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>19098</BOY>
        <EOY>19098</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>24226279</BOY>
        <EOY>24256134</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2312837</BOY>
        <EOY>1874002</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>4205680</BOY>
        <EOY>2043226</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>6518517</BOY>
        <EOY>3917228</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>17707762</BOY>
        <EOY>20338906</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>17707762</BOY>
        <EOY>20338906</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>24226279</BOY>
        <EOY>24256134</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2608451</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>22693</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="11000175">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="00000004" softwareId="11000175">
      <Land>
        <OtherCostOrOtherBasis>477313</OtherCostOrOtherBasis>
        <BookValue>477313</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>8809267</OtherCostOrOtherBasis>
        <Depreciation>2900108</Depreciation>
        <BookValue>5909159</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>4347423</OtherCostOrOtherBasis>
        <Depreciation>2592851</Depreciation>
        <BookValue>1754572</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1828502</OtherCostOrOtherBasis>
        <Depreciation>203751</Depreciation>
        <BookValue>1624751</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>9765795</TotalOfBookValueLandBuildings>
      <TotalRevenue>29508471</TotalRevenue>
      <TotalExpenses>26900020</TotalExpenses>
      <ExcessOrDeficitForYear>2608451</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>2608451</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>29531164</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>22693</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>22693</RevenueNotRptdF990>
      <RevenueSubtotal>29508471</RevenueSubtotal>
      <TotalRevenuePerForm990>29508471</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>26900020</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>26900020</ExpensesSubtotal>
      <TotalExpensesPerForm990>26900020</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000005">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RODERICK MANIFOLD</NamePerson>
        <BaseCompensationFilingOrg>204829</BaseCompensationFilingOrg>
        <BonusFilingOrg>7500</BonusFilingOrg>
        <DeferredCompFilingOrg>14473</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1360</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>228162</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>255830</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RANDALL BASHORE</NamePerson>
        <BaseCompensationFilingOrg>382869</BaseCompensationFilingOrg>
        <BonusFilingOrg>7500</BonusFilingOrg>
        <DeferredCompFilingOrg>22000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3769</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>416138</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>420843</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES ALLBAUGH</NamePerson>
        <BaseCompensationFilingOrg>164808</BaseCompensationFilingOrg>
        <BonusFilingOrg>7500</BonusFilingOrg>
        <DeferredCompFilingOrg>16214</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15028</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>203550</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>214307</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID M CAMPANELLI</NamePerson>
        <BaseCompensationFilingOrg>165206</BaseCompensationFilingOrg>
        <BonusFilingOrg>34926</BonusFilingOrg>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9272</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>225904</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>242929</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRIAN BLACKWELL</NamePerson>
        <BaseCompensationFilingOrg>246337</BaseCompensationFilingOrg>
        <BonusFilingOrg>45314</BonusFilingOrg>
        <DeferredCompFilingOrg>10360</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4190</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>306201</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>387204</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID A NEFF</NamePerson>
        <BaseCompensationFilingOrg>161590</BaseCompensationFilingOrg>
        <BonusFilingOrg>48821</BonusFilingOrg>
        <DeferredCompFilingOrg>6954</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4934</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>222299</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>225946</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SON DUONG</NamePerson>
        <BaseCompensationFilingOrg>195802</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3609</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4259</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>203670</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN GALEN VILLANUEVA</NamePerson>
        <BaseCompensationFilingOrg>177380</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1001</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>194881</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>198856</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000006" softwareId="11000175">
      <GeneralExplanation>
        <Identifier>Pt VI, Line 11a</Identifier>
        <Explanation>A copy of the form 990 is provided to Board members</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>for review and input prior to being filed with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>Compliance is enforced at varying levels of disciplinary</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>actions for violations to be reported promptly to the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Executive Director or to the President of the Board</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>if the Executive Director has violated the policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15</Identifier>
        <Explanation>The Executive Director is hired and evaluated annually</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>by the Board of Directors. All other employees are</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>hired by the Executive Director who determines their compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XI</Identifier>
        <Explanation>Other changes in fund balances includes a re-statement</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>of prior year financial statements of net $20,234 revenue</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>and unrealized gains on investments in the current year of</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>$113,812. Unrealized gains and losses on investments are</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>not included in revenues for the 990 tax filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part II, Line 24</Identifier>
        <Explanation>ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET OTHER RECEIVABLES INVENTORIES PREPAIDS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part II, Line 26</Identifier>
        <Explanation>ACCOUNTS PAYABLE &amp; ACCRUED EXPENSES BONDS, MORTGAGES &amp; OTHER NOTES UNEARNED GRANT ACCRUED SALARIES AND EXPENSES OBLIGATION-CAPITAL LEASE SALARY ADVANCE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>STAFF RECRUITMENT MARKETING DUES, FEES, &amp; SUBS TAXES AND LICENSES MEDICAL SUPPLIES</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>