﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-05-14T17:19:07-07:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Patel &amp; Associates CPA</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>266 17th Street Suite 200</AddressLine1>
        <City>Oakland</City>
        <State>CA</State>
        <ZIPCode>946124124</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>941743078</EIN>
      <Name>
        <BusinessNameLine1>Gardner Family Health Network Inc</BusinessNameLine1>
      </Name>
      <NameControl>GARD</NameControl>
      <Phone>4089353906</Phone>
      <USAddress>
        <AddressLine1>PO Box 1240</AddressLine1>
        <City>Alviso</City>
        <State>CA</State>
        <ZIPCode>95002</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Ignacio Perez</Name>
      <Title>CFO</Title>
      <DateSigned>2012-05-14</DateSigned>
    </Officer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="9">
    <IRS990 documentId="IRS990" referenceDocumentId=" IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <NameOfPrincipalOfficerPerson>Reymundo Espinoza</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>PO Box 1240</AddressLine1>
        <City>Alviso</City>
        <State>CA</State>
        <ZIPCode>95002</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>31995205</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <AllAffiliatesIncluded>false</AllAffiliatesIncluded>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.gardnerhealth.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1967</YearFormation>
      <StateLegalDomicile>CA</StateLegalDomicile>
      <ActivityOrMissionDescription>To improve the health status of the communities we serve, especially the disenfranchised, poor &amp; most vulnerable members by providing high quality, comprehensive care, which is affordable, respectful, culturally, linguistically &amp; age appropriate.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>11</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>11</NbrIndependentVotingMembers>
      <TotalNbrEmployees>380</TotalNbrEmployees>
      <TotalNbrVolunteers>16</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>9845912</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>9846137</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>18259761</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>21747548</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>355143</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>105413</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>182779</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>90593</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>28643595</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>31789691</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>21663242</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>22974487</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>261689</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>7508910</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>9009677</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>29172152</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>31984164</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-528557</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-194473</RevenuesLessExpensesCY>
      <TotalAssetsBOY>21154100</TotalAssetsBOY>
      <TotalAssetsEOY>23002483</TotalAssetsEOY>
      <TotalLiabilitiesBOY>4264558</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>6752698</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>16889542</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>16249785</NetAssetsOrFundBalancesEOY>
      <MissionDescription>To improve the health status of the communities we serve, especially the disenfranchised, poor &amp; most vulnerable members by providing high quality, comprehensive care, which is affordable, respectful, culturally, linguistically &amp; age appropriate.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>26710434</Expense>
      <Revenue>21747548</Revenue>
      <Description>Primary Care Program: provides medical, dental, optometry, pharmaceutical, podiatry and ancillary services to low income residents of Santa Clara County. Provided 156,346 visits to 41,595 patients.</Description>
      <Activity2>
        <Expense>124426</Expense>
        <Description>Job Corps: Provides physical examinations and medical services to individuals participating in the Job Corps program.</Description>
      </Activity2>
      <TotalProgramServiceExpense>26834860</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId=" IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId=" IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId=" IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId=" IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId=" IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId=" IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId=" IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId=" IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId=" IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId=" IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId=" IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId=" IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId=" IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId=" IRS990ScheduleG">false</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId=" IRS990ScheduleG">true</FundraisingActivities>
      <Gaming referenceDocumentId=" IRS990ScheduleG">false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId=" IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions referenceDocumentId=" IRS990ScheduleM">true</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt referenceDocumentId=" IRS990ScheduleM">false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId=" IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId=" IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId=" IRS990ScheduleR">false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId=" IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId=" IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>77</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>false</ComplianceWithBackupWitholding>
      <NumberOfEmployees>380</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <Form990-TFiled>false</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <Form8886TFiled>false</Form8886TFiled>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <NonDeductibleDisclosure>false</NonDeductibleDisclosure>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <QuidProQuoDisclosure>false</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <NumberOf8282Filed>0</NumberOf8282Filed>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <FiledLieu1041>false</FiledLieu1041>
      <LicensedMoreThanOneState>false</LicensedMoreThanOneState>
      <IndoorTanningServices>false</IndoorTanningServices>
      <Form720Filed>false</Form720Filed>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>11</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>11</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>
      <PoliciesReferenceChapters>false</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>false</WrittenPolicyOrProcedure>
      <StatesWhereCopyOfReturnIsFiled>CA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Ignacio Perez</NamePerson>
        <TelephoneNumber>4089353906</TelephoneNumber>
        <AddressUS>
          <AddressLine1>PO Box 1240</AddressLine1>
          <City>Alviso</City>
          <State>CA</State>
          <ZIPCode>95002</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Ricardo Lopez</NamePerson>
        <Title>Dir-Medical Svc</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>217601</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33808</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rhonda Mason</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Reymundo Espinoza</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>24.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>135795</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>104981</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37055</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ranjani Chandramouli</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>160594</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16846</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Noe Lozano</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nghi Khue Luu</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>157317</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9701</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Madhur Bhatnagar</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>196247</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16056</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lucinda Hirahoka-Pisano</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lloyd Alvarado</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kristi Ledwein</NamePerson>
        <Title>HR Director</Title>
        <AverageHoursPerWeek>12.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>22153</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>13846</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kahn D Bui</NamePerson>
        <Title>Vice Chair</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Irma Terrazas</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ingrid Faulhaber</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ignacio Perez</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>36.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>127462</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>17419</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10334</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Frank Serrano</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Esther Duran</NamePerson>
        <Title>Board Chair</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Efrain Coria</NamePerson>
        <Title>COO</Title>
        <AverageHoursPerWeek>24.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>110079</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>96168</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26170</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Edgar Orate</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>157195</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>3395</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Benjamin A Hernandez-C</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>163096</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15340</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Armand Sanchez</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Angelica M Ruiz</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1447539</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>232414</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>168705</TotalOtherCompensation>
      <NumberIndividualsGT100K>9</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Santa Clara Valley Health</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2325 Enborg Lane</AddressLine1>
            <City>San Jose</City>
            <State>CA</State>
            <ZIPCode>95112</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>457892</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Walgreens Health</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>10400 W Innovation Dr 300</AddressLine1>
            <City>Milwaukee</City>
            <State>WI</State>
            <ZIPCode>53226</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Insurance</DescriptionOfServices>
        <Compensation>398689</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NextGen HealthCare</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>795 Horsham Rd</AddressLine1>
            <City>Hosham</City>
            <State>PA</State>
            <ZIPCode>19044</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Computer Equipment</DescriptionOfServices>
        <Compensation>413058</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>BRMS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 2140</AddressLine1>
            <City>Folsom</City>
            <State>CA</State>
            <ZIPCode>95630</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Insurance</DescriptionOfServices>
        <Compensation>447360</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Barney &amp; Barney</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 87610</AddressLine1>
            <City>San Diego</City>
            <State>CA</State>
            <ZIPCode>92138</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Worker's Comp Insur.</DescriptionOfServices>
        <Compensation>378404</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <FundraisingEvents>103975</FundraisingEvents>
      <GovernmentGrants>8733698</GovernmentGrants>
      <AllOtherContributions>1008464</AllOtherContributions>
      <NoncashContributions>791030</NoncashContributions>
      <TotalContributions>9846137</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Risk Pool</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>1010757</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1010757</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Private &amp; Other</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>7052207</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7052207</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Pharmacy</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>650723</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>650723</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MediCal &amp; Medicare</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>13033861</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13033861</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>21747548</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>105413</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>105413</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>164087</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>164087</Real>
      </LessRentalExpenses>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>41427</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>62548</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>41427</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Other Revenues</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>90593</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>90593</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>90593</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>31789691</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>21943554</RelatedOrExemptFunctionIncome>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>592103</Total>
        <ProgramServices>489080</ProgramServices>
        <ManagementAndGeneral>98929</ManagementAndGeneral>
        <Fundraising>4094</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>16746793</Total>
        <ProgramServices>13832922</ProgramServices>
        <ManagementAndGeneral>2798079</ManagementAndGeneral>
        <Fundraising>115792</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>5635591</Total>
        <ProgramServices>4655101</ProgramServices>
        <ManagementAndGeneral>941527</ManagementAndGeneral>
        <Fundraising>38963</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1437429</Total>
        <ProgramServices>944517</ProgramServices>
        <ManagementAndGeneral>454901</ManagementAndGeneral>
        <Fundraising>38011</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>4644977</Total>
        <ProgramServices>4458932</ProgramServices>
        <ManagementAndGeneral>176909</ManagementAndGeneral>
        <Fundraising>9136</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>48478</Total>
        <ProgramServices>41006</ProgramServices>
        <ManagementAndGeneral>7154</ManagementAndGeneral>
        <Fundraising>318</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>823217</Total>
        <ProgramServices>714834</ProgramServices>
        <ManagementAndGeneral>98564</ManagementAndGeneral>
        <Fundraising>9819</Fundraising>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>139264</Total>
        <ProgramServices>139264</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>93535</Total>
        <ManagementAndGeneral>93535</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1470907</Total>
        <ProgramServices>1470907</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>151087</Total>
        <ProgramServices>38260</ProgramServices>
        <ManagementAndGeneral>112827</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>149266</Total>
        <ProgramServices>46297</ProgramServices>
        <ManagementAndGeneral>101811</ManagementAndGeneral>
        <Fundraising>1158</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Company Events</Description>
        <Total>51517</Total>
        <ProgramServices>3740</ProgramServices>
        <ManagementAndGeneral>3379</ManagementAndGeneral>
        <Fundraising>44398</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>31984164</Total>
        <ProgramServices>26834860</ProgramServices>
        <ManagementAndGeneral>4887615</ManagementAndGeneral>
        <Fundraising>261689</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2033584</BOY>
        <EOY>1559803</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1367708</BOY>
        <EOY>821851</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>1185473</BOY>
        <EOY>1389174</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>3137699</BOY>
        <EOY>6330019</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>416192</BOY>
        <EOY>276789</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>239065</BOY>
        <EOY>194639</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>23223529</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>13522079</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>10312344</BOY>
        <EOY>9701450</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>2462035</BOY>
        <EOY>2728758</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>21154100</BOY>
        <EOY>23002483</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2511383</BOY>
        <EOY>2777764</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>7345</BOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1736654</BOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>9176</BOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <EOY>3974934</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>4264558</BOY>
        <EOY>6752698</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>16889542</BOY>
        <EOY>16249785</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>16889542</BOY>
        <EOY>16249785</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>21154100</BOY>
        <EOY>23002483</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-194473</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-445284</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="10000105" softwareVersion="2010v3.2">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>7842443</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8705894</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9128473</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9845912</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9846137</CurrentTaxYear>
        <Total>45368859</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>7842443</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8705894</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9128473</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9845912</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9846137</CurrentTaxYear>
        <Total>45368859</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>45368859</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>233155</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>174904</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>100388</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>94332</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>105413</CurrentTaxYear>
        <Total>708192</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>481798</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>566027</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>-125471</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>365146</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>294736</CurrentTaxYear>
        <Total>1582236</Total>
      </OtherIncome170>
      <TotalSupport>47659287</TotalSupport>
      <PublicSupportPertcentage170>0.95190</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.95440</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="10000105" softwareVersion="2010v3.2">
      <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="IRS990ScheduleD" softwareId="10000105" softwareVersion="2010v3.2">
      <Land>
        <InvestmentCostOrOtherBasis>2107308</InvestmentCostOrOtherBasis>
        <BookValue>2107308</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>15134402</InvestmentCostOrOtherBasis>
        <Depreciation>9662321</Depreciation>
        <BookValue>5472081</BookValue>
      </Buildings>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>5981819</InvestmentCostOrOtherBasis>
        <Depreciation>3859758</Depreciation>
        <BookValue>2122061</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>9701450</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Due from Affiliate</Description>
        <BookValue>2728758</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2728758</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Tenant Security Deposit</Description>
        <Amount>7345</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Restrcited Accounts Payable</Description>
        <Amount>573869</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Loan Payable-Related Organization</Description>
        <Amount>2654369</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Incurred but not reported iability</Description>
        <Amount>649427</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliate</Description>
        <Amount>89924</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3974934</TotalOfAmounts>
      <TotalRevenue>31789691</TotalRevenue>
      <TotalExpenses>31984164</TotalExpenses>
      <ExcessOrDeficitForYear>-194473</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>204143</NetUnrealizedGLOnInvestments>
      <OtherAmount>-649427</OtherAmount>
      <TotalAdjustments>-445284</TotalAdjustments>
      <ExcessOrDeficitPerFS>-639757</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>32157921</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>204143</NetUnrealizedGainsInvestments>
      <OtherRevenues>164087</OtherRevenues>
      <RevenueNotRptdF990>368230</RevenueNotRptdF990>
      <RevenueSubtotal>31789691</RevenueSubtotal>
      <TotalRevenuePerForm990>31789691</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>32148251</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>164087</OtherExpensesIncluded>
      <ExpensesNotRptdF990>164087</ExpensesNotRptdF990>
      <ExpensesSubtotal>31984164</ExpensesSubtotal>
      <TotalExpensesPerForm990>31984164</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>GFHNI is a not-for-profit corporation as described in Section 501(c) (3) of the Internal Revenue Code and has been granted tax-exempt status by the Internal Revenue Service and the California Franchise Tax Board. Accordingly, no provision for federal and state income taxes has been made in the accompanying financial statements. There was no unrelated business income for fiscal year 2011.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>Rental Expenses Netted in Part VIII $164087</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>Rental Expenses Netted in Part VIII $164087</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Restatement of Beginning Net Assets $ -649427</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="10000105" softwareVersion="2010v3.2">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
        <NameOfEvent1>Silent Heros of Health Care</NameOfEvent1>
        <GrossReceiptsEvent1>103975</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>62548</CharitableContributionsEvent1>
        <GrossRevenueEvent1>41427</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>27536</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>13891</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>103975</GrossReceiptsTotal>
        <CharitableContributionsTotal>62548</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>41427</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>27536</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>13891</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>41427</DirectExpenseSummaryEvents>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="10000105" softwareVersion="2010v3.2">
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <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>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Ricardo Lopez</NamePerson>
        <BaseCompensationFilingOrg>217601</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>29108</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>251409</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Reymundo Espinoza</NamePerson>
        <BaseCompensationFilingOrg>135795</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>104981</CompBasedOnRelatedOrgs>
        <DeferredCompFilingOrg>2933</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>19936</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14186</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>152914</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>124917</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ranjani Chandramouli</NamePerson>
        <BaseCompensationFilingOrg>160594</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3469</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13377</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>177440</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nghi Khue Luu</NamePerson>
        <BaseCompensationFilingOrg>157317</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3398</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6303</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>167018</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Madhur Bhatnagar</NamePerson>
        <BaseCompensationFilingOrg>196247</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4239</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11817</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>212303</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ignacio Perez</NamePerson>
        <BaseCompensationFilingOrg>127462</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>17419</CompBasedOnRelatedOrgs>
        <DeferredCompFilingOrg>2753</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>376</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7205</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>137420</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>17795</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Efrain Coria</NamePerson>
        <BaseCompensationFilingOrg>110079</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>96168</CompBasedOnRelatedOrgs>
        <DeferredCompFilingOrg>2378</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>3515</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20277</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>132734</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>99683</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Edgar Orate</NamePerson>
        <BaseCompensationFilingOrg>157195</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3395</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>160590</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Benjamin A Hernandez-C</NamePerson>
        <BaseCompensationFilingOrg>163096</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3523</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11817</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>178436</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="10000105" softwareVersion="2010v3.2">
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>5522</NumberOfContributions>
        <NoncashContribsRptdF990>791030</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part XI, Reconciliation of Net Assets</ReturnReference>
        <Explanation>As of June 30, 2011, the beginning net assets were restated in the amount of $649,427. This correction pertains to an adjustment in IBNR or "incurred but not reported" claims that were not previously reported as a liability. Thus, the unrestricted net assets balance at the beginning of the year was restated to correct the understatement in liability reported in the prior year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The organization's governing documents, policies and financial statements are made available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>For the compensation of other officers or key employees, the HR Director periodically obtains/performs compensation analysis surveys of similar positions to ensure compensation is reasonable and competitive.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The organization has a Compliance Officer who overseas the conflict of interest policy and provides annual ongoing training to the Board of Directors and staff.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Form 990 and related schedule are reviewed by the CFO and Controller of the organization. Additionally, the Form 990 is distributed and reviewed by the Finance Committee of the Board of Directors before it is filed with the IRS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="10000105" softwareVersion="2010v3.2">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Gardner Family Care Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>160 East Virginia Suite 255</AddressLine1>
          <City>San Jose</City>
          <State>CA</State>
          <ZIPCode>95112</ZIPCode>
        </AddressUS>
        <EIN>237153068</EIN>
        <PrimaryActivities>Health Organization</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Health Org.</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gardner Family Care Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>22843</AmountInvolved>
        <MethodOfAmtDetermination>FMV/Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gardner Family Care Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>49936</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gardner Family Care Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>322812</AmountInvolved>
        <MethodOfAmtDetermination>FMV/Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gardner Family Care Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>78444</AmountInvolved>
        <MethodOfAmtDetermination>FMV/Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gardner Family Care Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>1290000</AmountInvolved>
        <MethodOfAmtDetermination>FMV/Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gardner Family Care Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>54336</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>