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        <CurrentTaxYearMinus3YearsAmt>337277</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>337277</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>112424</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2174</CurrentTaxYearAmt>
        <TotalAmt>1126429</TotalAmt>
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        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>149146</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>957524</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>811472</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4566412</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1779143</CurrentTaxYearAmt>
        <TotalAmt>8263697</TotalAmt>
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      <TotalSupportAmt>77085851</TotalSupportAmt>
      <PublicSupportCY170Pct>0.83400</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.77130</PublicSupportPY170Pct>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="22015553" softwareVersionNum="2022v5.0">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2943923</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2943923</BookValueAmt>
      </LandGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>32211043</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13901079</DepreciationAmt>
        <BookValueAmt>18309964</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>188803</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>125073</DepreciationAmt>
        <BookValueAmt>63730</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>14881335</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10719667</DepreciationAmt>
        <BookValueAmt>4161668</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>25479285</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating lease liabilities</Desc>
        <Amt>9429483</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other liabilities</Desc>
        <Amt>333230</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>9762713</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>52776057</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>570062</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>570062</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>52205995</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>52205995</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>54050485</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>397142</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>397142</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>53653343</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>53653343</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>SCCHC is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and 23701d of the California Revenue and Taxation Code. SCCHC files the necessary informational returns and is subject to federal income tax on any unrelated business taxable income. GAAP provides accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain.Management has considered its tax positions and believes that all of the positions taken by SCCHC in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. SCCHCs returns are subject to examination by federal and state taxing authorities,generally for three years and four years respectively after they are filed.</ExplanationTxt>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRITTANY GRAY</PersonNm>
        <TitleTxt>MD-OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>258533</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>258533</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gralyn A Jacques</PersonNm>
        <TitleTxt>Deputy CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>246349</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>246349</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jaime S Chavarria</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>335696</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335696</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMIAH DAVIS</PersonNm>
        <TitleTxt>ASS. MEDICAL Dir.</TitleTxt>
        <BaseCompensationFilingOrgAmt>288806</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>288806</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kathleen Yau</PersonNm>
        <TitleTxt>Dentist-Gen. FT</TitleTxt>
        <BaseCompensationFilingOrgAmt>239746</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>239746</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUISA M BUADA</PersonNm>
        <TitleTxt>Former CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>294617</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>294617</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Natalie Hodgen</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>202018</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>202018</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SONIA SANTANA</PersonNm>
        <TitleTxt>MD-OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>321872</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>321872</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Yogita Thakur</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>340091</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>340091</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="22015553" softwareVersionNum="2022v5.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Fred Mondragon</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Chairman</RelationshipDescriptionTxt>
        <TransactionDesc>See Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Siteri Maravou</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Vice Chair</RelationshipDescriptionTxt>
        <TransactionDesc>See Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Julio Garcia</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Treasurer</RelationshipDescriptionTxt>
        <TransactionDesc>See Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Genesis Cerna</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Secretary</RelationshipDescriptionTxt>
        <TransactionDesc>See Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Senseria Conley</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Parliamentarian</RelationshipDescriptionTxt>
        <TransactionDesc>See Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Gralyn A Jacques</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CEO</RelationshipDescriptionTxt>
        <TransactionDesc>See Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>The persons listed at Part IV above are board members and officers of the filing organization as well as the related organization, RFHC Bay Pulgas Landowner, Inc. Please refer to Schedule O for an explanation of the relationship between both entities. Please refer to Schedule R for details of the transactions between both entities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22015553" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed by all members of the Board of Directors. In addition, each board member must sign a verification form stating they reviewed the Form 990 before it was filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All conflicts of interest must be disclosed to the Executive Committee, the Board of Directors or to the members of Committee. A review of the conflict will be conducted and the appropriate action will be taken.All trustees, directors, officers and key employees must complete an annual certification for conflicts of interests.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>For compensation of CEO and CFO, a comparative review is completed by the Audit Committee and subject to approval by the full Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation review for other officers and key employees is subject to a comparative review and is reviewed by the Personnel Committee and subject to approval by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, policies and financial statements of SCCHC are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Elimination of gain from affiliate entity = -$2499682</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Box C</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization operates under additional "Doing Business As" name:1. Ravenswood Family Health Center Pharmacy2. Ravenswood Family Dentistry.3. Ravenswood Family Health Network4. Mayview Community Health Center Mountain View5. Mayview Community Health Center Palo Alto6. Mayview Community Health Center Sunnyvale</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, line 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>Total non-cash contributions received by the organization was $570,062.00. Of this amount, $518,760 represented donated use of facilities and $51,302 represented donated imaging services. The donated services and use of facilities has been reconciled in Schedule D, Part XI, Line 2b &amp; Part XII, line 2a.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part IV</FormAndLineReferenceDesc>
        <ExplanationTxt>RFHC Bay Pulgas Landowner, Inc., (RFHC BPL) (the Corporation) an affiliate of theHealth Center, was a private nonprofit corporation organized under the laws of the State of California on April 1, 2014, and controlled by the Health Center. The majority of the board was comprised of board members of the Health Center, but not exclusively. The purpose of the Corporation to hold the leasehold interest in the commercial building located at 1885 Bay Road, East Palo Alto, California which was leased to the Health Center. On July 15, 2022, RFHC BPL voluntarily dissolved itself and winded up its corporate activities.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>RFHC Bay Pulgas Landowner Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1885 Bay Road</AddressLine1Txt>
          <CityNm>East Palo Alto</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94303</ZIPCd>
        </USAddress>
        <EIN>465313360</EIN>
        <PrimaryActivitiesTxt>QALICB activities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509 (a) (3)</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>RFHC Bay Pulgas Landowner Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>-7333479</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Book Value</MethodOfAmountDeterminationTxt>
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