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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patricia Guiterrez</PersonNm>
        <TitleTxt>Board member</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2091257</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>299922</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>44</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Gallo's Janitorial</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 1727</AddressLine1Txt>
            <CityNm>Gilroy</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95124</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Janitorial services</ServicesDesc>
        <CompensationAmt>338710</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Rizza Lynn Palencia</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>204 N Morrison Avenue</AddressLine1Txt>
            <CityNm>San Jose</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95126</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Board and Care</ServicesDesc>
        <CompensationAmt>135158</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>On Site Moving and Installation</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>540 Line Street</AddressLine1Txt>
            <CityNm>Hollister</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95023</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Moving services</ServicesDesc>
        <CompensationAmt>199510</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Beta Healthcare Group</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1443 Danville Blvd</AddressLine1Txt>
            <CityNm>Alamo</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94507</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Insurance</ServicesDesc>
        <CompensationAmt>427192</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Jack Chalabi</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7048 Wooded Lake Drive</AddressLine1Txt>
            <CityNm>San Jose</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95124</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Dental Supplies</ServicesDesc>
        <CompensationAmt>105737</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>44785360</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>975350</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>45760710</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net patient service revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>22404282</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22404282</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>896004</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>896004</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>23300286</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>36251</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>36251</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>288321</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>288321</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>288321</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>23588607</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>36251</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>38001457</TotalAmt>
        <ProgramServicesAmt>31501490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6297192</ManagementAndGeneralAmt>
        <FundraisingAmt>202775</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1780059</TotalAmt>
        <ProgramServicesAmt>1022282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>752142</ManagementAndGeneralAmt>
        <FundraisingAmt>5635</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>8697645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2256288</ManagementAndGeneralAmt>
        <FundraisingAmt>40741</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2855382</TotalAmt>
        <ProgramServicesAmt>2422031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>417030</ManagementAndGeneralAmt>
        <FundraisingAmt>16321</FundraisingAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>457324</TotalAmt>
        <ProgramServicesAmt>457324</ProgramServicesAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>89311</TotalAmt>
        <ProgramServicesAmt>2248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87063</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>67150</TotalAmt>
        <ManagementAndGeneralAmt>67150</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>26285</TotalAmt>
        <FundraisingAmt>26285</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>32517</TotalAmt>
        <ProgramServicesAmt>7</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5716</ManagementAndGeneralAmt>
        <FundraisingAmt>26794</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>5867114</TotalAmt>
        <ProgramServicesAmt>4989700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>821621</ManagementAndGeneralAmt>
        <FundraisingAmt>55793</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>2433089</TotalAmt>
        <ProgramServicesAmt>2054588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>374294</ManagementAndGeneralAmt>
        <FundraisingAmt>4207</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>124528</TotalAmt>
        <ProgramServicesAmt>85138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39275</ManagementAndGeneralAmt>
        <FundraisingAmt>115</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>192533</TotalAmt>
        <ProgramServicesAmt>54881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135877</ManagementAndGeneralAmt>
        <FundraisingAmt>1775</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1505950</TotalAmt>
        <ProgramServicesAmt>1108341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>396849</ManagementAndGeneralAmt>
        <FundraisingAmt>760</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>167588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39801</ManagementAndGeneralAmt>
        <FundraisingAmt>2094</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Family and client assistance</Desc>
        <TotalAmt>1069191</TotalAmt>
        <ProgramServicesAmt>1069191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Professional Fees</Desc>
        <TotalAmt>1145616</TotalAmt>
        <ProgramServicesAmt>809947</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282714</ManagementAndGeneralAmt>
        <FundraisingAmt>52955</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1154553</TotalAmt>
        <ProgramServicesAmt>579146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>533460</ManagementAndGeneralAmt>
        <FundraisingAmt>41947</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>68006216</TotalAmt>
        <ProgramServicesAmt>55021547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12506472</ManagementAndGeneralAmt>
        <FundraisingAmt>478197</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2965846</BOYAmt>
        <EOYAmt>9206228</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>32116</BOYAmt>
        <EOYAmt>112582</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>6535026</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1544534</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>305390</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>589821</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>29792322</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>18185678</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6397130</BOYAmt>
        <EOYAmt>11606644</EOYAmt>
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        <EOYAmt>6535026</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>17354909</BOYAmt>
        <EOYAmt>36435251</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>9185878</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>26185</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>9092875</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>2100737</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>20405675</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>15951763</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>77813</EOYAmt>
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        <EOYAmt>16029576</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>36435251</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1379352</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>0</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>0</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>0</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>5442649</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>13828621</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13279550</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>13279550</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14585127</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45760710</CurrentTaxYearAmt>
        <TotalAmt>99178589</TotalAmt>
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      <PublicSupportTotal170Amt>99178589</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>65653</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>70202</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>83230</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>36251</CurrentTaxYearAmt>
        <TotalAmt>315506</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>156725</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>134361</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>376846</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>751206</TotalAmt>
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      <PublicSupportCY170Pct>0.98936</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98282</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Other revenues.</ExplanationTxt>
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        <ContributorBusinessName>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="R000004" softwareId="19009572" softwareVersionNum="v1.00">
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        <OtherCostOrOtherBasisAmt>1506605</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1506605</BookValueAmt>
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      <BuildingsGrp>
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        <OtherCostOrOtherBasisAmt>18686497</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>18686497</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <OtherCostOrOtherBasisAmt>5442484</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>5442484</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <OtherCostOrOtherBasisAmt>2955232</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>2955232</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <OtherCostOrOtherBasisAmt>1201504</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>18185678</DepreciationAmt>
        <BookValueAmt>-16984174</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11606644</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Estimated third party settlements</Desc>
        <BookValueAmt>6535026</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6535026</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated third party settlements</Desc>
        <Amt>2100737</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2100737</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>69385568</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>0</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <RecoveriesPriorYearGrantsAmt>0</RecoveriesPriorYearGrantsAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>69385568</RevenueSubtotalAmt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from Federal Taxes under Section 501(c)(3) of the Internal Revenue Code as amended and Section 23701 (d) of the Revenue and Taxation Code of the State of California. Accordingly, no provision for Federal and Franchise taxes has been recognized in the financial statements. The Organization has adopted the accounting guidance related to uncertain tax positions, and has evaluated its tax positions and believes that all of the positions taken by the Organization in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organization's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed.</ExplanationTxt>
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        <PersonNm>Ranjani Chanramouli</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Gardner Family Care Corporation has merged into Gardner Family Health Network, Inc.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 and related schedules are reviewed by the CFO and Controller of the organization. Additionally, the Form 990 is made available to the board of directors, if time permits, prior to filing the return with the Internal Revenue Service.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The CEO compensation is determined and approved by the board executive committee through salary compensation surveys of organizations in the same industry and comparable size.</ExplanationTxt>
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        <ExplanationTxt>Available upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Net effect of merger.</ExplanationTxt>
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