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        <DepreciationAmt>7068062</DepreciationAmt>
        <BookValueAmt>2884841</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>887119</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>325578</DepreciationAmt>
        <BookValueAmt>561541</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>42028211</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated 3rd Party Overpayments</Desc>
        <Amt>12983732</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12983732</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>115013903</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>115013903</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>115013903</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>112959434</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>112959434</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>112959434</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under the guidance, the Organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for fiscal year 2017.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="16000303" softwareVersionNum="2016v3.0">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bala Bhat</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>344413</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>6919</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15836</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28388</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>395556</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Hugo Arnulfo-Gonzalez</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>293449</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>65048</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15267</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>48792</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>422556</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Khan-Variba</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>417664</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>50879</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>22393</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>42792</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>533728</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Linda Costa</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>196756</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14346</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>29000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35965</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>276067</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Perla Park</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>344515</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4526</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>17434</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28426</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>394901</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert McGhie</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>360084</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16799</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>21540</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30223</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>428646</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ron Castle</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>1053913</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>110850</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24016</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24542</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1213321</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Satish Raj</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>331757</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>84878</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>16547</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>47311</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>480493</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sophia Sosa</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>267472</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>785</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>39872</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37978</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>346107</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Line 6A:The organization has a board approved incentive compensation contract with the CEO based on the annual performace of the orgainzation. If net profit exceeds $500,000, the CEO will receive a $50,000 incentive bonus, if net profit exceeds $1,000,000, the CEO will receive a $70,000 incentive bonus, and for each additional $1,000,000 in profit the CEO will receive an addtional $5,000 incentive bonus.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Hugo Arnulfo-Gonzalez</PersonNm>
        <RelationshipWithOrgTxt>Employee</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Tail Coverage</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>30000</OriginalPrincipalAmt>
        <BalanceDueAmt>20000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>false</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>20000</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jennifer Amador</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CEO's Stepdaughter</RelationshipDescriptionTxt>
        <TransactionAmt>36092</TransactionAmt>
        <TransactionDesc>Contracted Services</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="16000303" softwareVersionNum="2016v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's form 990 is prepared by an independent CPA, reveiwed by the Organization's Controller and CFO, then reviewed and signed by the CEO and filed by the independent CPA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization engages in normal due diligence in assuring there is no conflict of interest in any material transactions. The organization also relies partly on self-declaration of the parties involved. The organization regularly communicates this policy to it's key employees and board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization conducts periodic surveys of compensation of other similiar organizations in the state. The California Primary Care Association, MGMA, and the National Association of Community Health Centers provide guidance on compensation. Local housing and living cost are also factors in determining compensation. Compensation is reviewed annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization conducts periodic surveys of compensation of other similiar organizations in the state. The California Primary Care Association, MGMA, and the National Association of Community Health Centers provide guidance on compensation. Local housing and living cost are also factors in determining compensation. Compensation is reviewed annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is available upon written request during normal business hours at the organizations administrative offices.</ExplanationTxt>
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    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>QualicB</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2050 Blosser Road</AddressLine1Txt>
          <CityNm>Santa Maria</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93458</ZIPCd>
        </USAddress>
        <EIN>475274282</EIN>
        <PrimaryActivitiesTxt>To acquire property thru Tax credit prog</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <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>
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      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
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</Return>