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        <ReportableCompFromOrgAmt>271780</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Chanelle Waddy</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>233898</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28781</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Philip Lenowsky</PersonNm>
        <TitleTxt>CFO &amp; CIO</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>88359</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Hector Ramos</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>207410</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2632979</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>61196</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>71</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Greenway Health</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO 203658</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare System</ServicesDesc>
        <CompensationAmt>424876</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Net Tech LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 28835</AddressLine1Txt>
            <CityNm>San Diego</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92198</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Computer Services</ServicesDesc>
        <CompensationAmt>647397</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>James Hernandez</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>240 North Market Place</AddressLine1Txt>
            <CityNm>Escondido</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>San Diego Building Maintenance</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 3411</AddressLine1Txt>
            <CityNm>Vista</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92085</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Janitorial Services</ServicesDesc>
        <CompensationAmt>203731</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Inside Space</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1613 Willowhaven Road</AddressLine1Txt>
            <CityNm>Encinitas</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92024</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Office Furniture</ServicesDesc>
        <CompensationAmt>123121</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>11019900</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>14889057</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net patient service revenue</Desc>
        <BusinessCd>621400</BusinessCd>
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        <ExclusionAmt>0</ExclusionAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>52216</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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      <RoyaltiesRevenueGrp>
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      <MiscellaneousRevenueGrp>
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        <FundraisingAmt>5022</FundraisingAmt>
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        <ManagementAndGeneralAmt>791003</ManagementAndGeneralAmt>
        <FundraisingAmt>19290</FundraisingAmt>
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      <TravelGrp>
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        <FundraisingAmt>972</FundraisingAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>679565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80723</ManagementAndGeneralAmt>
        <FundraisingAmt>567</FundraisingAmt>
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        <ProgramServicesAmt>2257797</ProgramServicesAmt>
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        <ProgramServicesAmt>222898</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2546334</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>268581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166568</ManagementAndGeneralAmt>
        <FundraisingAmt>16188</FundraisingAmt>
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        <ProgramServicesAmt>82376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5220</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>46944643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12002387</ManagementAndGeneralAmt>
        <FundraisingAmt>298406</FundraisingAmt>
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        <EOYAmt>19388234</EOYAmt>
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        <EOYAmt>4805460</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>3909300</EOYAmt>
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        <EOYAmt>2965068</EOYAmt>
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        <EOYAmt>461676</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>492279</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1669932</EOYAmt>
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        <EOYAmt>25644988</EOYAmt>
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        <EOYAmt>4270931</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>210375</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>13868188</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>4533360</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>26737207</EOYAmt>
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        <EOYAmt>36870661</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>63607868</EOYAmt>
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      <FSAuditedBasisGrp>
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        <CurrentTaxYearMinus2YearsAmt>12393329</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>11899</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11205</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66349</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>203891</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>315587</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>271007</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>699979</CurrentTaxYearAmt>
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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>Other revenues</ExplanationTxt>
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        <BookValueAmt>4655598</BookValueAmt>
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        <BookValueAmt>17888538</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>7875888</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5668993</DepreciationAmt>
        <BookValueAmt>2206895</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>716215</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>25644988</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Assets limited as to use</Desc>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center has been recognized as exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701(d) of the State of California Revenue and taxation Code by the IRS and Franchise Tax Board, respectively. Accordingly, no provision for income taxes is included in the accompanying financial statements. The tax years of 2012 through 2014 remain open and subject to examination by the appropriate agencies in the United States and California.</ExplanationTxt>
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        <ExplanationTxt>A draft of the 990 is distributed to the BOD chair and fiscal committee for review and discussion with other board members. Once reviewed and questions have been addressed, the 990 is filed.</ExplanationTxt>
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      <SupplementalInformationDetail>
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</Return>