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        <ManagementAndGeneral>32919</ManagementAndGeneral>
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        <ManagementAndGeneral>200791</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>2490</ManagementAndGeneral>
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        <ManagementAndGeneral>42000</ManagementAndGeneral>
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        <ManagementAndGeneral>20125</ManagementAndGeneral>
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        <ProgramServices>489140</ProgramServices>
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        <ProgramServices>181390</ProgramServices>
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        <ProgramServices>41028</ProgramServices>
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        <ProgramServices>8659796</ProgramServices>
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        <EOY>663</EOY>
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        <EOY>2922803</EOY>
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        <EOY>10</EOY>
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      <TotalLiabilities>
        <BOY>3762749</BOY>
        <EOY>3561776</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>9064456</BOY>
        <EOY>9116512</EOY>
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      <TemporarilyRestrictedNetAssets>
        <EOY>118068</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>9064456</BOY>
        <EOY>9234580</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>12827205</BOY>
        <EOY>12796356</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>170124</ReconcilationRevenueExpenses>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
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        <CurrentTaxYearMinus3Years>2338465</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6222891</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2914021</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1261875</CurrentTaxYear>
        <Total>14702303</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>6281789</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7468621</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7804717</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9346374</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9830519</CurrentTaxYear>
        <Total>40732020</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>8246840</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9807086</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>14027608</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12260395</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11092394</CurrentTaxYear>
        <Total>55434323</Total>
      </Total509>
      <PublicSupportTotal509>55434323</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>1141</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3038</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1483</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>575</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1065</CurrentTaxYear>
        <Total>7302</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>1141</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3038</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1483</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>575</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1065</CurrentTaxYear>
        <Total>7302</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>575</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>248</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>118115</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>94400</CurrentTaxYear>
        <Total>213513</Total>
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      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>8248556</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9810372</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>12379085</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11187859</CurrentTaxYear>
        <Total>55655138</Total>
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      <PublicSupportPercentage509>0.99600</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99740</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
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    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInfo>
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        <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="RetDoc3">
      <Land>
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        <BookValue>924000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>8649394</OtherCostOrOtherBasis>
        <Depreciation>291701</Depreciation>
        <BookValue>8357693</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>1645385</OtherCostOrOtherBasis>
        <Depreciation>706941</Depreciation>
        <BookValue>938444</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>443056</OtherCostOrOtherBasis>
        <Depreciation>88611</Depreciation>
        <BookValue>354445</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>10574582</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DEFERRED REVENUE</Description>
        <Amount>10</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>10</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITES STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITION TAKEN BY THE CENTER AND TO RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINIATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITION TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER IS THE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THAT IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO AUGUST 2009.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <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>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID KLEIN MD</NamePerson>
        <Title>CMO</Title>
        <BaseCompensationFilingOrg>213375</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4824</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>218199</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BIJAN GOODARZI</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>204545</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>204545</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROGER WARD MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>187200</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>16420</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>203620</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD ESSIG</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>175945</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>175945</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DONOVAN CAMPBELL</NamePerson>
        <Title>PYSICIAN</Title>
        <BaseCompensationFilingOrg>167584</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4377</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>171961</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRIGHAM BURTON</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>140279</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>10286</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>150565</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <GeneralExplanation>
        <Identifier>ALL OTHER ACCOMPLISHMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4D</ReturnReference>
        <Explanation>NET PATIENT SERVICES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE CFO REVIEWS FORM 990 AND AN ELECTRONIC COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS WILL SIGN CONFLICT OF INTEREST AND CONFIDENTIALITY STATEMENT ANNUALLY. FORMS WILL BE FILED WITH THE ORGANIZATION'S PERMANENT RECORDS FOR MEMBERS. THE CEO/HR DIRECTOR REVIEWS AND MAINTAINS THESE FORMS. MVHC BOARD MEMBERS DISCLOSE CONFLICTS OF INTERESTS THAT MIGHT INFLUENCE JUDGEMENT IN BOARD MEMBER'S DECISION MAKING PROCESS. FOLLOWING DISCLOUSRE, MVHC'S BOARD EXECUTIVE COMMITTEE SHALL DETERMINE APPROPRIATE ACTION, RANGING FROM ABSTAINING FROM SPECIFIC BOARD DECISIONS, TO STEPPING DOWN FROM MEMBERSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE COMPENSATION FOR THE OFFICERS IS MONITORED AND DETERMINED BY THE BOARD OF DIRECTORS. THE COMPENSATION PACKAGES ARE BENCHMARKED BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S SURVEY INFORMATION. COMPENSATION RANGES ARE REVIEWED AND APPROVED ON AN ANNUAL BASIS AND DOCUMENTED IN THE MINUTES OF THE BOARD MEETING MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>ALL OTHER COMPENSATION IS DETERMINED AND MONITORED BY THE DIRECTOR OF HUMAN RESOURCES, CFO, AND CEO. THESE COMPENSATION RANGES ARE BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S COMPENSATION SURVEY. APPROVED COMPENSATION IS DOCUMENTED IN THE INDIVIDUAL'S PERSONNEL FILE AND MONITORED THROUGH THE BUDGETARY PROCESS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTERESTPOLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REASON FOR NOT UNDERGOING REQUIRED AUDIT</Identifier>
        <ReturnReference>FORM 990, PAGE 12, PART XII, LINE 3B</ReturnReference>
        <Explanation>ALL GRANT AND LOAN AWARDING AGENCIES APPROVED EXTENDING THE FISCAL YEAR END TO DECEMBER 31, 2013 IN ORDER TO CHANGE MVHC FISCAL YEAR TO A CALENDAR YEAR. AS A RESULT, ONE AUDIT WILL BE PERFORMED FOR THE SIXTEEN MONTH PERIOD SEPTEMBER 1, 2012 THROUGH DECEMBER 31,2013. A FOUR MONTH 990 WILL ALSO BE COMPLETED.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>