﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2012v2.0" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-10-15T15:24:51-07:00</Timestamp>
    <TaxPeriodEndDate>2012-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>202707086</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>TCA Partners LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1111 E Herndon Avenue Suite 211</AddressLine1>
        <City>Fresno</City>
        <State>CA</State>
        <ZIPCode>93720</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>952801772</EIN>
      <Name>
        <BusinessNameLine1>Centro De Salud La Communidad De San Ysidro Inc</BusinessNameLine1>
      </Name>
      <NameControl>CENT</NameControl>
      <Phone>6194281330</Phone>
      <USAddress>
        <AddressLine1>4004 Beyer Blvd</AddressLine1>
        <City>San Ysidro</City>
        <State>CA</State>
        <ZIPCode>92173</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Kevin Mattson</Name>
      <Title>President and CEO</Title>
      <Phone>6194281330</Phone>
      <DateSigned>2013-05-15</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Jeremy Ware</Name>
      <PTIN>P00642659</PTIN>
      <Phone>5594317708</Phone>
      <DatePrepared>2013-05-08</DatePrepared>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="R000001" referenceDocumentId="R000007 R000008" softwareId="12000197" softwareVersion="v1.00">
      <DoingBusinessAs>
        <BusinessNameLine1>San Ysidro Health Center</BusinessNameLine1>
      </DoingBusinessAs>
      <NameOfPrincipalOfficerPerson>Kevin Mattson</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>4004 Beyer Blvd</AddressLine1>
        <City>San Ysidro</City>
        <State>CA</State>
        <ZIPCode>92173</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>78711044</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.syhc.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1971</YearFormation>
      <StateLegalDomicile>CA</StateLegalDomicile>
      <ActivityOrMissionDescription>Centro De Salud De La Communidad De San Ysidro Inc (DBA- San Ysidro Health Center) operates community health centers located in San Diego, CA. the organization's mission is to improve health and well being of the community's traditionally under served and culturally diverse people.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>16</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>16</NbrIndependentVotingMembers>
      <TotalNbrEmployees>974</TotalNbrEmployees>
      <TotalNbrVolunteers>216</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>21520013</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>19945811</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>50123199</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>55913311</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>15575</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>11490</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>1067099</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>2840432</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>72725886</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>78711044</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>41703888</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>48062651</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>37280</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>21451505</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>25089336</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>63192673</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>73151987</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>9533213</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>5559057</RevenuesLessExpensesCY>
      <TotalAssetsBOY>55528321</TotalAssetsBOY>
      <TotalAssetsEOY>61184440</TotalAssetsEOY>
      <TotalLiabilitiesBOY>23925389</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>24022451</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>31602932</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>37161989</NetAssetsOrFundBalancesEOY>
      <MissionDescription>The Mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under served and culturally diverse people. The Health Center saw 82,779 patients who produced 322,157 medical and dental visits in the current period.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>59039445</Expense>
      <Grants>0</Grants>
      <Revenue>78711044</Revenue>
      <Description>The mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under served and culturally diverse people.</Description>
      <TotalOfOtherProgramServiceExp>0</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>0</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>0</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>59039445</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="R000002">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="R000003">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds>0</DonorAdvisedFunds>
      <ConservationEasements>0</ConservationEasements>
      <CollectionsOfArt>0</CollectionsOfArt>
      <CreditCounseling>0</CreditCounseling>
      <TermOrPermanentEndowments>0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="R000004">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities>0</ReportInvestOthSecurities>
      <ReportProgRelInvest>0</ReportProgRelInvest>
      <ReportOtherAssets>0</ReportOtherAssets>
      <ReportOtherLiabilities>0</ReportOtherLiabilities>
      <ReportFin48Footnote>0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="R000004">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="R000004">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="R000005">1</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="R000006">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>118</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>974</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>0</QuidProQuoDisclosure>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>16</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>16</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>0</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>CA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Michael Pendarvis</NamePerson>
        <TelephoneNumber>6192056339</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1275 30th Street</AddressLine1>
          <City>San Diego</City>
          <State>CA</State>
          <ZIPCode>92154</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Macario Gutierrez</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Victor Nieto</NamePerson>
        <Title>Vice Chair</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Laura Andrews</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mercedes Bernal</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roy Cazares</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ruth Covell</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Raul Eribez</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gilbert Fimbres</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Margarita Navarro</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Owens</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Magdalena Peraza</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Reynaldo Perez</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gloria Ramirez</NamePerson>
        <Title>2nd Vice Chairman</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Yolanda Santana</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Tomas Urtasun</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Efrain Ibarra</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Edward A Martinez</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>402092</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kevin Mattson</NamePerson>
        <Title>SVP Finance</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>348887</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Maria Carriedo</NamePerson>
        <Title>CMO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>212443</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Terry Whitaker</NamePerson>
        <Title>VP Health Center Operations</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>236960</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lesley Nurse</NamePerson>
        <Title>MD</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>344425</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Oscar Rivera</NamePerson>
        <Title>Director Satellite Dental Clinics</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>253157</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>My-thanh Thi Dinh</NamePerson>
        <Title>MD</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>254956</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sergio Cuevas</NamePerson>
        <Title>Director Dental Clinics</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>220074</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2272994</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>0</TotalOtherCompensation>
      <NumberIndividualsGT100K>42</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Consolidated Contracting Service</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>181 Avenida La Pata</AddressLine1>
            <City>San Clemente</City>
            <State>CA</State>
            <ZIPCode>92763</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
        <Compensation>6262482</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>The City Link Foundation</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1125 Presioca Court</AddressLine1>
            <City>Spring Valley</City>
            <State>CA</State>
            <ZIPCode>91977</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Shuttle Services</DescriptionOfServices>
        <Compensation>506548</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NextGen Healthcare</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 511449</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90051</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Electronic Medical Records</DescriptionOfServices>
        <Compensation>664022</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Quest Diagnostics</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>File Number 50368</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90368</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Lab Services</DescriptionOfServices>
        <Compensation>471581</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Therapy Specialists</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3760 Convoy Street</AddressLine1>
            <City>San Diego</City>
            <State>CA</State>
            <ZIPCode>92111</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Therapy</DescriptionOfServices>
        <Compensation>337103</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>22</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>364350</FundraisingEvents>
      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>15196169</GovernmentGrants>
      <AllOtherContributions>4385292</AllOtherContributions>
      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>19945811</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Service Revenue</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>55913311</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>55913311</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>55913311</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>11490</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11490</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>55540</Real>
        <Personal>0</Personal>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>55540</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>55540</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>55540</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <CntrbtnsRprtdFundraisingEvents>364350</CntrbtnsRprtdFundraisingEvents>
      <OtherRevenueMisc>
        <Description>Other Revenues</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>2784892</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2784892</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>2784892</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>78711044</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>58765233</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>40215711</Total>
        <ProgramServices>31205477</ProgramServices>
        <ManagementAndGeneral>9010234</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>7846940</Total>
        <ProgramServices>5638258</ProgramServices>
        <ManagementAndGeneral>2208682</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <FeesForServicesOther>
        <Total>5873580</Total>
        <ProgramServices>4997762</ProgramServices>
        <ManagementAndGeneral>875818</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>1972978</Total>
        <ProgramServices>1371957</ProgramServices>
        <ManagementAndGeneral>601021</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>3033718</Total>
        <ProgramServices>2704681</ProgramServices>
        <ManagementAndGeneral>329037</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>418741</Total>
        <ProgramServices>334993</ProgramServices>
        <ManagementAndGeneral>83748</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>847639</Total>
        <ProgramServices>537964</ProgramServices>
        <ManagementAndGeneral>309675</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1988668</Total>
        <ProgramServices>1519608</ProgramServices>
        <ManagementAndGeneral>469060</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>343483</Total>
        <ProgramServices>115280</ProgramServices>
        <ManagementAndGeneral>228203</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>7502282</Total>
        <ProgramServices>7502248</ProgramServices>
        <ManagementAndGeneral>34</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equipment rental and maintenance</Description>
        <Total>722733</Total>
        <ProgramServices>578186</ProgramServices>
        <ManagementAndGeneral>144547</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Loss on disposal of building</Description>
        <Total>710950</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>710950</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Admin Allocation</Description>
        <Total>0</Total>
        <ProgramServices>858467</ProgramServices>
        <ManagementAndGeneral>-858467</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1674564</Total>
        <ProgramServices>1674564</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>73151987</Total>
        <ProgramServices>59039445</ProgramServices>
        <ManagementAndGeneral>14112542</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>8875</BOY>
        <EOY>9713</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>7819925</BOY>
        <EOY>3761125</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>3068086</BOY>
        <EOY>1860089</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>4428410</BOY>
        <EOY>5149223</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>332746</BOY>
        <EOY>335693</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>422751</BOY>
        <EOY>503415</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>62280716</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>14734495</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>39065952</BOY>
        <EOY>47546221</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>381576</BOY>
        <EOY>2018961</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>55528321</BOY>
        <EOY>61184440</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>7017390</BOY>
        <EOY>7422354</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>418170</BOY>
        <EOY>294349</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>16489829</BOY>
        <EOY>14961597</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <EOY>1344151</EOY>
      </UnsecuredNotesLoansPayable>
      <TotalLiabilities>
        <BOY>23925389</BOY>
        <EOY>24022451</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>31497406</BOY>
        <EOY>36869900</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>105526</BOY>
        <EOY>292089</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>31602932</BOY>
        <EOY>37161989</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>55528321</BOY>
        <EOY>61184440</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>5559057</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>0</ReconciliationUnrealizedInvest>
      <ReconcilationDonatedServices>0</ReconcilationDonatedServices>
      <ReconcilationInvestExpenses>0</ReconcilationInvestExpenses>
      <ReconcilationPriorAdjustment>0</ReconcilationPriorAdjustment>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="12000197" softwareVersion="v1.00">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>11767425</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14234800</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>17758107</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>21520013</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19708128</CurrentTaxYear>
        <Total>84988473</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>11767425</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14234800</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>17758107</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>21520013</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19708128</CurrentTaxYear>
        <Total>84988473</Total>
      </Total170>
      <PublicSupportTotal170>84988473</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>200146</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>72075</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8244</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15575</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>67030</CurrentTaxYear>
        <Total>363070</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>1579003</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1984003</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>134221</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <Total>3697227</Total>
      </OtherIncome170>
      <TotalSupport>89048770</TotalSupport>
      <PublicSupportPertcentage170>0.95440</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.93079</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>None</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="R000003" softwareId="12000197" softwareVersion="v1.00">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <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="R000004" softwareId="12000197" softwareVersion="v1.00">
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>1116361</OtherCostOrOtherBasis>
        <BookValue>1116361</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>44113156</OtherCostOrOtherBasis>
        <Depreciation>7033091</Depreciation>
        <BookValue>37080065</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2421964</OtherCostOrOtherBasis>
        <Depreciation>908170</Depreciation>
        <BookValue>1513794</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>13892206</OtherCostOrOtherBasis>
        <Depreciation>6793234</Depreciation>
        <BookValue>7098972</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>737029</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>737029</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>47546221</TotalOfBookValueLandBuildings>
      <TotRevenueEtcAuditedFinclStmt>78711044</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>78711044</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>0</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>78711044</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>73151987</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>0</DonatedServicesUseOfFacilities>
      <PriorYearAdjustments>0</PriorYearAdjustments>
      <LossesReported>0</LossesReported>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>73151987</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>73151987</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="R000005" softwareId="12000197" softwareVersion="v1.00">
      <EventsInformation>
        <NameOfEvent1>SYHC Golf Tournament</NameOfEvent1>
        <GrossReceiptsEvent1>364350</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>0</CharitableContributionsEvent1>
        <GrossRevenueEvent1>364350</GrossRevenueEvent1>
        <CashPrizesEvent1>0</CashPrizesEvent1>
        <NonCashPrizesEvent1>0</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>29000</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>0</FoodAndBeverageEvent1>
        <EntertainmentEvent1>0</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>0</OtherDirectExpensesEvent1>
        <FoodAndBeverageOtherEvents>0</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>0</EntertainmentOtherEvents>
        <GrossReceiptsTotal>364350</GrossReceiptsTotal>
        <CharitableContributionsTotal>0</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>364350</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>0</CashPrizesTotalEvents>
        <NonCashPrizesTotalEvents>0</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>29000</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>0</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>0</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>0</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>29000</DirectExpenseSummaryEvents>
        <NetIncomeSummary>335350</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="R000006" softwareId="12000197" softwareVersion="v1.00">
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Sergio Cuevas</NamePerson>
        <Title>Director Dental Clinics</Title>
        <BaseCompensationFilingOrg>220074</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>220074</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>My-thanh Thi Dinh</NamePerson>
        <Title>MD</Title>
        <BaseCompensationFilingOrg>254596</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>254596</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Oscar Rivera</NamePerson>
        <Title>Director Satellite Dental Clinics</Title>
        <BaseCompensationFilingOrg>253157</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>253157</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lesley Nurse</NamePerson>
        <Title>MD</Title>
        <BaseCompensationFilingOrg>344425</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>344425</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Terry Whitaker</NamePerson>
        <Title>VP Health Center Operations</Title>
        <BaseCompensationFilingOrg>236960</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>236960</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Maria Carriedo</NamePerson>
        <Title>CMO</Title>
        <BaseCompensationFilingOrg>212443</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>212443</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kevin Mattson</NamePerson>
        <Title>SVP Finance</Title>
        <BaseCompensationFilingOrg>348887</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>348887</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Edward A Martinez</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>402092</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>402092</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000007" softwareId="12000197" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The form 990 tax return is made available to all board members. Board members requesting a copy then review the return, and all questions or concerns are addressed by the SVP/CFO prior to filing. The return is reviewed in detail by the Controller and SVP/CFO prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Conflicts are discussed as possible conflicts arise. Annually verified.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Review compensation data of similar sized health centers and CPCA salary surveys.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Available upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000008" softwareId="12000197" softwareVersion="v1.00">
      <Explanation>NA</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>