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      <TotalContributions>8426233</TotalContributions>
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        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>20208924</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>20208924</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>20208924</TotalProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>39706</RelatedOrExemptFunctionIncome>
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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <CompDisqualPersons>
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        <ProgramServices>252876</ProgramServices>
        <ManagementAndGeneral>70001</ManagementAndGeneral>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>15405</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>30463</ManagementAndGeneral>
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      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      <FeesForServicesOther>
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        <ManagementAndGeneral>53345</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>84140</ProgramServices>
        <ManagementAndGeneral>35761</ManagementAndGeneral>
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      <OfficeExpenses>
        <Total>1532102</Total>
        <ProgramServices>811599</ProgramServices>
        <ManagementAndGeneral>720503</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>272136</Total>
        <ProgramServices>43116</ProgramServices>
        <ManagementAndGeneral>229020</ManagementAndGeneral>
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      <Royalties>
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      <Occupancy>
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        <ProgramServices>383826</ProgramServices>
        <ManagementAndGeneral>279986</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>139208</ProgramServices>
        <ManagementAndGeneral>78104</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
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      <ConferencesMeetings>
        <Total>56044</Total>
        <ProgramServices>8581</ProgramServices>
        <ManagementAndGeneral>47463</ManagementAndGeneral>
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      <Interest>
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        <ProgramServices>85</ProgramServices>
        <ManagementAndGeneral>3</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
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        <ProgramServices>451731</ProgramServices>
        <ManagementAndGeneral>274664</ManagementAndGeneral>
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      </Insurance>
      <OtherExpenses>
        <Description>Dues Subscriptions</Description>
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        <ProgramServices>14720</ProgramServices>
        <ManagementAndGeneral>34068</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Medical Dental Supplies</Description>
        <Total>1252109</Total>
        <ProgramServices>1247012</ProgramServices>
        <ManagementAndGeneral>5097</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>225499</Total>
        <ProgramServices>116541</ProgramServices>
        <ManagementAndGeneral>108958</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Bad DEbt</Description>
        <Total>1191282</Total>
        <ProgramServices>1191282</ProgramServices>
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      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>25549441</Total>
        <ProgramServices>20160743</ProgramServices>
        <ManagementAndGeneral>5388698</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>1667587</BOY>
        <EOY>1017594</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>4510551</BOY>
        <EOY>7154351</EOY>
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      <PledgesAndGrantsReceivable>
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        <EOY>221974</EOY>
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      <AccountsReceivable>
        <BOY>4341822</BOY>
        <EOY>2626580</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>43063</EOY>
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      <LandBuildingsEquipmentBasis>14462223</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>6412242</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>7530100</BOY>
        <EOY>8049981</EOY>
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        <EOY>19113543</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>389680</BOY>
        <EOY>314721</EOY>
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      <OtherLiabilities>
        <BOY>1185871</BOY>
        <EOY>1360759</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1575551</BOY>
        <EOY>1675480</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>16707829</BOY>
        <EOY>17438063</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>16707829</BOY>
        <EOY>17438063</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>18283380</BOY>
        <EOY>19113543</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>3125422</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-2395188</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="10000149" softwareVersion="2010.2.15">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportPertcentage170>0.00000</PublicSupportPertcentage170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
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    <IRS990ScheduleB documentId="990B" softwareId="10000149" softwareVersion="2010.2.15">
      <ContributorInfo>
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        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D" softwareId="10000149" softwareVersion="2010.2.15">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>723598</OtherCostOrOtherBasis>
        <BookValue>723598</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>9594796</OtherCostOrOtherBasis>
        <Depreciation>6939596</Depreciation>
        <BookValue>6138972</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <Depreciation>-336824</Depreciation>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>4143829</OtherCostOrOtherBasis>
        <Depreciation>3467051</Depreciation>
        <BookValue>1187411</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <Depreciation>-2232002</Depreciation>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>8049981</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Physcians Incentive Payable</Description>
        <Amount>355542</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrue Payroll</Description>
        <Amount>426117</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Compensated Absences</Description>
        <Amount>579100</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1360759</TotalOfAmounts>
      <TotalRevenue>28674863</TotalRevenue>
      <TotalExpenses>25549441</TotalExpenses>
      <ExcessOrDeficitForYear>3125422</ExcessOrDeficitForYear>
      <PriorPeriodAdjustments>-2395188</PriorPeriodAdjustments>
      <TotalAdjustments>-2395188</TotalAdjustments>
      <ExcessOrDeficitPerFS>730234</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>27812429</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>27812429</RevenueSubtotal>
      <OtherRevenuesNotIncluded>862434</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>862434</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>28674863</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>24687007</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>24687007</ExpensesSubtotal>
      <OtherExpensesNotIncluded>862434</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>862434</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>25549441</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>WIC Vouchers</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XIII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>WIC Vouchers</Explanation>
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    <IRS990ScheduleI documentId="990I" softwareId="10000149" softwareVersion="2010.2.15">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>WIC Vouchers</TypeOfGrant>
        <AmountOfNonCashAssistance>862434</AmountOfNonCashAssistance>
        <MethodOfValuation>Book</MethodOfValuation>
        <DescriptionOfNonCashAssistance>WIC Vouchers</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="10000149" softwareVersion="2010.2.15">
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <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>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Juan Saucedo</NamePerson>
        <BaseCompensationFilingOrg>411997</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>12035</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>424032</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr David Land</NamePerson>
        <BaseCompensationFilingOrg>377386</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>8877</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>386263</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>George Kypuros</NamePerson>
        <BaseCompensationFilingOrg>176178</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>10505</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>186683</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Romanus Nwanna</NamePerson>
        <BaseCompensationFilingOrg>573453</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>7956</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>581409</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Gloria Yanez</NamePerson>
        <BaseCompensationFilingOrg>211570</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>9108</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>220678</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Gerardo Astudillo</NamePerson>
        <BaseCompensationFilingOrg>346798</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>7992</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>354790</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Dr Robert Marquinez</NamePerson>
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        <DeferredCompFilingOrg>8220</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>253560</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
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        <DeferredCompFilingOrg>7668</DeferredCompFilingOrg>
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        <NamePerson>Dr Manula Mittal</NamePerson>
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        <DeferredCompFilingOrg>10144</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>212510</TotalCompensationFilingOrg>
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    </IRS990ScheduleJ>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
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    <IRS990ScheduleO documentId="990O" softwareId="10000149" softwareVersion="2010.2.15">
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>A copy of the Form 90 was provided and reviewed by the organizations CFO and CEO. A copy was also provided to the Board members at there November 2011 board meeting</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>Organization reviews compliance on an annual basis.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a b</ReturnReference>
        <Explanation>Human Resources conducts a study every two years. Board approves all adjustments</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>Board meetings are open to the public and all documents are available to the public at the meetings. All documents are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>Other Changes to Net Assets. Consists of prior period adjustment for re-evaluation of provision for doubtful accounts receivable on prior years past due accounts</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section Section A Line 11b A copy of the Form 90 was provided and reviewed by the organizations CFO and CEO. A copy was also provided to the Board members at there November 2011 board meeting Form 990 Part VI Section Section B Line 12c Organization reviews compliance on an annual basis. Form 990 Part VI Section Section B Line 15a b Human Resources conducts a study every two years. Board approves all adjustments Form 990 Part VI Section Section C Line 19 Board meetings are open to the public and all documents are available to the public at the meetings. All documents are available upon request. Form 990 Part XI Line 5 Other Changes to Net Assets. Consists of prior period adjustment for re-evaluation of provision for doubtful accounts receivable on prior years past due accounts</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>