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      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>100000</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>100000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION GAVE $100,000 TO CALIFORNIA PRIMARY CARE ASSOCIATION TO ADVOCATE FOR PROTECTION OF PATIENT ACCESS TO CARE THROUGH COMMUNITY HEALTH CENTERS.</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>16205382</OtherCostOrOtherBasisAmt>
        <BookValueAmt>16205382</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>40676922</DepreciationAmt>
        <BookValueAmt>106332389</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>3350653</DepreciationAmt>
        <BookValueAmt>2465416</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>47090123</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>32286401</DepreciationAmt>
        <BookValueAmt>14803722</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>9381630</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>149188539</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD-PARTY REIMBURSEMENT PROGRAMS</Desc>
        <BookValueAmt>23449354</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS - OPERATING LEASES</Desc>
        <BookValueAmt>116822418</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>4104127</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM SAN YSIDRO HEALTH</Desc>
        <BookValueAmt>3813825</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>148189724</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD-PARTY REIMBURSEMENT PROGRAMS</Desc>
        <Amt>4644565</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>119778324</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>124422889</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SAN YSIDRO HEALTH IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. SAN YSIDRO HEALTH IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. SAN YSIDRO HEALTH RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR TAX YEARS 2021 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES.</ExplanationTxt>
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    </IRS990ScheduleD>
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        <Event1Nm>ANNUAL GOLF TOURNAMENT</Event1Nm>
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        <CharitableContriEvent1Amt>157757</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>87758</GrossRevenueEvent1Amt>
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        <RentFacilityCostsEvent1Amt>19840</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>38957</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>1500</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>29043</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GALA</Event2Nm>
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        <EntertainmentEvent2Amt>8306</EntertainmentEvent2Amt>
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        <OthDirectExpnssTotalEventsAmt>72537</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>375151</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>486856</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAN YSIDRO HEALTH COMMUNITY SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1601 PRECISION PARK LANE</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92173</ZIPCd>
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        <RecipientEIN>873984396</RecipientEIN>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 TAX RETURN IS MADE AVAILABLE VIA EMAIL TO ALL BOARD MEMBERS, THEY ARE GIVEN SEVERAL WEEKS TO REVIEW AND GO OVER ANY QUESTIONS WITH THE SVP/CFO PRIOR TO FILING. THE RETURN IS REVIEWED IN DETAIL BY THE CONTROLLER AND SVP/CFO PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE EMPLOYEES OF THE ORGANIZATION, UPON HIRING AND ON AN ANNUAL BASIS THEREAFTER, HR DISTRIBUTES THE CONFLICT OF INTEREST(COI) POLICY AND DISCLOSURE STATEMENT TO EVERY DIRECTOR OR HIGHER. THE EXECUTIVE COMPLIANCE COMMITTEE AND/OR THE BOARD SHALL REVIEW AND DETERMINE ANY FINANCIAL INTEREST, FINDINGS OF COI ARE VOTED ON BY COMMITTEE MEMBERS AND DOCUMENTED IN THE COMMITTEE MINUTES. IN ADDITION, AS PART OF THE CORPORATE COMPLIANCE DEPARTMENT'S ANNUAL AUDIT PLAN MONITORING FOR EMPLOYEE COI OCCURS DURING FOURTH QUARTER COMPLIANCE CHECKS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION HIRED A THIRD PARTY, FULLY INDEPENDENT MANAGEMENT AND PROFESSIONAL SERVICES COMPANY WHICH CONDUCTED A COMPREHENSIVE MARKET ANALYSIS OF CEO'S AMONG COMPARABLE REVENUE, FTE, GEOGRAPHY, ETC. AND RECOMMENDED TO THE BOARD OF DIRECTORS A CEO PAY RANGE BASED ON ANALYSIS. THE ORGANIZATION HIRED A THIRD PARTY, FULLY INDEPENDENT MANAGEMENT AND PROFESSIONAL SERVICES COMPANY WHICH CONDUCTED A COMPREHENSIVE MARKET ANALYSIS FOR ALL OFFICERS OF SYH. THEY RECOMMEND RANGE AND PLACEMENT WITHIN THE RANGE.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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        <ExplanationTxt>MEDICAL CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 165,003,148. MANAGEMENT AND GENERAL EXPENSES 451,990. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 165,455,138. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 25,143,848. MANAGEMENT AND GENERAL EXPENSES 10,522,091. FUNDRAISING EXPENSES 10,771. TOTAL EXPENSES 35,676,710.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>SYH HAS A BOARD AUDIT COMMITTEE THAT OVERSEES ALL ASPECTS OF THE AUDIT. THE ORGANIZATION'S OVERSIGHT PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.</ExplanationTxt>
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