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      <Desc>FOUNDED IN 1975, VIRGINIA GARCIA MEMORIAL HEALTH CENTER (THE CENTER) IS A NONPROFIT ORGANIZATION THAT PROVIDES HIGH QUALITY, COMPREHENSIVE, AND CULTURALLY APPROPRIATE PRIMARY HEALTH CARE TO THE OREGON COMMUNITIES OF WASHINGTON AND YAMHILL COUNTIES WITH A SPECIAL EMPHASIS ON MIGRANT AND SEASONAL FARMWORKERS AND OTHERS WITH BARRIERS TO RECEIVING HEALTHCARE.THE CENTER STARTED AS A SINGLE CLINIC IN CORNELIUS, OREGON. TODAY, IT IS A COMMUNITY HEALTH CENTER WITH FIVE PRIMARY CARE CLINICS, A REPRODUCTIVE HEALTH CLINIC, SIX DENTAL CLINICS, FIVE SCHOOL-BASED HEALTH CENTERS, PATIENT REENGAGEMENT CLINIC, AND THREE MOBILE CLINICS, SERVING MORE THAN 52,000 PATIENTS WHO SPEAK MORE THAN 70 LANGUAGES. THE CENTER OFFERS MEDICAL, DENTAL, PHARMACY, BEHAVIORAL HEALTH, WELLNESS, AND OUTREACH SERVICES. ABOUT 98 PERCENT OF ITS PATIENTS HAVE LOW-INCOMES, 25 PERCENT ARE UNINSURED, 38 PERCENT ARE CHILDREN, AND 54 PERCENT ARE LATINE.THE CENTER'S DENTAL PROVIDERS VISIT SCHOOLS TO SCREEN CHILDREN FOR DENTAL PROBLEMS AND APPLY SEALANTS TO KEEP CAVITIES AT BAY. COMMUNITY HEALTH WORKERS AND PROVIDERS VISIT MIGRANT CAMPS AND COMMERCIAL NURSERIES EACH SUMMER WITH THE MOBILE CLINIC TO OFFER MEDICAL AND DENTAL SERVICES AND TO DONATE SUPPLIES. THE CENTER ALSO OFFERS GROUP EDUCATION, SUCH AS HEALTHY COOKING CLASSES, DIABETES MANAGEMENT, AND FITNESS CLASSES TO HELP PATIENTS ACHIEVE HEALTH AND WELLNESS.THE CENTER CONSTANTLY LOOKS FOR NEW AND INNOVATIVE WAYS TO IMPROVE ITS SERVICES AND INCREASE ACCESS FOR PATIENTS. EXAMPLES OF THIS ARE THE RECENTLY COMPLETED EXPANSION OF THE NEWBERG WELLNESS CENTER AND THE OPENING OF A NEW PRIMARY CARE CLINIC IN RURAL SHERIDAN, OREGON, IN SEPTEMBER 2025. BOTH OF THESE SITES AIM TO EXPAND PATIENT ACCESS TO AN ARRAY OF HEALTH CARE SERVICES, INCLUDING MEDICAL AND DENTAL CARE, BEHAVIORAL HEALTH, AND PHARMACY. ADDITIONALLY, THE CENTER IS EXPANDING ITS MOBILE HEALTH PROGRAM TO INCREASE ACCESS TO RURAL COMMUNITIES, SHELTERS, AND OTHER PRIORITY POPULATIONS IN WASHINGTON AND YAMHILL COUNTIES.WITH THE SHORTAGE OF HEALTHCARE WORKERS AFFECTING CLINICS ACROSS THE NATION, THE CENTER DEVELOPED ITS OWN WORKFORCE DEVELOPMENT PROGRAM, COVERING TUITION FOR MEDICAL AND DENTAL ASSISTANT TRAINING AND HIRING THOSE WHO COMPLETE THEIR CERTIFICATIONS, MOST OF WHOM ARE BILINGUAL AND BICULTURAL. THE CENTER IS PARTNERING WITH LOCAL SCHOOL DISTRICTS AND COMMUNITY COLLEGES TO CREATE PATHWAYS INTO HEALTHCARE CAREERS FOR MEDICAL ASSISTANTS, DENTAL ASSISTANTS, PHARMACY TECHNICIANS, AND REGISTERED NURSES. CENTER REVENUES ARE GENERATED THROUGH PATIENT CARE SERVICE FEES, GRANTS FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND OTHER GOVERNMENT AGENCIES, PRIVATE GRANTS, AND INDIVIDUAL AND CORPORATE DONATIONS. THE CENTER HAS THE STATUS OF A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THIS DESIGNATION PROVIDES THE CENTER WITH ENHANCED MEDICARE AND MEDICAID REIMBURSEMENTS AND HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA) SECTION 330 GRANTS THAT ENABLE THE CENTER TO BILL PATIENTS ON A SLIDING SCALE BASED ON THEIR INCOME.</Desc>
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        <OtherCompensationAmt>38578</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GILLES MUNOZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37141</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ARACELI GAYTAN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>250171</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27929</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL LI</PersonNm>
        <TitleTxt>CHIEF PEOPLE &amp; STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>199716</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>17306</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK MILLAN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>238974</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27977</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEOFFREY CARDEN</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR OF PROVIDER AFFAIRS</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>306555</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35270</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA BOZZETTI</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>238077</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>28144</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTIAN HILL</PersonNm>
        <TitleTxt>ASSOC MED DIRECTOR</TitleTxt>
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        <OtherCompensationAmt>35004</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN GUERREIRO</PersonNm>
        <TitleTxt>SITE MEDICAL DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUAN GABRIEL GARFIAS LOPEZ</PersonNm>
        <TitleTxt>IT DIRECTOR</TitleTxt>
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        <OtherCompensationAmt>30958</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA HURLEY</PersonNm>
        <TitleTxt>DIRECTOR OF OPERATIONS</TitleTxt>
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        <OtherCompensationAmt>15924</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>APRIL ETHERIDGE-BOSWORTH</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
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        <OtherCompensationAmt>33868</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEFANNY CABALLERO</PersonNm>
        <TitleTxt>FOUNDATION EXECUTIVE DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY CRAWFORD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SASAN BAHERI</PersonNm>
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        <OtherCompensationAmt>27411</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARTIN PETERS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AARON GALE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH DEINES</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31942</OtherCompensationAmt>
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      <IndivRcvdGreaterThan100KCnt>27</IndivRcvdGreaterThan100KCnt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LIFEWORKS NORTHWEST</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5415 SW WESTGATE DR</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BARTON ASSOCIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 417844</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL STAFFING AGENCY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972651</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL STAFFING AGENCY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARGANO LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6100 PLANO PKWY STE 1800</AddressLine1Txt>
            <CityNm>PLANO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75093</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE CONSULTING - HRIS IMPLEMENTATIO</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIED COLLECTION SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3090 S DURANGO DR STE 101</AddressLine1Txt>
            <CityNm>LAS VEGAS</CityNm>
            <StateAbbreviationCd>NV</StateAbbreviationCd>
            <ZIPCd>89117</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>4478561</RelatedOrganizationsAmt>
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      <NoncashContributionsAmt>219889</NoncashContributionsAmt>
      <TotalContributionsAmt>20198250</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL/DENTAL SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>76628254</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>76628254</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>76628254</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>2139001</TotalRevenueColumnAmt>
        <ExclusionAmt>2139001</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>125027</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>125027</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>125027</TotalRevenueColumnAmt>
        <ExclusionAmt>125027</ExclusionAmt>
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        <SecuritiesAmt>258700</SecuritiesAmt>
        <OtherAmt>35289</OtherAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-293989</TotalRevenueColumnAmt>
        <ExclusionAmt>-293989</ExclusionAmt>
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        <TotalRevenueColumnAmt>11596818</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11596818</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
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        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>136896</TotalRevenueColumnAmt>
        <ExclusionAmt>136896</ExclusionAmt>
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      <OtherRevenueTotalAmt>136896</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>110530257</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>88225072</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>25000</TotalAmt>
        <ProgramServicesAmt>25000</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>412694</TotalAmt>
        <ProgramServicesAmt>412694</ProgramServicesAmt>
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        <ProgramServicesAmt>761171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2656485</ManagementAndGeneralAmt>
        <FundraisingAmt>212853</FundraisingAmt>
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        <ProgramServicesAmt>43333647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13343791</ManagementAndGeneralAmt>
        <FundraisingAmt>862813</FundraisingAmt>
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        <ProgramServicesAmt>1228490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>337545</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5114870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1666052</ManagementAndGeneralAmt>
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        <FundraisingAmt>80894</FundraisingAmt>
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        <ProgramServicesAmt>24039</ProgramServicesAmt>
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        <FundraisingAmt>418</FundraisingAmt>
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        <ProgramServicesAmt>97383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71599</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>127756</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3212184</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3912536</ProgramServicesAmt>
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        <FundraisingAmt>6633</FundraisingAmt>
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        <TotalAmt>3638182</TotalAmt>
        <ProgramServicesAmt>2025398</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1581758</ManagementAndGeneralAmt>
        <FundraisingAmt>31026</FundraisingAmt>
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        <ProgramServicesAmt>3713270</ProgramServicesAmt>
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        <ProgramServicesAmt>1503168</ProgramServicesAmt>
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        <ProgramServicesAmt>496365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>189197</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1176089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>230382</ManagementAndGeneralAmt>
        <FundraisingAmt>5425</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
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        <ProgramServicesAmt>491115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>616682</ManagementAndGeneralAmt>
        <FundraisingAmt>152229</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>1116453</ManagementAndGeneralAmt>
        <FundraisingAmt>12351</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL CONTRACTS AND S</Desc>
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        <ProgramServicesAmt>859444</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1119772</TotalAmt>
        <ProgramServicesAmt>842979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>270751</ManagementAndGeneralAmt>
        <FundraisingAmt>6042</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>103727396</TotalAmt>
        <ProgramServicesAmt>73794400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28232970</ManagementAndGeneralAmt>
        <FundraisingAmt>1700026</FundraisingAmt>
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        <EOYAmt>7940623</EOYAmt>
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        <EOYAmt>847104</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>8916634</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>15088000</EOYAmt>
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        <EOYAmt>188202</EOYAmt>
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        <EOYAmt>5838469</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>21783376</BOYAmt>
        <EOYAmt>21188685</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>77469708</EOYAmt>
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        <BOYAmt>29053075</BOYAmt>
        <EOYAmt>27146858</EOYAmt>
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        <TotalCompensationFilingOrgAmt>278100</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SASAN BAHERI</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>276187</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AARON GALE</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>271692</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTIAN HILL</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK MILLAN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA BOZZETTI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>APRIL ETHERIDGE-BOSWORTH</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10872</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>22996</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEFANNY CABALLERO</PersonNm>
        <TitleTxt>FOUNDATION EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>172220</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACHEL LI</PersonNm>
        <TitleTxt>CHIEF PEOPLE &amp; STRATEGY OFFICER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH DEINES</PersonNm>
        <TitleTxt>DIRECTOR OF QUALITY</TitleTxt>
        <BaseCompensationFilingOrgAmt>167249</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JUAN GABRIEL GARFIAS LOPEZ</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA HURLEY</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>7993</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>7931</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>173375</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterested>
          <PersonNm>GIL MUNOZ</PersonNm>
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        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>2058624</TransactionAmt>
        <TransactionDesc>VENDOR PAYMENTS TO OCHIN FOR ELECTRONIC HEALTH RECORDS ADMINISTRATION AND SUPPORT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>GIL MUNOZ</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>10795753</TransactionAmt>
        <TransactionDesc>REVENUE RECEIVED FROM YCCO FOR PATIENT CARE SERVICE, CCO CAPITATION, PHARMACY, SUPPLEMENTAL PAYMENTS, AND CONTRACTS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RICARDO PALAZUELOS MJERE SIMENTEL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>HEALTH CENTER BOARD MEMBERS</RelationshipDescriptionTxt>
        <TransactionAmt>652792</TransactionAmt>
        <TransactionDesc>PUBLIC GRANT REVENUE RECEIVED FROM WASHINGTON COUNTY</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LIZ FOUTS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FOUNDATION BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>1743575</TransactionAmt>
        <TransactionDesc>EXPENSES FROM THE STANDARD FOR 403B PLAN ADMINISTRATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ELLEN GARCIA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FOUNDATION BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>138007</TransactionAmt>
        <TransactionDesc>PATIENT SERVICE REVENUE FROM PACIFICSOURCE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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        <ContributionCnt>1</ContributionCnt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>OTHER</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>64853</NoncashContributionsRptF990Amt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>SUPPLIES</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>27811</NoncashContributionsRptF990Amt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EVENTS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>27480</NoncashContributionsRptF990Amt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS AND RECOMMENDS THE FORM 990 TO THE BOARD OF DIRECTORS FOR APPROVAL TO SUBMIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 12 A AND B</FormAndLineReferenceDesc>
        <ExplanationTxt>PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: (1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING.(2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.(3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS CURRENTLY EXISTS FOR OFFICERS, DIRECTORS, AND TRUSTEES AND CURRENTLY UNDER REVIEW FOR KEY EMPLOYEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CEO'S SALARY. THE BOARD OF DIRECTORS ALSO REVIEWS AND APPROVES THE NON-REPRESENTED COMPENSATION ADMINISTRATION POLICY THAT INCLUDES COMPENSATION TO OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
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          <BusinessNameLine1Txt>VIRGINIA GARCIA MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6149</AddressLine1Txt>
          <CityNm>ALOHA</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97007</ZIPCd>
        </USAddress>
        <EIN>912077840</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VIRGINIA GARCIA MEMORIAL HEALTH CENTER</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>PO BOX 6149</AddressLine1Txt>
          <CityNm>ALOHA</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97007</ZIPCd>
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        <EIN>934401335</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VIRGINIA GARCIA MEMORIAL HEALTH CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIRGINIA GARCIA MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>4478560</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT RECEIVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VGMHC HOLDINGS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1898528</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>NET BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIRGINIA GARCIA MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>NET BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>