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        <EOYAmt>149169</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>13062112</BOYAmt>
        <EOYAmt>13675948</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1194839</BOYAmt>
        <EOYAmt>261292</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>1063937</BOYAmt>
        <EOYAmt>691794</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>356661</BOYAmt>
        <EOYAmt>403883</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2615437</BOYAmt>
        <EOYAmt>1356969</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10446675</BOYAmt>
        <EOYAmt>12318979</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>10446675</BOYAmt>
        <EOYAmt>12318979</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13062112</BOYAmt>
        <EOYAmt>13675948</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1333348</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>518141</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>20815</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5436546</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5779744</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5739125</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5664074</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5676824</CurrentTaxYearAmt>
        <TotalAmt>28296313</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5436546</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5779744</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5739125</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5664074</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5676824</CurrentTaxYearAmt>
        <TotalAmt>28296313</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>28296313</PublicSupportTotal170Amt>
      <TotalSupportAmt>28296313</TotalSupportAmt>
      <PublicSupportCY170Pct>1.00000</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>411918</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>411918</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>3350599</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>1870768</DepreciationAmt>
        <BookValueAmt>1479831</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>164127</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>87667</DepreciationAmt>
        <BookValueAmt>76460</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>969551</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>806700</DepreciationAmt>
        <BookValueAmt>162851</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2131060</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other liabilities</Desc>
        <Amt>9392</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued salaries and wages</Desc>
        <Amt>163952</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FIT</Desc>
        <Amt>8039</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued other liabilities</Desc>
        <Amt>81091</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Compensated balances</Desc>
        <Amt>131109</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Note and lease interest payable</Desc>
        <Amt>10300</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>403883</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18806849</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>18806849</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>18806849</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17473501</TotExpnsEtcAuditedFinclStmtAmt>
      <PriorYearAdjustmentsAmt>518141</PriorYearAdjustmentsAmt>
      <ExpensesNotReportedAmt>518141</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16955360</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16955360</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUBEN MARTINEZ</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>244878</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>244878</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCES M MITCHELL</PersonNm>
        <TitleTxt>MDMedical Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>252000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>252000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRADLEY NORDYKE</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>253760</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>253760</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and CFO provides a copy of Form 990 to the Board for their review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors approved a written conflict of interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors review and approve the compensation and pay increases during the budget process. After the Boards approval, the CEO authorizes human resources to enter into the pay system the approved compensations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors review and approve the compensation and pay increases during the budget process. After the Boards approval, the CEO authorizes human resources to enter into the pay system the approved compensations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The entity provides to the public upon request information and documents that are not prohibited by local, state, or federal rules and regulations. VAC publishes the board meeting dates and times on its website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Reconciliation of Net Assets Transfers-Net, $20,815 Prior period adjustment of $518,141, is the net amount of capital asset increase of $113,507 and increase of accumulated depreciation of$631,648.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Pharmaceutical professional management services $90,751</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt expense 47,333 Bank fees 6,095 Contracted services 510,504 Fundraising 25,065 Lab and waste costs 467,437 Membership and subscription fees 221,164 Miscellaneous 10,096 Patient and education programs 5,000 Patient food and meals 111,756 Printing &amp; publications 3,150</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>