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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SONIA SUTHERLAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA ASTA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC CAIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE LEE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NIMISHA MISHRA-SHUKLA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AILEEN MURPHY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STACEY HUNT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIJIE ZHENG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIRAN NARSINH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH GREAVES MD</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>59692</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>292466</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>59692</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>5000</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1597411</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1597411</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SERVICE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>281786</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>281786</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>1879197</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>422875</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>422875</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3748624</SecuritiesAmt>
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        <SecuritiesAmt>3700608</SecuritiesAmt>
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        <SecuritiesAmt>48016</SecuritiesAmt>
        <OtherAmt>9511</OtherAmt>
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        <TotalRevenueColumnAmt>57527</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>57527</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ADVERTISING INCOME</Desc>
        <BusinessCd>513190</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>74453</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>643</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>2439695</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>525000</TotalAmt>
        <ProgramServicesAmt>525000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>292465</TotalAmt>
        <ProgramServicesAmt>219349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73116</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>584399</TotalAmt>
        <ProgramServicesAmt>438299</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146100</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>211201</TotalAmt>
        <ProgramServicesAmt>158401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52800</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>121898</TotalAmt>
        <ProgramServicesAmt>91423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30475</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>61435</TotalAmt>
        <ProgramServicesAmt>46076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15359</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>7137</TotalAmt>
        <ProgramServicesAmt>714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6423</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>31535</TotalAmt>
        <ProgramServicesAmt>3153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28382</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>46044</TotalAmt>
        <ManagementAndGeneralAmt>46044</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>143699</TotalAmt>
        <ProgramServicesAmt>36848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106851</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>7210</TotalAmt>
        <ProgramServicesAmt>5407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1803</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>67205</TotalAmt>
        <ProgramServicesAmt>50404</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16801</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>85928</TotalAmt>
        <ProgramServicesAmt>81632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4296</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>2500</TotalAmt>
        <ProgramServicesAmt>1875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>625</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>22827</TotalAmt>
        <ProgramServicesAmt>17120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5707</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>20614</TotalAmt>
        <ProgramServicesAmt>15460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5154</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>29762</TotalAmt>
        <ProgramServicesAmt>22321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7441</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
        <TotalAmt>13551</TotalAmt>
        <ProgramServicesAmt>10163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3388</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>11988</TotalAmt>
        <ProgramServicesAmt>8991</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2997</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>POSTAGE</Desc>
        <TotalAmt>8424</TotalAmt>
        <ProgramServicesAmt>6318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2106</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>9890</TotalAmt>
        <ProgramServicesAmt>7417</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2473</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>2304712</TotalAmt>
        <ProgramServicesAmt>1746371</ProgramServicesAmt>
        <ManagementAndGeneralAmt>558341</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>487421</BOYAmt>
        <EOYAmt>349289</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>56084</BOYAmt>
        <EOYAmt>66132</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>34249</EOYAmt>
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        <BOYAmt>67384</BOYAmt>
        <EOYAmt>76459</EOYAmt>
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        <EOYAmt>325142</EOYAmt>
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        <EOYAmt>325649</EOYAmt>
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        <EOYAmt>278282</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1249073</EOYAmt>
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        <BOYAmt>10806639</BOYAmt>
        <EOYAmt>12764309</EOYAmt>
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        <EOYAmt>14013382</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>134983</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1822687</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>0</AuditCommitteeInd>
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      <PoliticalExpendituresAmt>23760</PoliticalExpendituresAmt>
      <VolunteerHoursCnt>688</VolunteerHoursCnt>
      <SubstantiallyAllDuesNondedInd>1</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>1</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I-A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOCAL - ACCMA WILL FROM TIME TO TIME LOBBY MEMBERS OF THE COUNTY BOARD OF SUPERVISORS OF BOTH ALAMEDA AND CONTRA COSTA COUNTY ON SPECIFIC ISSUES RELATED TO HEALTH CARE. THIS IS GENERALLY DONE BY STAFF AND WE PROBABLY SPEND 40 HOURS A YEAR, DEPENDING ON THE ISSUES. ADDITIONALLY, THE ACCMA LEGISLATIVE COMMITTEE INTERVIEWS LOCAL CANDIDATES FOR THE BOARD OF SUPERVISORS AND MAKES RECOMMENDATIONS TO OUR AFFILIATED POLITICAL ACTION COMMITTEE TO SUPPORT CANDIDATES WHO ARE RESPONSIVE TO OUR ISSUES/PRESPECTIVE. THE POLITICAL ACTION COMMITTEE LIMITS CONTRIBUTIONS TO $500.00 PER CANDIDATE, EXCEPT FOR RARE OCCASIONS WHEN CONTRIBUTIONS MAY BE INCREASED TO $1,000 FOR AN INDIVIDUAL CANDIDATE. GENERALLY, CONTRIBUTIONS ARE LIMITED TO ABOUT $5,000 PER YEAR FROM THE LOCAL POLITICAL ACTION COMMITTEE, BUT NO FUNDS ARE ALLOCATED FOR THIS PURPOSE FROM THE ACCMA. ADDITIONALLY, THE ACCMA STAFF MAY ASSIST IN ORGANIZING A FUNDRAISING EVENT FOR A LOCAL CANDIDATE THAT IS HOSTED BY A MEMBER OF GROUP OF MEMBERS, BUT NO DIRECT CONTRIBUTIONS ARE MADE TO SUPPORT SUCH EVENTS. STATE - ACCMA'S LEGISLATIVE COMMITTEE INTERVIEWS CANDIDATES FOR STATE OFFICE DURING ELECTION YEARS AND MAKES RECOMMENDATIONS TO THE CALIFORNIA MEDICAL ASSOCIATION'S POLITICAL ACTION COMMITTEE REGARDING WHICH CANDIDATES TO SUPPORT WITH CAMPAIGN CONTRIBUTIONS. ADDITIONALLY, THE STAFF, OFFICERS AND LEGISLATIVE COMMITTEE MEET A COUPLE OF TIMES A YEAR WITH KEY LEGISTATORS TO DISCUSS SPECIFIC BILLS THAT ARE BEING CONSIDERED BY THE STATE ASSEMBLY AND SENATE. ACCMA ORGANIZES PARTICIPATION BY MEMBERS IN THE CMA'S ANNUAL LEGISTATIVE DAY IN SACRAMENTO. ALSO, FROM TIME TO TIME THE ACCMA WILL SEND A NOTICE TO THE MEMBERSHIP ASKING THEM TO CONTACT STATE LEGISLATORS TO ENCOURAGE SUPPORT OR OPPOSITION TO SPECIFIC LEGISLATION. THE STAFF AND LEADERSHIP WILL ALSO ENGAGE IN ACTIVITIES TO PROMOTE A POSITION ON VOTOR INITIATIVES AFFECTING HEALTH CARE DELIVERY, SUCH AS EDUCATING MEMBERS ABOUT THE ISSUE, SUBMITTING LETTERS TO THE EDITOR, PARTICIPATING IN PUBLIC FORUMS WHERE THE ISSUE IS DISCUSSED, OR SENDING OUR A PRESS RELEASE. FINALLY, THE ACCMA STAFF MAY ASSIST IN ORGANIZING A FUNDRAISING EVENT FOR A STATE CANDIDATE THAT IS HOSTED BY A MEMBER OR GROUP OF MEMBERS, BUT NO DIRECT CONTRIBUTIONS ARE MADE TO SUPPORT SUCH EVENTS. FEDERAL - SAME AS STATE ACTIVITIES, BUT NOT AS OFTEN.</ExplanationTxt>
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        <OtherCostOrOtherBasisAmt>131893</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>55434</DepreciationAmt>
        <BookValueAmt>76459</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>76459</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE OBLIGATION - OPERATING LEASE</Desc>
        <Amt>278282</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>278282</TotalLiabilityAmt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CALIFORNIA MEDICAL ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1201 K STREET SUITE 800</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95814</ZIPCd>
        </USAddress>
        <RecipientEIN>946062822</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>180000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO PROVIDE SUPPORT TO CALIFORNIA MEDICAL ASSOCIATION ON THEIR MICRA CAMPAIGN.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ACCMA COMMUNITY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6230 CLAREMONT AVENUE</AddressLine1Txt>
          <CityNm>OAKLAND</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94618</ZIPCd>
        </USAddress>
        <RecipientEIN>461703508</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>345000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT CURRENT AND FUTURE COMMUNITY HEALTH PROJECTS.</PurposeOfGrantTxt>
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    </IRS990ScheduleI>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH GREAVES MD</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>253930</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3536</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>44956</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14736</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>347158</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION HAS MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION HOLDS ANNUAL ELECTION FOR OFFICERS AND BOARD MEMBERS BY THE GENERAL MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMENDMENTS TO THE ORGANIZATION'S BYLAWS ARE SUBJECT TO A TWO-THIRDS VOTE BY THE ACTIVE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COUNCIL (GOVERNING BODY) DELEGATES THIS AUTHORITY TO THE FINANCE COMMITTEE. THE MEMBERS OF THE FINANCE COMMITTEE WERE EMAILED A COMPLETE COPY OF THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE HAS THE RESPONSIBILITY TO REVIEW ANY AND ALL CONCERNS REGARDING CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS AND APPROVES EMPLOYEE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF ALL DOCUMENTS ARE KEPT ON FILE IN THE HEADQUARTES FOR PUBLIC DISCLOSURE. THEY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
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        </DisregardedEntityName>
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          <CityNm>OAKLAND</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>SCHOLARSHIP PROGRAM, COMMUNITY HEALTH IMPROVEMENT, EDUCATION PROGRAMS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 8</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</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>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ACCMA COMMUNITY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>345000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ACCMA COMMUNITY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>31392</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>EXPENSES AND ADMINISTRATION COSTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ACCMA COMMUNITY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>CASH RECEIVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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</Return>