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      <Form990PartVIISectionAGrp>
        <PersonNm>JOANN MCGRATH</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HAROLD M MESSMER JR</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH M NOVACK</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN J O'CONNELL MD</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIE E PINIZZOTTO MD</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL L QUINN</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT J RISHWAIN</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIR (THRU 4/18)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAN SALTA</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL S SHANNON</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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        <PersonNm>ALVIN V SHOEMAKER</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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        <PersonNm>CARL PARMER</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM R TIMKEN JR</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DUANE DAUNER</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KHOI LE MD</PersonNm>
        <TitleTxt>BOARD TRUSTEE/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL GINN</PersonNm>
        <TitleTxt>CHAIR, FIN COMM (THRU 4/18)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT GERING MD</PersonNm>
        <TitleTxt>Board Trustee/Dir (THRU 12/17)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG P RENKER</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>G AUBREY SERFLING</PersonNm>
        <TitleTxt>PRESIDENT/CEO, EMC</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARTIN MASSIELLO</PersonNm>
        <TitleTxt>EXECUTIVE VP/COO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL D LANDES</PersonNm>
        <TitleTxt>PRESIDENT, EMC FOUNDATION</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH WHEAT</PersonNm>
        <TitleTxt>SR. VP/CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL P APPELHANS</PersonNm>
        <TitleTxt>GEN COUNSEL/CORP SECRETARY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY KROLL</PersonNm>
        <TitleTxt>CORPORATE SECRETARY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SCHERGER</PersonNm>
        <TitleTxt>VP, PRIMARY CARE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALI A TOURKAMAN</PersonNm>
        <TitleTxt>VP, SUPPORT SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANN M MOSTOFI</PersonNm>
        <TitleTxt>VP, PATIENT CARE/CNO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID PEREZ</PersonNm>
        <TitleTxt>VP, CFO, I/S</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH GUINGER</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN WILLIAMSON</PersonNm>
        <TitleTxt>VP, MEDICAL AFFAIRS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ANN MCLAUGHLIN</PersonNm>
        <TitleTxt>AVP, NURSING</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN EDDY</PersonNm>
        <TitleTxt>VP, AMBULATORY SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAWNELL BUELL</PersonNm>
        <TitleTxt>VP, REVENUE CYCLE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID KOWALCZYK</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROSALINDA FIELD</PersonNm>
        <TitleTxt>VP, INFORMATICS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE JOHNSTONE</PersonNm>
        <TitleTxt>VP, QUALITY &amp; PERF IMPROVEMENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MIGUEL PADILLA</PersonNm>
        <TitleTxt>RNFA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY STANPHILL</PersonNm>
        <TitleTxt>DEPUTY GC - HEALTH SYSTEM</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK WESTERGARD</PersonNm>
        <TitleTxt>RNFA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES REED</PersonNm>
        <TitleTxt>DEPUTY GC - HOSPITAL OPS</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>272063</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39801</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROY T YOUNG</PersonNm>
        <TitleTxt>DIRECTOR, RESIDENCY PROGRAM</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>351211</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32540</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>10989086</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>2132678</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>733</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DESERT CARDIOLOGY CONSULTANTS MDCL</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>39000 BOB HOPE DRIVE HALL WALLIS B</AddressLine1Txt>
            <CityNm>RANCHO MIRAGE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92270</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL MGMNT SVCS</ServicesDesc>
        <CompensationAmt>12223326</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DELOITTE CONSULTING LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 844717</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>752844717</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BSNSS MGT/CONSULTING</ServicesDesc>
        <CompensationAmt>3539802</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HHS ENVIRONMENTAL SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 734367</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753734367</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOUSEKEEPING SVCS</ServicesDesc>
        <CompensationAmt>2411921</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DESERT ORTHOPEDIC CENTER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>39000 BOB HOPE DRIVE RINKER BLDG</AddressLine1Txt>
            <CityNm>RANCHO MIRAGE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92270</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL MGMNT SVCS</ServicesDesc>
        <CompensationAmt>2129468</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALLIED UNIVERSAL SECURITY SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 31001 2374</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>911102374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>1216091</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>35</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>69500</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>22425</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>71020898</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2916222</NoncashContributionsAmt>
      <TotalContributionsAmt>71112823</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>735787147</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>735787147</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL OFFICE BLDG RENT</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>3431120</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3431120</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>561110</BusinessCd>
        <TotalRevenueColumnAmt>6920</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6920</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>JOINT VENTURE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3278890</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3278890</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>742504077</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4947521</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>28701</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4918820</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>65449739</SecuritiesAmt>
        <OtherAmt>539444</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>60453949</SecuritiesAmt>
        <OtherAmt>263940</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>4995790</SecuritiesAmt>
        <OtherAmt>275504</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>5271294</TotalRevenueColumnAmt>
        <ExclusionAmt>5271294</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEMBERSHIP FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4738888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4738888</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>HOSPITAL SUITES FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>806889</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>806889</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>All other revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3360886</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3360886</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>8906663</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>832742378</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>751410740</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>28701</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>10190114</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>308450</TotalAmt>
        <ProgramServicesAmt>308450</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>10027528</TotalAmt>
        <ProgramServicesAmt>9397799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>565553</ManagementAndGeneralAmt>
        <FundraisingAmt>64176</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>227616419</TotalAmt>
        <ProgramServicesAmt>213336910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12820106</ManagementAndGeneralAmt>
        <FundraisingAmt>1459403</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>15498574</TotalAmt>
        <ProgramServicesAmt>13948717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1394871</ManagementAndGeneralAmt>
        <FundraisingAmt>154986</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>62995780</TotalAmt>
        <ProgramServicesAmt>57502955</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4862867</ManagementAndGeneralAmt>
        <FundraisingAmt>629958</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>18082303</TotalAmt>
        <ProgramServicesAmt>16274073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1627407</ManagementAndGeneralAmt>
        <FundraisingAmt>180823</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>2837563</TotalAmt>
        <ProgramServicesAmt>2270050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>567513</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>749940</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>749940</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>399679</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>399679</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>25887</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25887</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>420414</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>420414</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>140536627</TotalAmt>
        <ProgramServicesAmt>136521909</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4014603</ManagementAndGeneralAmt>
        <FundraisingAmt>115</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1620457</TotalAmt>
        <ProgramServicesAmt>1458411</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162046</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>22868355</TotalAmt>
        <ProgramServicesAmt>18898730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3614839</ManagementAndGeneralAmt>
        <FundraisingAmt>354786</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>13828056</TotalAmt>
        <ProgramServicesAmt>12445250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1370189</ManagementAndGeneralAmt>
        <FundraisingAmt>12617</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>23223332</TotalAmt>
        <ProgramServicesAmt>20900999</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2261529</ManagementAndGeneralAmt>
        <FundraisingAmt>60804</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1379978</TotalAmt>
        <ProgramServicesAmt>1241980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124198</ManagementAndGeneralAmt>
        <FundraisingAmt>13800</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>585232</TotalAmt>
        <ProgramServicesAmt>526709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52671</ManagementAndGeneralAmt>
        <FundraisingAmt>5852</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>14760607</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14760607</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>49437746</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4941589</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>4929772</ProgramServicesAmt>
        <ManagementAndGeneralAmt>259462</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CA QUALITY ASSURANCE FEE</Desc>
        <TotalAmt>54854621</TotalAmt>
        <ProgramServicesAmt>54854621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT FEE</Desc>
        <TotalAmt>909782</TotalAmt>
        <ProgramServicesAmt>818804</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79193</ManagementAndGeneralAmt>
        <FundraisingAmt>11785</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>130760412</TotalAmt>
        <ProgramServicesAmt>117369561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12031547</ManagementAndGeneralAmt>
        <FundraisingAmt>1359304</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LOSS OF EXTINGUISHMENT DEBT</Desc>
        <TotalAmt>3389157</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3389157</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>4019187</TotalAmt>
        <ProgramServicesAmt>2314020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1638358</ManagementAndGeneralAmt>
        <FundraisingAmt>66809</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>811815704</TotalAmt>
        <ProgramServicesAmt>734757466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72134225</ManagementAndGeneralAmt>
        <FundraisingAmt>4924013</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <TotalJointCostsGrp>
        <TotalAmt>0</TotalAmt>
      </TotalJointCostsGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>-8623830</BOYAmt>
        <EOYAmt>-1847598</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>92083181</BOYAmt>
        <EOYAmt>54750431</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>39797432</BOYAmt>
        <EOYAmt>55741236</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>106962854</BOYAmt>
        <EOYAmt>115509217</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>576843</BOYAmt>
        <EOYAmt>98814</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>10866428</BOYAmt>
        <EOYAmt>11485924</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>6726563</BOYAmt>
        <EOYAmt>5616396</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1270579613</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>683140109</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>582459598</BOYAmt>
        <EOYAmt>587439504</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>205298358</BOYAmt>
        <EOYAmt>225949722</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>12924613</BOYAmt>
        <EOYAmt>14720943</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>42542877</BOYAmt>
        <EOYAmt>66309087</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1091614917</BOYAmt>
        <EOYAmt>1135773676</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>87031722</BOYAmt>
        <EOYAmt>113896193</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>5533408</BOYAmt>
        <EOYAmt>6399868</EOYAmt>
      </DeferredRevenueGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleB documentId="IRS990ScheduleB" />
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
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      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
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      <GrassrootsNontaxableGrp />
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      <TotLbbyExpendMnsLbbyngNonTxGrp />
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      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
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      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
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      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
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        <ExplanationTxt>LOBBYING ACTIVITIES EISENHOWER MEDICAL CENTER PAID HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA CONSOLIDATED DUES TO COVER MEMBERSHIP IN THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC) AND CALIFORNIA HOSPITAL ASSOCIATION (CHA). THESE DUES INCLUDE STATE AND FEDERAL REPRESENTATION AND ADVOCACY, LOCAL AND REGIONAL ADVOCACY, STATEWIDE PUBLIC ADVOCACY PROGRAM AND DUES - BASED PROGRAMS AND SERVICES. 10.11%, OR $25,887, OF THESE DUES WAS FOR DIRECT LOBBYING EXPENSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>EISENHOWER MEDICAL CENTER CONDUCTED PRIMARY DATA COLLECTION BY USING SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. 64 SURVEYS WERE COMPLETED FROM JANUARY 20 TO MARCH 8, 2016 BY REPRESENTATIVES FROM CITY GOVERNMENT SUCH AS DESERT HOT SPRINGS, PALM SPRINGS, CATHEDRAL CITY AND INDIO, LOCAL TRIBES SUCH AS THE TORRES MARTINEZ DESERT CAHUILLA. SCHOOL DISTRICTS SUCH AS PALM SPRINGS UNIFIED SCHOOL DISTRICT AND DESERT SANDS UNIFIED SCHOOL DISTRICT WERE ALSO REPRESENTED AS WELL AS INSTITUTIONS OF HIGHER EDUCATION SUCH AS CSUSB PALM DESERT CAMPUS. COUNTY EMPLOYEES ALSO PARTICIPATED FROM THE COUNTY OF RIVERSIDE, DEPARTMENT OF PUBLIC HEALTH AND DEPARTMENT OF PUBLIC SOCIAL SERVICES. NON PROFITS THAT SERVE DISADVANTAGED COMMUNITIES WERE ALSO REPRESENTED AS WELL AS LEADERS AND REPRESENTATIVES OF MEDICALLY UNDER SERVED, LOW-INCOME, AND MINORITY POPULATIONS SUCH AS INCIGHT, LGBT COMMUNITY CENTER OF THE DESERT, SENIOR ADVOCATES OF THE DESERT AND BORREGO COMMUNITY HEALTH FOUNDATION. SCHEDULE H, PART V, SECTION B, LINE 7 https://www.eisenhowerhealth.org/about-us/community-health- needs-assessment/ SCHEDULE H, PART V, SECTION B, LINE 10 https://www.eisenhowerhealth.org/about-us/community-health- needs-assessment/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A RESULT OF THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, EISENHOWER MEDICAL CENTER HAS ADDRESSED THE FOLLOWING NEEDS: ACCESS TO HEALTHCARE, CHRONIC DISEASES (ASTHMA, CANCER, CARDIOVASCULAR DISEASE, DIABETES AND HIV/AIDS) AND PREVENTIVE PRACTICES. EISENHOWER IS ADDRESSING ACCESS TO HEALTH CARE BY TAKING THE FOLLOWING ACTIONS: PROVIDE FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PROVIDE TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARE SERVICES. EISENHOWER MEDICAL CENTER IS COMMITTED TO PROVIDING AN ORGANIZED PROGRAM IN GRADUATE MEDICAL EDUCATION THAT INCLUDES COMMUNITY VOLUNTEER ACTIVITIES. A KEY ELEMENT OF THIS COMMITMENT INCLUDES PROVIDING PRIMARY CARE SUPPORT TO OUR LOCAL COMMUNITIES' UNDER SERVED POPULATIONS. EISENHOWER IS ADDRESSING CHRONIC DISEASES BY TAKING THE FOLLOWING ACTIONS: PROVIDE CHRONIC DISEASE EDUCATION, SCREENING AND TREATMENT. PROVIDE SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES AND THEIR FAMILIES. PROVIDE FUNDING SUPPORT TO COMMUNITY ORGANIZATIONS TO SUPPORT CHRONIC DISEASE PREVENTION AND TREATMENT. PROVIDE NUTRITION CONSULTANTS WITH REGISTERED DIETITIANS. EISENHOWER IS ADDRESSING PREVENTIVE PRACTICES BY TAKING THE FOLLOWING ACTIONS: PROVIDE FREE HEALTH SCREENINGS. PROVIDE EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION. REDUCE INJURIES AND FALLS AMONG SENIORS THROUGH EXERCISE AND BALANCE CLASSES. PROVIDE FUNDING SUPPORT TO COMMUNITY ORGANIZATIONS TO SUPPORT HEALTH SERVICES. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, EISENHOWER MEDICAL CENTER IS NOT DIRECTLY ADDRESSING THE REMAINING HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA INCLUDING: DENTAL HEALTH, ENVIRONMENTAL HEALTH, MENTAL HEALTH, OVERWEIGHT AND OBESITY, SAFETY/VIOLENCE, SUBSTANCE ABUSE, AND TEEN BIRTHS. EISENHOWER CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY; THEREFORE, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16A</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.eisenhowerhealth.org/patients-visitors/patient-financial -services-bill-payment-/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16B</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.eisenhowerhealth.org/patients-visitors/patient-financial -services-bill-payment-/ SCHEDULE H, PART V, SECTION B, LINE 16C https://www.eisenhowerhealth.org/patients-visitors/patient-financial -services-bill-payment-/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>17</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER - LA QUINTA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>45280 SEELEY DRIVE</AddressLine1Txt>
            <CityNm>LA QUINTA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92253</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER - RANCHO MIRAGE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>72780 COUNTRY CLUB DRIVE</AddressLine1Txt>
            <CityNm>RANCHO MIRAGE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92270</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER ONCOLOGY SPECIALTY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>40075 BOB HOPE DRIVE STE A</AddressLine1Txt>
            <CityNm>RANCHO MIRAGE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92270</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER - SUNRISE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>151 S SUNRISE WAY</AddressLine1Txt>
            <CityNm>PALM SPRINGS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92262</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER - PALM SPRINGS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>415 S PALM CANYON DRIVE</AddressLine1Txt>
            <CityNm>PALM SPRINGS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92262</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER - PLAZA DEL SOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1555 S PALM CANYON DRIVE</AddressLine1Txt>
            <CityNm>PALM SPRINGS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92264</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER INDUSTRIAL REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>78822 HWY 111</AddressLine1Txt>
            <CityNm>LA QUINTA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92253</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER - RIMROCK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4791 E PALM CANYON DRIVE</AddressLine1Txt>
            <CityNm>PALM SPRINGS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92261</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DESERT CANCER CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>57725 29 PALMS HWY STE 201</AddressLine1Txt>
            <CityNm>YUCCA VALLEY</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92284</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER - N PALM DESERT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>78120 WILDCAT DRIVE</AddressLine1Txt>
            <CityNm>PALM SPRINGS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92261</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER INDUSTRIAL REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4771 E PALM CANYON</AddressLine1Txt>
            <CityNm>PALM SPRINGS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92262</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER INDUSTRIAL REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67555 E PALM CANYON DRIVE STE 11</AddressLine1Txt>
            <CityNm>CATHEDRAL CITY</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92234</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER HEALTH CENTER CATHEDRAL CITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67555 E PALM CANYON DRIVE STE 11</AddressLine1Txt>
            <CityNm>CATHEDRAL CITY</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92234</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER SLEEP CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>41990 COOK STREET STE 102-103</AddressLine1Txt>
            <CityNm>PALM DESERT</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92260</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER NEUROSCIENCE INSTITUTE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>72780 COUNTRY CLUB DRIVE STE 104</AddressLine1Txt>
            <CityNm>RANCHO MIRAGE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92270</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRIMARY CARE INTERNAL MEDICINE RESIDENCY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67780 E PALM CANYON DRIVE</AddressLine1Txt>
            <CityNm>CATHEDRAL CITY</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92234</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EISENHOWER IMAGING SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>151 S SUNRISE WAY</AddressLine1Txt>
            <CityNm>PALM SPRINGS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92262</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>BY USING FEDERAL POVERTY GUIDELINES, TOOLS TO DETERMINE PRESUMPTIVE ELIGIBILITY, BANK STATEMENTS, PROOF OF INCOME, A LETTER OF EXPLANATION OF NO INCOME, OR A CURRENT TAX RETURN, EISENHOWER MEDICAL CENTER IS ABLE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE THE COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE IDENTIFYING COSTS THERE WAS AN IMMATERIAL AMOUNT OF COST ATTRIBUTABLE TO PHYSICIAN CLINICS INCLUDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES EISENHOWER MEDICAL CENTER OFFERED VARIOUS HEALTH PROMOTION CLASSES, HEALTH FAIRS AND FREE OR REDUCED COST SCREENINGS, AS WELL AS PROVIDED FUNDING TO SUPPORT COMMUNITY ORGANIZATIONS THAT PROVIDE PREVENTATIVE HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE CALCULATION THE BAD DEBT EXPENSE IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTABE ACCOUNTS. BECAUSE EISENHOWER MEDICAL CENTER RECOGNIZES SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY, THE MEDICAL CENTER PRESENTS THE PROVISION FOR DOUBTFUL ACCOUNTS AS A REDUCTION TO NET PATIENT SERVICE REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE FOOTNOTE PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR DOUBTFUL ACCOUNTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TREND IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES. BECAUSE THE MEDICAL CENTER RECOGNIZES SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY, THE MEDICAL CENTER PRESENTS THE PROVISION FOR DOUBTFUL ACCOUNTS AS A REDUCTION TO NET PATIENT REVENUE. THE MEDICAL CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2018 OR 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT 100% OF THE COST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE IS A SUBSTANTIAL PORTION OF EISENHOWER MEDICAL CENTER'S PATIENT POPULATION. WHILE THE LEVEL OF CARE IS REGARDLESS OF SOURCE OF PAYOR, THE LEVEL OF PAYMENT FOR MEDICARE IS DETERMINED BY GOVERNMENT REIMBURSEMENT POLICY. THE MEDICARE SHORTFALL IS AN UNREIMBURSED AMOUNT THAT MUST BE ACCOUNTED FOR IN EISENHOWER MEDICAL CENTER'S FINANCIAL STATEMENTS. SINCE GENERALLY ACCEPTED ACCOUNTING STANDARDS IDENTIFY THIS SHORTFALL, IT SHOULD BE ACCEPTED AS A SHORTFALL IN IRS REPORTING STANDARDS. MEDICARE COSTING METHODOLOGY THE COSTING METHODOLOGY FOR THE AMOUNT REPORTED ON LINE 6 IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO QUALIFY FOR PARTIAL CHARITY CARE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED BILLS, EISENHOWER MEDICAL CENTER MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. EISENHOWER MEDICAL CENTER WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT EISENHOWER MEDICAL CENTER CONTRACTED WITH THE HEALTH ASSESSMENT RESOURCE CENTER AND BIEL CONSULTING, INC. TO HELP IDENTIFY KEY HEALTH ISSUES AND SUBSEQUENTLY SURVEY THE COMMUNITY TO DETERMINE THE HEALTH STATUS OF THE COACHELLA VALLEY. THE CURRENT CHNA EXAMINED UP-TO-DATE DATA SOURCES FOR THE SERVICE AREA TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, AND HEALTH BEHAVIORS. EISENHOWER USES THE CHNA TO MAKE DECISIONS ABOUT ITS COMMUNITY BENEFIT PLAN, WHICH OUTLINES HOW IT WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. PLEASE SEE PART V, SECTION B, LINES 5 AND 11 FOR PROCESSES, COMMUNITY STAKEHOLDER CONSULTATIONS, AND ASSESSMENT OF NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EISENHOWER MEDICAL CENTER EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER ITS CHARITY CARE POLICY THROUGH VERBAL COMMUNICATION DURING COLLECTION FOLLOW UP AND THROUGH INFORMATIONAL FLYERS INCLUDED WITH BILLING STATEMENTS. BY USING FEDERAL POVERTY GUIDELINES, TOOLS TO DETERMINE PRESUMPTIVE ELIGIBILITY, BANK STATEMENTS, PROOF OF INCOME, A LETTER OF EXPLANATION OF NO INCOME, OR A CURRENT TAX RETURN, EISENHOWER MEDICAL CENTER IS ABLE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. EISENHOWER MEDICAL CENTER PROVIDES TO THE COMMUNITY OPPORTUNITIES TO ACCESS FAP APPLICATIONS ON THE EMC WEBSITE, THROUGH FINANCIAL ASSISTANCE COUNSELORS, AT EACH REGISTRATION LOCATION, BY CALLING CUSTOMER SERVICE AT 1-800-453-6012 OR EMAILING EISENHOWERHEALTH.ORG AND REQUESTING AN APPLICATION BE MAILED, OR BY GOING ONTO THE OSHPD WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION COMMUNITY IS DEFINED TO INCLUDE THE FOLLOWING CITIES/AREAS IN THE COACHELLA VALLEY; CATHEDRAL CITY, COACHELLA, DESERT HOT SPRINGS, INDIAN WELLS, INDIO, LA QUINTA, NORTH PALM SPRINGS, PALM DESERT, PALM SPRINGS, RANCHO MIRAGE AND THOUSAND PALMS. THE POPULATION OF THE EISENHOWER MEDICAL CENTER SERVICE AREA IS 405,228. OF THE POPULATION, 50% ARE MALE AND 50% ARE FEMALE. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 23.8% OF THE POPULATION; 55.3% ARE ADULTS, AGES 18-64; AND 20.9% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. THE MEDIAN AGE IN THE SERVICE AREA IS 41.5. IN THE EISENHOWER MEDICAL CENTER SERVICE AREA, 50.5% OF THE RESIDENTS ARE HISPANIC; 42.2 OF THE POPULATION ARE WHITE; 2.9% ARE ASIAN; 2.5% ARE AFRICAN AMERICAN; AND 1.8% ARE AMERICAN INDIAN/ALASKAN NATIVE, HAWAIIAN/PACIFIC ISLANDER OTHER OR MULTIPLE RACE/ETHNICITY. MEDIAN HOUSEHOLD INCOME IS AS FOLLOWS PER CITY; CATHEDRAL CITY $43,170, COACHELLA $40,897, DESERT HOT SPRINGS $35,315, INDIAN WELLS $83,896, INDIO $68,027, LA QUINTA $71,697, NORTH PALM SPRINGS $25,707, PALM DESERT $57,557, PALM SPRINGS $46,519, RANCHO MIRAGE $71,688 AND THOUSAND PALMS $43,917. HEALTHCARE COVERAGE FOR ADULTS AGES 18-64 IS 86% DUE TO HEALTHCARE REFORM. THIS HAS INCREASED FROM 66% IN 2013. MOST INSURED ADULTS ARE COVERED BY; THEIR EMPLOYER 27.6%, MEDI-CAL 25.3%, SELF-PAY 16.8% AND MEDICARE 15.2%. ALONG WITH EISENHOWER MEDICAL CENTER, THERE ARE TWO OTHER HOSPITALS DEDICATED TO SERVING THE COACHELLA VALLEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH THE MAJORITY OF THE EISENHOWER MEDICAL BOARD OF TRUSTEES IS MADE UP OF PROMINENT MEMBERS OF THE COMMUNITY WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. EISENHOWER MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. WHEN EISENHOWER MEDICAL CENTER ENDS THE YEAR WITH AN EXCESS OF OPERATING DISBURSEMENTS, THESE EXCESS FUNDS ARE USED TO EXPAND AND REPLACE EXISTING FACILITIES AND MEDICAL EQUIPMENT TO IMPROVE PATIENT CARE AND FOR MEDICAL TRAINING AND EDUCATION OF NURSES, PHYSICIANS, OTHER HEALTH PROFESSIONALS AND THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEM N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AIDS ASSISTANCE PROGRAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1276 N Plm Cn 108</AddressLine1Txt>
          <CityNm>Palm Springs</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92262</ZIPCd>
        </USAddress>
        <RecipientEIN>330566442</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Betty Ford Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO box 1560</AddressLine1Txt>
          <CityNm>Rancho Mirage</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92270</ZIPCd>
        </USAddress>
        <RecipientEIN>410682405</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIGHORN BAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>255 PALOWET DRIVE</AddressLine1Txt>
          <CityNm>PALM DESERT</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92260</ZIPCd>
        </USAddress>
        <RecipientEIN>205377872</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COACHELLA VALLEY VOLUNTEERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 10090</AddressLine1Txt>
          <CityNm>INDIO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92202</ZIPCd>
        </USAddress>
        <RecipientEIN>263312826</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DESERT AIDS PROJECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1695 N SUNRISE WAY</AddressLine1Txt>
          <CityNm>PALM SPRINGS</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92262</ZIPCd>
        </USAddress>
        <RecipientEIN>330068583</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARC INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>41550 ECLECTIC STREET</AddressLine1Txt>
          <CityNm>PALM DESERT</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92260</ZIPCd>
        </USAddress>
        <RecipientEIN>205719074</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>27900</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Jewish Family Service Of The Desert</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>490 South Farrell Drive Suite C208</AddressLine1Txt>
          <CityNm>Palm Springs</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92262</ZIPCd>
        </USAddress>
        <RecipientEIN>330613083</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IMA HELPS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2727</AddressLine1Txt>
          <CityNm>RANCHO MIRAGE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92270</ZIPCd>
        </USAddress>
        <RecipientEIN>830349334</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIZELL SENIOR CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>480 S Sunrise Palm Springs CA 92</AddressLine1Txt>
          <CityNm>PALM SPRINGS</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92262</ZIPCd>
        </USAddress>
        <RecipientEIN>953464835</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>30650</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Palm Springs Power Baseball</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1901 East Baristo Road</AddressLine1Txt>
          <CityNm>Palm Springs</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92262</ZIPCd>
        </USAddress>
        <RecipientEIN>237067511</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Palm Springs Pride</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>329 West Mariscal Road</AddressLine1Txt>
          <CityNm>Palm Springs</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92262</ZIPCd>
        </USAddress>
        <RecipientEIN>330745940</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6150</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>11</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Procedures for Monitoring Use of Grant Funds EMC supports local not-for-profit organizations whose missions are healthcare related. The eligibility and assistance amounts awarded are determined from various factors. Once a qualified grantee is selected, a monetary value is decided, based on a needs assessment.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>G AUBREY SERFLING</PersonNm>
        <TitleTxt>PRESIDENT/CEO, EMC</TitleTxt>
        <BaseCompensationFilingOrgAmt>664893</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>432586</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>800236</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>482234</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21437</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>2401386</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>629024</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTIN MASSIELLO</PersonNm>
        <TitleTxt>EXECUTIVE VP/COO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>318018</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>35823</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>18962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1079987</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL D LANDES</PersonNm>
        <TitleTxt>PRESIDENT, EMC FOUNDATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>363638</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>236586</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>26256</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>115936</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23518</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>765934</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH WHEAT</PersonNm>
        <TitleTxt>SR. VP/CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11848</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>121195</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>17830</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>861236</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL P APPELHANS</PersonNm>
        <TitleTxt>GEN COUNSEL/CORP SECRETARY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>177476</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>59543</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25289</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>18962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>635889</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>27636</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>VP, PRIMARY CARE</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>44685</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>739287</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>38598</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALI A TOURKAMAN</PersonNm>
        <TitleTxt>VP, SUPPORT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>274842</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>137550</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>100155</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>24177</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>537851</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANN M MOSTOFI</PersonNm>
        <TitleTxt>VP, PATIENT CARE/CNO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>27280</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>41778</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>551923</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID PEREZ</PersonNm>
        <TitleTxt>VP, CFO, I/S</TitleTxt>
        <BaseCompensationFilingOrgAmt>282843</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>141555</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6748</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>96814</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9051</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>537011</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH GUINGER</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>251228</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>131279</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3568</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>68065</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25779</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>479919</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN WILLIAMSON</PersonNm>
        <TitleTxt>VP, MEDICAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>295237</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>117580</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5814</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>94080</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23518</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>536229</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY ANN MCLAUGHLIN</PersonNm>
        <TitleTxt>AVP, NURSING</TitleTxt>
        <BaseCompensationFilingOrgAmt>199178</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>104832</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17580</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17915</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10693</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>350198</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN EDDY</PersonNm>
        <TitleTxt>VP, AMBULATORY SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>297326</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>150238</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10431</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>96763</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23518</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>578276</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWNELL BUELL</PersonNm>
        <TitleTxt>VP, REVENUE CYCLE</TitleTxt>
        <BaseCompensationFilingOrgAmt>221186</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37147</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>173103</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9154</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>473530</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>126758</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID KOWALCZYK</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>165712</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16908</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14961</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11741</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209322</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROSALINDA FIELD</PersonNm>
        <TitleTxt>VP, INFORMATICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>364002</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36772</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25756</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23519</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>450049</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE JOHNSTONE</PersonNm>
        <TitleTxt>VP, QUALITY &amp; PERF IMPROVEMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>228042</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23600</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7696</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>278300</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIGUEL PADILLA</PersonNm>
        <TitleTxt>RNFA</TitleTxt>
        <BaseCompensationFilingOrgAmt>263900</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2505</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22559</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>307926</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY STANPHILL</PersonNm>
        <TitleTxt>DEPUTY GC - HEALTH SYSTEM</TitleTxt>
        <BaseCompensationFilingOrgAmt>233929</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25041</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21151</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23518</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303639</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FREDERICK WESTERGARD</PersonNm>
        <TitleTxt>RNFA</TitleTxt>
        <BaseCompensationFilingOrgAmt>276661</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2505</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23008</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23518</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>325692</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES REED</PersonNm>
        <TitleTxt>DEPUTY GC - HOSPITAL OPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>247101</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24962</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20839</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>311864</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROY T YOUNG</PersonNm>
        <TitleTxt>DIRECTOR, RESIDENCY PROGRAM</TitleTxt>
        <BaseCompensationFilingOrgAmt>289398</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51165</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10648</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23515</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9025</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>383751</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>TERMS AND CONDITIONS OF SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN EMC HAS 457(B) AND 457(F) PLANS OFFERED TO PROVIDE AN OPPORTUNITY TO DEFER CURRENT SALARY AND/OR BONUS AS PART OF THE EXECUTIVE FLEXIBLE BENEFIT PLANS. EXECUTIVES MUST MAKE ELECTIONS PRIOR TO JULY 1ST, EACH YEAR. ELECTION MAY NOT REDUCE THE PARTICIPANT'S ANNUAL INCOME BELOW THE SOCIAL SECURITY WAGE BASE. DEFERRALS WILL BE CREATED MID-PLAN YEAR. PARTICIPANT ELECTS THE VESTING DATE FOR EACH YEAR'S DEFERRALS. THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM THE NON-QUALIFIED DEFERRED COMPENSATION 457(F) PLAN DURING THE YEAR: - G. AUBREY SERFLING $ 629,024 - MICHAEL APPELHANS $ 27,636 - JOSEPH SCHERGER $ 38,598 - DAWNELL BUELL $ 126,758</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CALIFORNIA MUNICIPAL FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>201563466</BondIssuerEIN>
        <CUSIPNum>13048T4Q3</CUSIPNum>
        <BondIssuedDt>2017-07-06</BondIssuedDt>
        <IssuePriceAmt>257536198</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CALIFORNIA MUNICIPAL FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>201563466</BondIssuerEIN>
        <CUSIPNum>13048T5H2</CUSIPNum>
        <BondIssuedDt>2017-06-29</BondIssuedDt>
        <IssuePriceAmt>111282121</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CALIFORNIA MUNICIPAL FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>201563466</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2016-06-09</BondIssuedDt>
        <IssuePriceAmt>19260000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>257536198</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2466240</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>255069959</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <CurrentRefundingInd>true</CurrentRefundingInd>
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        <BondDefeasedAmt>0</BondDefeasedAmt>
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        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
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        <IssuanceCostsFromProceedsAmt>1274130</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
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        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>19260000</TotalProceedsAmt>
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        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>322393</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>18937607</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
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        <AdvanceRefundingInd>false</AdvanceRefundingInd>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.01600</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01600</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>A - THE 2017A ISSUE CURRENTLY REFUNDS THE 2007A BONDS DATED 8/14/2007. B - THE 2017B ISSUE ADVANCE REFUNDS THE 2010A BONDS DATED 8/11/2010. C - THE 2016 ISSUE REFUNDED THE 1997 CP ISSUE ORIGINALLY DATED 2/19/1997 AND REISSUED ON 5/27/2004.</ExplanationTxt>
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        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>332789</TransactionAmt>
        <TransactionDesc>MEDICAL DIRECTOR STIPEND</TransactionDesc>
        <SharingOfRevenuesInd>true</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
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        <TransactionDesc>PHYSICIAN TRAINING/MENTORING</TransactionDesc>
        <SharingOfRevenuesInd>true</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SUBSTANTIAL CONTRIBUTOR</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>50000</TransactionAmt>
        <TransactionDesc>SPONSORSHIP</TransactionDesc>
        <SharingOfRevenuesInd>true</SharingOfRevenuesInd>
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    </IRS990ScheduleL>
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      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>4995</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>38</ContributionCnt>
        <NoncashContributionsRptF990Amt>2331924</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST/SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
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      <RealEstateResidentialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>550000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </RealEstateResidentialGrp>
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2247</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EVENT TICKETS</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>27056</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST/SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>14</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER REPORTED REPRESENTS THE NUMBER OF DONORS, NOT THE NUMBER OF ITEMS CONTRIBUTED.</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>Key Achievements (Fiscal Year 2018) In July 2017, Nurse.org, the webs leading career site for nurses, recognizes Eisenhower Medical Center as the best hospital for nurses to work for in the state of California. Over the previous two years, Nurse.org collected more than 1,853 reviews from nurses at 314 California hospitals about their workplace satisfaction. Reviews in California reveal that Eisenhower Medical Center has one of the highest levels of satisfaction among its nurses. On July 1, 2017, Eisenhower launches Epic, a state-of-the-art electronic health record system that integrates numerous systems across the organization. In August 2017, U.S. News and World Report releases its annual hospital rankings. Eisenhower Medical Center ranks #1 in the Inland Empire and #16 in California. Eisenhower Medical Center is rated High Performing in 10 types of care - the highest number of specialty recognitions earned by a hospital in the Inland Empire. Those high-performing specialties include: o Abdominal Aortic Aneurysm Repair o Aortic Valve Surgery o Chronic Obstructive Pulmonary Disease (COPD) o Colon Cancer Surgery o Heart Bypass Surgery o Heart Failure o Hip Replacement o Knee Replacement o Lung Cancer Surgery o Geriatric In October 2017, Beckers Hospital Review publishes its list of 100 hospitals with great cardiovascular programs including Eisenhower Medical Center - the only Coachella Valley hospital to make the list. In October 2017, Eisenhower is honored with an "A" rating - the top grade in patient safety - in the Hospital Safety Score administered by The Leapfrog Group. In November 2017, Eisenhower Medical Center is named one of the nations 50 Top Cardiovascular Hospitals by IBM Watson Health Truven Health Analytics for the second consecutive year. The study singles out 50 hospitals that achieved superior clinical outcomes in this critical area of hospital care. Eisenhower is the only hospital in Riverside and San Bernardino counties to earn this prestigious recognition for 2018. In December 2017, The Leapfrog Group - the nations leading quality and safety experts - selects Eisenhower Medical Center as one of the nations Top Hospitals for patient care. This coveted recognition is awarded to hospitals for demonstrating excellence in hospital safety and quality as measured through Leapfrogs annual Hospital Survey. Eisenhower Medical Center is recognized under the category of Teaching Hospital and the only hospital in Riverside County, to receive this prestigious distinction. In December 2017, Eisenhower Medical Center receives five stars from the Centers for Medicare &amp; Medicaid Services (CMS) in its Overall Hospital Quality Star Rating. Less than 10 percent of hospitals nationwide receive five stars. In January 2018, Eisenhower begins to market itself as Eisenhower Health, reflecting its status as a valley-wide health system. In January 2018, Eisenhower Health announces its affiliation with UC San Diego Health Cancer Network to offer additional access to clinical trials, genetic testing and more at Eisenhower Lucy Curci Cancer Center. In spring 2018, Eisenhower is recognized for the sixth consecutive year as a Leader in LGBT Healthcare Equality in the Healthcare Equality Index 2018 from the Human Rights Campaign Foundation. In April 2018, Eisenhower is recognized with an "A" rating the top grade in patient safety in the Hospital Safety Score administered by The Leapfrog Group. In 2018, Eisenhower is recognized as a Blue Distinction Center for Bariatric Surgery as part of the Blue Distinction Specialty Care program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES ARE MEMBERS OF EISENHOWER MEDICAL CENTER. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS TRUSTEES HAVE THE RIGHT TO ELECT THE GOVERNING BOARD MEMBERS OF THE EISENHOWER MEDICAL CENTER BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS MEMBERS HAVE THE RIGHT TO VOTE ON THE FOLLOWING MAJOR DECISIONS: ANY MATERIAL CHANGE IN THE MISSION OF EMC; THE MERGER OF EMC WITH ANY OTHER BUSINESS ENTITY; THE DISSOLUTION OF EMC; THE SALE OF ALL OR SUBSTANTIALLY ALL OF EMC'S ASSETS; AND ANY MATTER ON WHICH A MEMBER OF CALIFORNIA NON-PROFIT CORPORATION IS REQUIRED TO BE PERMITTED TO VOTE ON UNDER APPLICABLE LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND SUBSEQUENTLY REVIEWED BY MANAGEMENT. AFTER MANAGEMENT'S REVIEW, THE FORM 990 IS PRESENTED TO THE BOARD AFTER FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY, RELATED PARTIES INCLUDING: OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE SURVEYED FOR TRANSACTIONS THAT COULD GIVE RISE TO CONFLICTS. WRITTEN QUESTIONNAIRES OR INFORMATION SHOULD BE DOCUMENTED REGARDING SPECIFIC TRANSACTIONS. ALL NEW CONTRACTS ARE REVIEWED BY EXECUTIVE MANAGEMENT FOR CONFLICT CONSIDERATIONS. GENERAL COUNSEL REVIEWS ALL STATEMENTS SUBMITTED BY BOARD MEMBERS WHO INDICATE A POTENTIAL CONFLICT. GENERAL COUNSEL ADVISES THE CEO AND CHAIRMAN OF THE BOARD OF ANY MATERIAL CONFLICTS SO THAT THE INDIVIDUAL CAN BE RECUSED FROM ANY DISCUSSION OR DELIBERATION PERTAINING TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION EISENHOWER MEDICAL CENTER ENGAGES AN INDEPENDENT CONSULTING FIRM TO PROVIDE THE BOARD'S COMPENSATION COMMITTEE BENCHMARKED SURVEY DATA FOR THE EXECUTIVE LEADERSHIP TEAM IN THE ORGANIZATION. THE CONSULTANT PROVIDES A FULL ANALYSIS OF SALARIES, INCENTIVE PLANS AND BENEFITS ON A BIANNUAL BASIS, AS COMPARED TO PEER GROUPS OF OTHER NON-FOR-PROFIT HEALTH CARE ORGANIZATIONS. THE LAST FULL ANALYSIS WAS COMPLETED AND PRESENTED TO THE COMPENSATION COMMITTEE IN FEBRUARY 2017. ON OFF YEARS, A REVIEW AND FAIRNESS LETTER IS CONDUCTED, INSTEAD OF A FULL ANALYSIS. THIS REVIEW WAS COMPLETED IN NOVEMBER 2017. BOTH OF THESE PROCESSES WERE CONTEMPORANEOUSLY SUBSTANTIATED IN THE MEETING MINUTES OF THE COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC EISENHOWER MEDICAL CENTER RELEASES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATMENTS TO THE GENERAL PUBLIC UPON REQUEST. THAT REQUEST MAY BE EITHER VERBAL OR WRITTEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES 12,714,039 CHANGE IN NPV OF PLEDGES (2,532,785) CHANGE IN VALUE OF CRT'S 611,037 -------------- TOTAL 10,792,291</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:3517679</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIAN FEES TOTAL FEES:15442743</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:6803884</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL SRVC AGREEMENTS TOTAL FEES:87990219</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:26782102</ExplanationTxt>
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          <BusinessNameLine1Txt>BSCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EISENHOWER IMAGING CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>39000 BOB HOPE DRIVE</AddressLine1Txt>
          <CityNm>RANCHO MIRAGE</CityNm>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>EMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>1569118</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2197012</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
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        <RelatedOrganizationName>
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        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>35800 BOB HOPE DRIVE SUITE 100</AddressLine1Txt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        </USAddress>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.55000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE REMAINDER TRUSTS (18)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>39000 BOB HOPE DRIVE</AddressLine1Txt>
          <CityNm>RANCHO MIRAGE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        </USAddress>
        <EIN>999999999</EIN>
        <PrimaryActivitiesTxt>HOSPITAL SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ANNENBERG CENTER FOR HEALTH SCIENCES</BusinessNameLine1Txt>
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        <TransactionTypeTxt>s</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
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        <OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>ACCRUAL METHOD</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>ACCRUAL METHOD</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>ACCRUAL METHOD</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>EISENHOWER IMAGING CENTER EIN: 68-0554124 ADDRESS: 39000 BOB HOPE DRIVE, RANCHO MIRAGE, CA 92270 RANCHO MIRAGE SURGERY CENTER EIN: 26-2136928 ADDRESS: 35800 BOB HOPE DRIVE, SUITE 100, CA 92270</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>