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      <OtherRevenueMisc>
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        <Description>ALL OTHER EXPENSES</Description>
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        <Explanation>HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP) PAYS DUES TO THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. A PORTION OF THE DUES PAID BY HMHP ARE SPENT ON LOBBYING EFFORTS BY THE HOSPITAL ASSOCIATION. IN FY 2011, $55,147 WAS SPENT ON LOBBYING.</Explanation>
      </Form990ScheduleCPartIV>
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        <MethodOfValuation>F</MethodOfValuation>
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        <Description>FIXED INC COMMINGLED FUNDS</Description>
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        <Description>HEDGE FUNDS</Description>
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      <OtherSecurities>
        <Description>PRIVATE EQUITY</Description>
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      <OtherSecurities>
        <Description>REAL ASSETS</Description>
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        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>322454839</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>MEDI-CAL COST REPORTS</Description>
        <Amount>547039</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LEASE INCENTIVE OBLIGATION-IRVINE</Description>
        <Amount>12350812</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CASH FLOW HEDGE</Description>
        <Amount>54054661</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ARO LIABILITY</Description>
        <Amount>1956763</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED INCOME GUARANTEES</Description>
        <Amount>405156</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED MALPRACTICE LIABILITY</Description>
        <Amount>29979653</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED CAPITATION LIABILITY</Description>
        <Amount>19475848</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>118769932</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>ASC 740 FOOTNOTE (FKA FIN 48)</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>THE FOLLOWING IS THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN: ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT SEPTEMBER 30, 2011 OR 2010.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <GrantRecordsMaintained>false</GrantRecordsMaintained>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>91811000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>East Asia and the Pacific</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>842000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>15087000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>North America</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>2780000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Middle East and North Africa</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>12</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>SEE SCH F, PART V</SpecificServicesProvided>
        <TotalExpenditures>57877</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>12</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>12</TotalNumberOfEmployees>
      <SubtotalAmountSpent>110577877</SubtotalAmountSpent>
      <TotalAmountSpent>110577877</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>true</PassiveForeignInvestCo>
      <ForeignPartnership>true</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>DESCRIPTION OF PROGRAM SERVICES</Identifier>
        <ReturnReference>SCHEDULE F, PART I, LINE 3, COLUMN E</ReturnReference>
        <Explanation>THE ORGANIZATION'S ACTIVITIES IN THE REGION CONSISTED OF ASSISTING KENYAN PARISH NURSES WITH TRAINING FOR WORKING IN LOCAL CHURCHES AND PROVIDING MEDICAL EQUIPMENT AND SUPPLIES.</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>ACCOUNTING METHOD</Identifier>
        <ReturnReference>SCHEDULE F, PART I, LINE 3, COLUMN F</ReturnReference>
        <Explanation>THE AMOUNTS REPORTED IN PART I, LINE 3, COLUMN F REPRESENT THE MARKET VALUES OF THE INVESTMENTS IN THE IDENTIFIED REGIONS AS OF THE ORGANIZATION'S FISCAL YEAR ENDED SEPTEMBER 30, 2011. THE PROGRAM SERVICE EXPENSE WAS DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>7158458</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7158458</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00820</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>51702226</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>35029714</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>16672512</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01920</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>16517000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4645000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11872000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01370</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>75377684</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>39674714</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>35702970</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04110</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>6812146</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6812146</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00780</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>410393</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>410393</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2113617</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2113617</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00240</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>1067661</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3081</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1064580</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>3268115</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3268115</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00380</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>13671932</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3081</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13668851</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01570</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>89049616</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>39677795</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>49371821</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05680</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>67014</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>67014</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CommunitySupport>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>96019</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>96019</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>19940</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>19940</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>182973</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>182973</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>10718982</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>129526594</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>211874391</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-82347797</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>HOAG ORTHOPEDIC INST</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>SPECIALTY HOSPITAL</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.49000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>3</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>HOAG MEMORIAL HOSPITAL PRESBYTERIAN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>ONE HOAG DRIVE P O BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>926586100</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>HOAG MEMORIAL HOSP PRESB - IRVINE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1200 SAND CANYON</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92614</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>HOAG ORTHOPEDIC INSTITUTE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1250 SAND CANYON</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92614</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HOAG MEMORIAL HOSPITAL PRESBYTERIAN</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HOAG MEMORIAL HOSP PRESB - IRVINE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HOAG ORTHOPEDIC INSTITUTE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>9</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOAG OP IMAGING CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>510 SUPERIOR AVENUE</AddressLine1>
            <City>NEWPORT BEACH</City>
            <State>CA</State>
            <ZIPCode>92663</ZIPCode>
          </Address>
          <FacilityType>IMAGING CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOAG HEALTH CENTER - HUNTINGTON BEACH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>19582 BEACH BOULEVARD</AddressLine1>
            <City>HUNTINGTON BEACH</City>
            <State>CA</State>
            <ZIPCode>92648</ZIPCode>
          </Address>
          <FacilityType>HEALTH CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOAG NEWPORT SURGICARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1441 AVOCADO SUITE 100</AddressLine1>
            <City>NEWPORT BEACH</City>
            <State>CA</State>
            <ZIPCode>92663</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SURGERY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOAG DIABETESPTREHAB CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>520 SUPERIOR AVENUE</AddressLine1>
            <City>NEWPORT BEACH</City>
            <State>CA</State>
            <ZIPCode>92663</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DIABETES EDUCATION CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>IRVINE IMAGING CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4870 BARRANCA PARKWAY</AddressLine1>
            <City>IRVINE</City>
            <State>CA</State>
            <ZIPCode>92614</ZIPCode>
          </Address>
          <FacilityType>IMAGING CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOAG HEALTH CENTER - ALISO VIEJO</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>26671 ALISO CREEK ROAD</AddressLine1>
            <City>ALISO VIEJO</City>
            <State>CA</State>
            <ZIPCode>92656</ZIPCode>
          </Address>
          <FacilityType>HEALTH CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NEWPORT IMAGING CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>471 OLD NEWPORT BLVD 302</AddressLine1>
            <City>NEWPORT BEACH</City>
            <State>CA</State>
            <ZIPCode>92663</ZIPCode>
          </Address>
          <FacilityType>IMAGING CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HEALTH CARE CENTER - COSTA MESA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1190 BAKER</AddressLine1>
            <City>COSTA MESA</City>
            <State>CA</State>
            <ZIPCode>92626</ZIPCode>
          </Address>
          <FacilityType>HEALTH CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HIC WOODBURY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6352 IRVINE BOULEVARD</AddressLine1>
            <City>IRVINE</City>
            <State>CA</State>
            <ZIPCode>92614</ZIPCode>
          </Address>
          <FacilityType>HEALTH CENTER</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>REQUIRED DESCRIPTIONS</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 1</ReturnReference>
        <Explanation>THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS: PART I, LINE 7 COST ACCOUNTING SYSTEM WAS USED TO DERIVE THE COST-TO-CHARGE RATIO. OUR TOTAL COSTS (DIRECT AND INDIRECT) AND TOTAL CHARGES WERE $682,858,000 AND $1,934,796,000, RESPECTIVELY. THIS RESULTED IN A COST-TO-CHARGE RATIO OF APPROXIMATELY 35.29% WHICH WAS USED TO CALCULATE CHARITY CARE AT COST (GROSS PATIENT CHARGES WRITTEN OFF ON THE P&amp;L TIMES COST-TO-CHARGE RATIO). THE COST ACCOUNTING SYSTEM ADDRESSES INPATIENT, OUTPATIENT AND VARIOUS PAYOR TYPES. FOR THE SECTIONS OF LINE 7 AS APPLICABLE, WORKSHEET 2 WAS NOT USED WHILE THE COST TO CHARGE RATIO WAS USED. PART II - COMMUNITY BUILDING ACTIVITIES THE PRIMARY PURPOSE OF HOAG'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE LOCAL HEALTH IN ORANGE COUNTY THROUGH A COLLABORATIVE PROCESS WITH OTHER NON PROFIT ORGANIZATIONS AND HEALTH CARE DELIVERY SYSTEMS IN PROVIDING FUNDING OPPORTUNITIES FOR HEALTH RELATED COMMUNITY INITIATIVES. HOAG ALSO SUPPORTS WITH COMMUNITY DISASTER PREPAREDNESS PLANNING ($65K) AND THE OC CONGREGATION COMMUNITY ORGANIZATIONS ($2.5K). HOAG WORKS WITH VARIOUS OC COMMUNITY CLINICS, THE HEALTH FUNDERS PARTNERSHIP OF OC, AND THE OC HEALTH NEEDS ASSESSMENT GROUP TO FURTHER COMMUNITY BUILDING ACTIVITIES ($96K), AS WELL AS $19K FOR PROJECT SEARCH (A WORKFORCE DEVELOPMENT PROGRAM). PART III, LINE 4 ACCOUNTS RECEIVABLE DISCLOSURE PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HOAG MEMORIAL HOSPITAL PRESBYTERIAN: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM THE FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDI-CAL PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYERS. THE FOLLOWING TABLE SUMMARIZES THE PERCENTAGE OF NET ACCOUNTS RECEIVABLE FROM ALL PAYERS AT SEPTEMBER 30, 2011: GOVERNMENT: 13% CONTRACTED: 55% OTHER: 32% TOTAL: 100% THE ORGANIZATION'S MANAGEMENT BELIEVES THERE IS NO MATERIAL CREDIT RISK ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED PAYERS AND OTHERS ARE FROM VARIOUS PAYERS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE PROVISION FOR CONTRACTUAL DISCOUNTS AND DOUBTFUL ACCOUNTS ASSOCIATED WITH RECEIVABLES BASED ON HISTORICAL EXPERIENCE. ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS REPORTED ON LINE 2 WAS DERIVED FROM BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TIMES THE RATIO OF PATIENT CARE COST TO CHARGES (33.7%). DISCOUNTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. PAYMENTS ON PATIENT ACCOUNTS THAT WERE WRITTEN OFF ARE RECORDED AS AN ADJUSTMENT TO BAD DEBT EXPENSE. PART III, LINE 8 COSTING METHODOLOGY - MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. THE ORGANIZATION DOES NOT TREAT THE SHORTFALL FROM MEDICARE AS A COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>THE ORANGE COUNTY HEALTH NEEDS ASSESSMENT (OCHNA) IS A COMMUNITY-BASED, NOT-FOR-PROFIT COLLABORATIVE THAT WAS CREATED AND DESIGNED TO MEET THE REQUIREMENTS OF SB 697 FOR ALL NOT-FOR-PROFIT HOSPITALS IN ORANGE COUNTY. OCHNA IS THE PRIMARY SOURCE FOR HEALTH DATA NEEDS, PROVIDING THE LARGEST HEALTH ASSESSMENT OF ITS KIND AT THE COUNTY LEVEL IN THE STATE. THE COLLABORATIVE IS JOINTLY FUNDED BY THE HEALTH CARE AGENCY OF ORANGE COUNTY, THE CHILDREN AND FAMILIES COMMISSION, CALOPTIMA, AND NINE ORANGE COUNTY NOT-FOR-PROFIT HOSPITALS, INCLUDING HOAG MEMORIAL HOSPITAL PRESBYTERIAN. A NEEDS ASSESSMENT PLAN WAS DEVELOPED THAT INCORPORATED A MIX MODE APPROACH TO DATA COLLECTION THAT INCLUDED A TREND ANALYSIS OF FOUR PREVIOUS OCHNA HEALTH NEEDS SURVEYS (1998, 2001, 2004, AND 2007), AS WELL AS ADDITIONAL PRIMARY DATA FROM THE CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY AND THE CALIFORNIA HEALTH INFORMATION SURVEY. POPULATION ESTIMATES FOR OCHNA 1998 AND 2001 WERE UPDATED WITH THE LATEST ESTIMATES FROM THE STATE OF CALIFORNIA DEPARTMENT OF FINANCE, SO THE ESTIMATES PROVIDED FOR THE COUNTY WILL DIFFER FROM COUNTY ESTIMATES PROVIDED IN PREVIOUS REPORTS RELEASED BY OCHNA. IN ADDITION, OCHNA INCORPORATED OBJECTIVE/SECONDARY DATA SOURCES, DEMOGRAPHICS/CENSUS DATA, AND A KEY INFORMANT SURVEY THAT OCHNA ADMINISTERED ONLINE, TO BE USED AS THE SOURCE OF QUALITATIVE DATA. OBJECTIVE/SECONDARY DATA CAME FROM NUMEROUS SOURCES (ALL CITED WITHIN THE REPORT), INCLUDING DEPT. OF FINANCE, 2009 CENSUS ESTIMATES BY NIELSEN CLARITAS, ORANGE COUNTY HEALTH CARE AGENCY, AND HEALTHY PEOPLE 2020 (USED AS BENCHMARKS). QUALITATIVE DATA WAS OBTAINED THROUGH A KEY INFORMANT SURVEY OF COMMUNITY BASED ORGANIZATIONS, FOUNDATIONS, HEALTH ADVOCATES, COMMUNITY CLINICS, LOCAL POLITICAL/POLICY LEADERS, PUBLIC HEALTH ORGANIZATIONS, AND OTHER HOSPITALS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>IN ADDITION TO THE VISUAL NOTICES OF ASSISTANCE AVAILABLE, SELF PAY PATIENTS MEET WITH THE FINANCIAL COUNSELOR TO EVALUATE THEIR STATUS. FOR ALL OTHER PATIENTS, THEY WOULD BE EDUCATED AT TIME OF NEED OR UPON PATIENT'S INQUIRY ABOUT THEIR BALANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>HOAG NEWPORT BEACH ENCOMPASSES 9 CITIES IN ORANGE COUNTY, CALIFORNIA: COSTA MESA, FOUNTAIN VALLEY, GARDEN GROVE, HUNTINGTON BEACH, IRVINE, LAGUNA BEACH, NEWPORT BEACH, SANTA ANA, AND WESTMINSTER. CENSUS DATA SHOWS THAT THE SERVICE AREA IS RACIALLY AND ETHNICALLY DIVERSE WITH A LARGE PROPORTION OF VIETNAMESE, OTHER ASIAN OR PACIFIC ISLANDER, AND HISPANIC/LATINO INDIVIDUALS. ACCORDING TO THE 2009 US CENSUS, THE POPULATION OF ORANGE COUNTY WAS ESTIMATED AT 3,068,575 OF WHICH 41.6% (1,276,426) RESIDE IN THE HOAG SERVICE AREA. THERE WERE A TOTAL OF 397,841 HOUSEHOLDS IN THE SERVICE AREA, WITH AN AVERAGE HOUSEHOLD SIZE OF 3.15 IN 2009, SLIGHTLY GREATER THAN THE ORANGE COUNTY AVERAGE OF 3.05. THE AGE DISTRIBUTION SHOWS THAT ALMOST ONE QUARTER (323,486) OF THE SERVICE AREA POPULATION WAS IN THE 45 TO 64 AGE GROUP AND 24.8% (316,877) OF THE HOAG SERVICE AREA POPULATION WAS UNDER THE AGE OF 18. LOOKING AT THE RACE AND ETHNICITY DISTRIBUTION, 36.2% OF THE POPULATION IN THE SERVICE AREA WAS HISPANIC/LATINO. THERE IS ALSO MORE DIVERSITY WITH RESPECT TO LANGUAGES SPOKEN AT HOME IN THE HOAG SERVICE AREA COMPARED TO ALL OF ORANGE COUNTY, APPROXIMATELY 30% OF RESIDENTS SPOKE SPANISH AT HOME AND 15.4% OF THE RESIDENTS SPOKE AN ASIAN OR PACIFIC ISLAND LANGUAGE. IN REGARDS TO EDUCATIONAL ATTAINMENT, 25.2% (208,209) OF RESIDENTS 25+ IN THE HOAG SERVICE AREA HAD LESS THAN A HIGH SCHOOL DIPLOMA, MORE THAN THE PROPORTION COUNTYWIDE (20.3%) IN 2009. THE COUNTYWIDE UNEMPLOYMENT RATE FOR SEPTEMBER 2010 WAS 9.6%, ACCORDING TO THE STATE OF CALIFORNIA, EMPLOYMENT DEVELOPMENT DEPARTMENT; THIS IS IN MARKED CONTRAST TO THE AVERAGE UNEMPLOYMENT RATE OF 3.9% IN 2007. IT IS CLEAR THAT THE ECONOMIC RECESSION HAS HAD A TOLL ON MANY HOAG HOSPITAL SERVICE AREA RESIDENTS. FOR SEPTEMBER 2010, THE UNEMPLOYMENT RATES FOR HOAG SERVICE AREA CITIES RANGED FROM 6.0% TO 15.0%. THE SENIOR POPULATION OF THE HOAG SERVICE AREA MAKES UP 10.4% (132,859) OF THE TOTAL POPULATION. HOAG IRVINE IS LOCATED WITHIN SOUTH AND CENTRAL ORANGE COUNTY, ENCOMPASSING AN AREA OF 65 MILES. IRVINE IS THE THIRD MOST POPULOUS CITY IN ORANGE COUNTY AND ONE OF THE NATION'S LARGEST PLANNED COMMUNITIES. FROM 2000 TO 2010, THE POPULATION IN IRVINE GREW AT A MUCH HIGHER PERCENTAGE THAN THE COUNTY (8.6% GROWTH), STATE (11.8%), AND NATION (9.8%). THE PROJECTED POPULATION OF IRVINE IN 2015 IS 247,278. WHITES COMPRISED 59.1% (62,843) OF IRVINE'S ADULT POPULATION WHILE ASIANS COMPRISED 29.4% (31,224) AND IRANIAN/PERSIANS COMPRISED 3.9% (4,096) OF IRVINE'S ADULT POPULATION. IN 2010 THE MEDIAN AGE IN THE CITY OF IRVINE WAS 36.5 YEARS; THE MEDIAN AGE IN ALL OF ORANGE COUNTY WAS 36.3 YEARS. IT IS ESTIMATED THAT 21.9% (15,465) OF ADULTS IN IRVINE HAD ANNUAL HOUSEHOLD INCOME OF $50,000 OR LESS WHILE 17.4% (1,328) OF CHINESE ADULTS AND 19.7% (8,969) OF WHITE ADULTS HAD ANNUAL HOUSEHOLD INCOMES OF $50,000 OR LESS. KOREANS AND IRANIANS HAD HIGHER PERCENTAGES OF LOWER ANNUAL HOUSEHOLD INCOME LEVELS, 25.2% (772) OF KOREAN ADULTS AND 23.9% (549) OF IRANIAN ADULTS HAD ANNUAL HOUSEHOLD INCOMES OF $25,000 OR LESS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>- HOAG HOSPITAL'S COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESSES THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOW THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. - HOAG HOSPITAL WAS PART OF A COLLABORATIVE INITIATIVE TO HIRE A FULL-TIME SCHOOL-BASED COUNTY MEDICAL OFFICER THROUGH THE DEPARTMENT OF EDUCATION TO SERVE THE PUBLIC SCHOOL SYSTEM IN ORANGE COUNTY. HOAG PROVIDES THE MAJORITY FUNDING FOR THIS POSITION. - HOAG HOSPITAL HAS A RELATIONSHIP WITH LOCAL COLLEGES AND UNIVERSITIES TO INVEST IN THE EDUCATION OF VARIOUS HEALTH PROFESSIONS ESPECIALLY WITH THE GROWING NEED OF BILINGUAL AND BICULTURAL HEALTH PROFESSIONALS IN ORANGE COUNTY. - HOAG HOSPITAL AND SHARE OUR SELVES (SOS) FREE CLINIC HAVE NURTURED A UNIQUE PARTNERSHIP SINCE 1984 TO PROVIDE HEALTH CARE TO THE LOW INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS RESIDING IN THE COMMUNITY. THE SOS AND HOAG COLLABORATION INCLUDES MORE THAN 150 VOLUNTEER HEALTHCARE SPECIALISTS AVAILABLE TO PROVIDE CARE TO SOS PATIENTS. HOAG SUPPORTS THE CLINIC BY PROVIDING DIAGNOSTIC TESTS, PROCEDURES, HOSPITALIZATIONS AND ER VISITS FOR SOS PATIENTS FREE OF CHARGE. HOAG ALSO EMPLOYS THE MEDICAL AND ASSOCIATE MEDICAL DIRECTORS WHO ARE STATIONED FULL TIME AT THE SOS CLINIC. THIS REFERRAL SYSTEM AND CLINICAL SUPPORT GIVES SOS THE ABILITY TO MAKE LIFE-SAVING CARE AVAILABLE TO PATIENTS AND ENSURES CONTINUITY OF CARE, SEAMLESS DISCHARGE PLANNING, AND PATIENT TRACKING. - IN 2010, SOS AND HOAG PARTNERED WITH EL SOL SCIENCE AND ARTS ACADEMY IN SANTA ANA TO ESTABLISH THE SOS-EL SOL WELLNESS CENTER, A SCHOOL-BASED HEALTH CENTER. THE SOS-EL SOL WELLNESS CENTER OFFERS AN OPPORTUNITY TO EXTEND HEALTH AND WELLNESS CARE TO LOW INCOME FAMILIES AND INDIVIDUALS IN THE COUNTY. THE WELLNESS CENTER PROVIDES URGENT CARE TO THE EL SOL ACADEMY STUDENTS AND THEIR FAMILIES. OPENING SCHOOL DOORS TO HEALTH AND WELLNESS CARE FOR THE ENTIRE FAMILY PROMOTES CHILDREN'S EDUCATIONAL ATTAINMENT AND LIFELONG WELL-BEING. - HOAG HOSPITAL ALSO MAINTAINS A UNIQUE RELATIONSHIP WITH THE ALZHEIMER'S FAMILY RESOURCE CENTER (AFSC) WHICH IS COMMITTED TO THE MISSION OF IMPROVING THE QUALITY OF LIFE FOR FAMILIES CHALLENGED BY ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA THROUGH SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. HOAG HOSPITAL PROVIDES ANNUAL OPERATING AND TRANSPORTATION GRANTS, AND IN-KIND SERVICES SUCH AS CONSULTATION IN NURSING AND COMPLIANCE-RELATED ISSUES TO THE CENTER. HOAG ALSO EMPLOYS THE EXECUTIVE DIRECTOR AND ONE DEMENTIA EDUCATION SPECIALIST, BOTH OUT-STATIONED FULL TIME AT AFSC. - HOAG'S HEALTH MINISTRIES PROGRAM PROVIDED NEARLY 10,000 DOSES OF PREVENTIVE FLU VACCINE (IN-KIND) TO COMMUNITY PARTNER CHURCHES, CITY OF IRVINE, IRVINE UNIFIED SCHOOL DISTRICT, SEVERAL SENIOR CENTERS, AND SHARE OURSELVES AND OTHER COMMUNITY CLINICS. - Hoag Hospital extends medical staff privileges to all qualified physicians in its community though a credentialing process. Membership and privileges are granted to qualified MDs, DOs, and other Allied Health professionals by the Medical Staff and Hoag Hospital Board of Directors. - As a not-for-profit institution, governance is provided by a volunteer Board of Directors comprised of seventeen voting members who serve overlapping three-year terms. Board membership consists of fourteen individuals elected from the community at large, and an additional three voting members who are elected from the active medical staff. A majority of the organizations governing body is comprised of persons who reside in the organizations primary service area and are neither employees nor contractors of the organization, nor family members. - The Board of Directors allocate a significant portion of the net operating income to promoting the health of the community, specifically serving the needs of the uninsured and low income communities through charity care and a variety of free or low cost services and programs provided by the department of Community Health. - Hoag provides uncompensated care (charity) to patients who are unable to pay for the full cost of their care. These expenditures amounted to over $35 million in Fiscal Year 2011 (October 1, 2010 through September 30, 2011.) Hoags charity care and self pay discount policy states that self-pay and uninsured patients who are unable to pay for the full cost of their care may qualify for charity or discounts on a sliding scale for incomes up to 400% of the federal poverty level. In FY2011 the hospital served 9,851 Charity Care cases. - Hoags Mental Health and Psychotherapy Program provides free bilingual bicultural services to people who otherwise could not obtain mental health services. The Masters prepared social workers provided mental health services to 712 clients in the form of psychotherapy, resource brokering, and/or case management. In addition, the program offered psychotherapeutic and psychoeducational groups to 890 participants. - During FY2011, those expenditures amounted to over $400,000. - In an effort to increase the community pool of available trained and educated health professionals, Hoag invests annually in health professional training and development. The hospital currently works with a number of professional groups in this endeavor, including Nurses, Physical Therapists, Pharmacists, Laboratory professionals, Social Workers, and Clinical Care Extenders. During FY2011, these Community Benefit expenditures amounted to $1.1 million. - Hoag Hospital participates in primary clinical research in several clinical services: the Hoag Cancer Institute, the Neuroscience Institute, the Heart and Vascular Institute, and Womens Health Services. Most of these studies are to evaluate the effectiveness of pharmaceuticals, biological agents and medical devices. In addition to these physician led investigations, several nursing studies are also ongoing. Most of these studies receive financial support from external funders, including the Hoag Hospital Foundation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 6</ReturnReference>
        <Explanation>NOT APPLICABLE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>990 SCHEDULE H, PART VI</ReturnReference>
        <Explanation>CA,</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ACADEMY OF INTERNATIONAL DANCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>220 E FOURTH ST SUITE 202</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>262657759</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>EXPANSION OF AFTER SCHOOL ACTIVIITIES, LITERACY, TUTORING</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AGE WELL SENIOR SERVICES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>24300 EL TORO ROAD BLDG A 2000</AddressLine1>
          <City>LAGUNA WOODS</City>
          <State>CA</State>
          <ZIPCode>92637</ZIPCode>
        </AddressUS>
        <EINOfRecipient>931163563</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>130000</AmountOfCashGrant>
        <PurposeOfGrant>SENIOR TRANSPORTATION, OPERATIONS OF PROGRAMS</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>ALZHEIMER'S ASSOCIATION OF ORANGE COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>17771 COWAN 200</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92614</ZIPCode>
        </AddressUS>
        <EINOfRecipient>953702013</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>PROGRAM SUPPORT</PurposeOfGrant>
      </RecipientTable>
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        <RecipientNameBusiness>
          <BusinessNameLine1>ALZHEIMER'S FAMILY SERVICES CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>9451 INDIANAPOLIS AVE</AddressLine1>
          <City>HUNTINGTON BEACH</City>
          <State>CA</State>
          <ZIPCode>92646</ZIPCode>
        </AddressUS>
        <EINOfRecipient>953463978</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>1168816</AmountOfCashGrant>
        <PurposeOfGrant>OPERATIONS, MATCHING GRTS, MISC GRANTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN DIABETES ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>151 KALMUS DRC100</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92626</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131623888</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>EDUCATIONAL CONFERENCES, SPONSOR DIABETES WALK</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN HEART ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4600 CAMPUS DR PO BX 6046</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92614</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>32500</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT ORANGE COUNTY COMMUNITY PROGRAMS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN LUNG ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1570 E 17TH ST F</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92705</ZIPCode>
        </AddressUS>
        <EINOfRecipient>950362650</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>SCAMP CAMP, SPONSOR OC RESPIRATORY RALLY</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ARTHRITIS FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>171455 NEWHOPE STA</AddressLine1>
          <City>FOUNTAIN VALLEY</City>
          <State>CA</State>
          <ZIPCode>92708</ZIPCode>
        </AddressUS>
        <EINOfRecipient>951885447</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSOR: ARTHRITIS WALK</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CASA TERESA INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>123 WEST MAPLE AVE</AddressLine1>
          <City>ORANGE</City>
          <State>CA</State>
          <ZIPCode>92866</ZIPCode>
        </AddressUS>
        <EINOfRecipient>953251986</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>EXPANSION OF EDUCATION AND CAREER DEVELOPMENT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHILDRENS HOSPITAL ORANGE COUNTY FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>455 S MAIN ST</AddressLine1>
          <City>ORANGE</City>
          <State>CA</State>
          <ZIPCode>92868</ZIPCode>
        </AddressUS>
        <EINOfRecipient>956097416</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>653446</AmountOfCashGrant>
        <PurposeOfGrant>IUSD/CHOC PROGRAM, PLEDGE CVICU/NICU, DIABETES GRANT AT ALLEN CENTER</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF HUNTINGTON BEACH COUNCIL ON AGING</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1706 ORANGE AVE</AddressLine1>
          <City>HUNTINGTON BEACH</City>
          <State>CA</State>
          <ZIPCode>92648</ZIPCode>
        </AddressUS>
        <EINOfRecipient>510179431</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>105000</AmountOfCashGrant>
        <PurposeOfGrant>SENIOR TRANSPORTATION/CARE MANAGERS (2) HOME VISITATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF NEWPORT BEACH</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 1768</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92658</ZIPCode>
        </AddressUS>
        <EINOfRecipient>956000751</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>1679000</AmountOfCashGrant>
        <PurposeOfGrant>OASIS SENIOR CENTER PLEDGE, CDM 5K, POLICE EXPLORERS, TRANSPORTATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COMMUNITY PARTNERS FBO EPILEPSY ALLIANCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1500 ADAMS AVE 314</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92626</ZIPCode>
        </AddressUS>
        <EINOfRecipient>954302067</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>PROGRAM DEVELOPMENT AND EXPANSION - EPILEPSY ALLIANCE OF ORANGE CTY</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COUNCIL ON AGING OC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1971 EAST 4TH ST SUITE 200</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92705</ZIPCode>
        </AddressUS>
        <EINOfRecipient>952874089</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP: JUST IMAGIN LUNCHEON</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COSTA MESA SENIOR CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>695 WEST 19TH ST</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92627</ZIPCode>
        </AddressUS>
        <EINOfRecipient>338265009</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>103350</AmountOfCashGrant>
        <PurposeOfGrant>SENIOR TRANSPORTATION AND PROGRAM DEVELOPMENT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EAST AFRICA PARTNERSHIP</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>21581 MIDCREST DR</AddressLine1>
          <City>LAKE FOREST</City>
          <State>CA</State>
          <ZIPCode>92630</ZIPCode>
        </AddressUS>
        <EINOfRecipient>270570704</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>30708</AmountOfCashGrant>
        <PurposeOfGrant>SURGICAL TEAM - MISSION TO KENYA,AFRICA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EL SOL CLINIC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1010 NORTH BORADWAY ST</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330960964</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>35426</AmountOfCashGrant>
        <PurposeOfGrant>SOS FREE CLINIC/EL SOL CLINIC START UP COSTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EMS SAFETY SERVICES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1046 CALLE RECODO STE K</AddressLine1>
          <City>SAN CLEMENTE</City>
          <State>CA</State>
          <ZIPCode>92673</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330604523</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10706</AmountOfCashGrant>
        <PurposeOfGrant>AED PROVIDED TO CHURCHES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EPILEPSY SUPPORT NETWORK</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>9114 ADAMS AVE 288</AddressLine1>
          <City>HUNTINGTON BEACH</City>
          <State>CA</State>
          <ZIPCode>92646</ZIPCode>
        </AddressUS>
        <EINOfRecipient>270681680</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>EXPANSION OF PROGRAMS FOR SUUPORT GROUPS AND COMMUNITY EDUCATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FAMILIES FORWARD</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>9221 IRVINE BLVD</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92618</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330086043</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>16190</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY CARES PROGRAMS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GIRLS INCORPORATED OF ORANGE COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1815 ANAHEIM AVE</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92627</ZIPCode>
        </AddressUS>
        <EINOfRecipient>951810150</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY PROGRAMS - FIT GIRLS AND FAMILIES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GOLDEN WEST COLLEGE FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 2748</AddressLine1>
          <City>HUNTINGTON BEACH</City>
          <State>CA</State>
          <ZIPCode>92647</ZIPCode>
        </AddressUS>
        <EINOfRecipient>956002272</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>180000</AmountOfCashGrant>
        <PurposeOfGrant>EDUCATIONAL ENDEAVOR FOR REGISTERED NURSES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GOODWILL OF ORANGE COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>410 NORTH FAIRVIEW</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92703</ZIPCode>
        </AddressUS>
        <EINOfRecipient>951644018</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>60000</AmountOfCashGrant>
        <PurposeOfGrant>ASSISTIVE TECHNOLOGY INSTITUTE PROVIDING DISABLED PEOPLE INNOVATIVE PRGMS</PurposeOfGrant>
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          <BusinessNameLine1>HEALTH CARE COUNCIL OF ORANGE COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2333 NORTH BROADWAY 440</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92706</ZIPCode>
        </AddressUS>
        <EINOfRecipient>931199923</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <PurposeOfGrant>PROMOTING IMPROVED HEALTHCARE THROUGH RESEARCH, EDUCATION &amp; ADVOCACY</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>HEALTHY SMILES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>10602 CHAPMAN AVE 200</AddressLine1>
          <City>GARDEN GROVE</City>
          <State>CA</State>
          <ZIPCode>92840</ZIPCode>
        </AddressUS>
        <EINOfRecipient>383675065</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>76080</AmountOfCashGrant>
        <PurposeOfGrant>PROVIDE CHILDREN'S DENTAL SERVICES AT OAKVIEW DISTRICT IN HUNTINGTON BCH</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HUMAN OPTIONS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 53745</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92619</ZIPCode>
        </AddressUS>
        <EINOfRecipient>953667817</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COUNSELORS PROVIDE PREVENTION OF DOMESTIC VIOLENCE SERVICES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>IRVINE ADULT DAY HEALTH SERVICES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>20 LAKE ROAD</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92604</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330599371</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>64984</AmountOfCashGrant>
        <PurposeOfGrant>EXPANSION OF EDUCATIONAL PROGRAMS AND SENIOR TRANSPORTATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>IRVINE CHILDRENS FUND</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>14301 YALE AVE</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92604</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330177921</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>PROVIDES BEFORE AND AFTER SCHOOL CHILD CARE SCHOLARSHIPS</PurposeOfGrant>
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          <BusinessNameLine1>IRVINE COMMUNITY ALLIANCE FUND</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 19575</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92623</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330258368</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>PROGRAM TO ASSIST FAMILIES IN ACCESSING CHILDREN'S HEALTHCARE</PurposeOfGrant>
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          <BusinessNameLine1>JOHN WAYNE CANCER FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>PO BOX 1779</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92659</ZIPCode>
        </AddressUS>
        <EINOfRecipient>954023430</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>5146</AmountOfCashGrant>
        <PurposeOfGrant>SUNSCREEN PRODUCTS FOR HEALTH FAIRS SUN SAVE</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>JUVENILE DIABETES RESEARCH FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>17872 MITCHELL NORTH</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92614</ZIPCode>
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        <EINOfRecipient>231907729</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>PROGRAM DEVELOPMENT</PurposeOfGrant>
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          <BusinessNameLine1>LATINO HEALTH ACCESS</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>1701 N MAIN ST STE200</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92706</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330562943</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>GRANTS FOR LATINO HEALTH PROBEMS, DIABETES, ETC.</PurposeOfGrant>
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          <BusinessNameLine1>MARCH OF DIMES CALIFORNIA CHAPTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1050 SANSOME ST 4FL</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94111</ZIPCode>
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        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>PROGRAM DEVELOPMENT</PurposeOfGrant>
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          <BusinessNameLine1>MOMS ORANGE COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1128 W SANTA ANA BLVD</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92703</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330518078</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>HELP WOMEN HAVE HEALTHY BABIES BY CARE COORDINATION AND EDUCATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>NEWPORT COMMUNITY COUNSELING CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2200 SAN JOAQUIN HILLS RD</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92660</ZIPCode>
        </AddressUS>
        <EINOfRecipient>202108327</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>EXPANSION OF COUNSELING PROGRAMS, DOMESTIC VIOLENCE AND CHILD ABUSE</PurposeOfGrant>
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          <BusinessNameLine1>NEWPORT -MESA UNIFIED SCHOOL DISTRICT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2985 A BEAR ST</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92626</ZIPCode>
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        <EINOfRecipient>952417783</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>250000</AmountOfCashGrant>
        <PurposeOfGrant>EXPANSION OF 13 PROGRAMS FOR THE HOPE CLINIC</PurposeOfGrant>
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          <BusinessNameLine1>ONE OC</BusinessNameLine1>
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          <AddressLine1>1901 E FOURTH ST STE 100</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92705</ZIPCode>
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        <EINOfRecipient>952021700</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>94968</AmountOfCashGrant>
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          <BusinessNameLine1>ORANGE COUNTY DEPT OF EDUCATION</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>200 KALMUS DR</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92628</ZIPCode>
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        <EINOfRecipient>956000943</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>100000</AmountOfCashGrant>
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          <AddressLine1>18012 MITCHELL AVE SOUTH</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92614</ZIPCode>
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        <IRCSection>501 (C) (3)</IRCSection>
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        <AddressUS>
          <AddressLine1>1300 S GRAND AVE BLDG B</AddressLine1>
          <City>SANTA ANA</City>
          <State>CA</State>
          <ZIPCode>92705</ZIPCode>
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        <EINOfRecipient>330438086</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>25400</AmountOfCashGrant>
        <PurposeOfGrant>BRIDGES SCHOOL INTER GROUP RELATIONS &amp; VIOLENCE PREVENTION PROGRAMS</PurposeOfGrant>
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          <BusinessNameLine1>PEDIATRIC ADOLESCENT DIABETES RESEARCH EDU</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>455 SOUTH MAIN ST</AddressLine1>
          <City>ORANGE</City>
          <State>CA</State>
          <ZIPCode>92868</ZIPCode>
        </AddressUS>
        <EINOfRecipient>330099451</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>79500</AmountOfCashGrant>
        <PurposeOfGrant>DIABETES EDUCATION</PurposeOfGrant>
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          <BusinessNameLine1>PROVIDENCE SPEECH &amp; HEARING CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1301 PROVIDENCE AVE</AddressLine1>
          <City>ORANGE</City>
          <State>CA</State>
          <ZIPCode>92868</ZIPCode>
        </AddressUS>
        <EINOfRecipient>956154473</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>115000</AmountOfCashGrant>
        <PurposeOfGrant>LOW INCOME SUBSIDY PROGRAM AND EL SOL CLINIC COLLABORATIVE</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>PUBLIC HEALTH FOUNDATION ENTERPRISES INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>12447 LEWIS ST 205</AddressLine1>
          <City>GARDEN GROVE</City>
          <State>CA</State>
          <ZIPCode>92840</ZIPCode>
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        <EINOfRecipient>952557063</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>86019</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH NEEDS ASSESSMENT - CITY OF IRVINE AND CONTRIBUTION</PurposeOfGrant>
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          <AddressLine1>1964 ORANGE AVE</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
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        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>PROGRAM SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>SHARE OUR SELVES CLINIC</BusinessNameLine1>
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          <AddressLine1>1550 SUPERIOR AVE</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92627</ZIPCode>
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        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>1232289</AmountOfCashGrant>
        <PurposeOfGrant>FREE MEDICAL AND DENTAL CLINIC FOR THE UNDERSERVE</PurposeOfGrant>
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          <AddressLine1>720 W 19TH ST</AddressLine1>
          <City>COSTA MESA</City>
          <State>CA</State>
          <ZIPCode>92627</ZIPCode>
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        <AmountOfCashGrant>45000</AmountOfCashGrant>
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          <AddressLine1>550 N PARKCENTER DR STE 102</AddressLine1>
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          <State>CA</State>
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          <AddressLine1>PO BOX 9705</AddressLine1>
          <City>FOUNTAIN VALLEY</City>
          <State>CA</State>
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        <EINOfRecipient>342044369</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>DIABETES EDUCATION</PurposeOfGrant>
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          <BusinessNameLine1>UCI FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>DEV OFFICE MPAA 210</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92697</ZIPCode>
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        <EINOfRecipient>952540117</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>210000</AmountOfCashGrant>
        <PurposeOfGrant>PLEDGE SUPPORT TO PAUL MERAGE SCHOOL OF BUSINESS HEALTHCARE MNGMT</PurposeOfGrant>
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          <AddressLine1>2646 BIOLOGICAL SCIENCES III</AddressLine1>
          <City>IRVINE</City>
          <State>CA</State>
          <ZIPCode>92627</ZIPCode>
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        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>FUNDS TO SAVE THE CLINIC FOR NEUROLOGICAL DISORDERS</PurposeOfGrant>
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          <State>CA</State>
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        <ReturnReference>SCHEDULE J, PART I, LINE 1(A)</ReturnReference>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>CITIBANK NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>32.6</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>SCHEDULE K, PART I, LINE A, COLUMN F</ReturnReference>
        <Explanation>REFUND BONDS ISSUED ON 06/01/09 AND IMPROVE &amp; EQUIP FACILITY.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>SCHEDULE K, PART I, LINE B, COLUMN F</ReturnReference>
        <Explanation>REFUND BONDS ISSUED ON 05/31/07 &amp; 05/22/08 AND IMPROVE &amp; EQUIP FACILITY.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>SCHEDULE K, PART I, LINE C, COLUMN F</ReturnReference>
        <Explanation>REFUND BONDS ISSUED ON 08/24/05 &amp; 05/31/07.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>TOTAL PROCEEDS OF ISSUE</Identifier>
        <ReturnReference>SCHEDULE K, PART II, LINE 3, COLUMN A&amp;B</ReturnReference>
        <Explanation>DIFFERENCE BETWEEN TOTAL PROCEEDS AND ISSUE PRICE IS INVESTMENT EARNINGS EARNED THRU 09/30/11.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>YEAR OF SUBSTANTIAL COMPLETION</Identifier>
        <ReturnReference>SCHEDULE K, PART II, LINE 13, COLUMN A</ReturnReference>
        <Explanation>PROCEEDS OF THE SERIES 2008 BOND ISSUE WERE USED TO FINANCE MULTIPLE PROJECTS. MOST OF THESE PROJECTS HAVE BEEN SUBSTANTIALLY COMPLETED AS OF MAY 2012. TWO PROJECTS WHICH WERE PARTIALLY FINANCED WITH SERIES 2008 BOND PROCEEDS IN TOTAL AMOUNT OF $167,210 ARE EXPECTED TO BE SUBSTANTIALLY COMPLETED IN FISCAL YEAR 2014.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>YEAR OF SUBSTANTIAL COMPLETION</Identifier>
        <ReturnReference>SCHEDULE K, PART II, LINE 13, COLUMN C</ReturnReference>
        <Explanation>PROCEEDS OF THE SERIES 2011 BOND ISSUE WERE USED TO FINANCE MULTIPLE PROJECTS. MOST OF THESE PROJECTS HAVE BEEN SUBSTANTIALLY COMPLETED AS OF MAY 2012. ONE PROJECT WHICH WAS PARTIALLY FINANCED WITH SERIES 2011 BOND PROCEEDS IN TOTAL AMOUNT OF $86,089 IS EXPECTED TO BE SUBSTANTIALLY COMPLETED IN FISCAL YEAR 2014.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>QUALIFIED HEDGE</Identifier>
        <ReturnReference>SCHEDULE K, PART IV, LINE 3, COLUMN C</ReturnReference>
        <Explanation>IN FEBRUARY 2012, THE ORGANIZATION ENTERED INTO A TRI-PARTY SWAP NOVATION AGREEMENT WITH CITIBANK N.A. AND WELLS FARGO BANK N.A. EFFECTIVE THE SWAP NOVATION DATE IN FEBRUARY 2012, WELLS FARGO BANK REPLACED CITIBANK AS THE SWAP COUNTERPARTY. THE KEY SWAP CONFIRMATION TERMS (INCLUDING FIXED AND FLOATING RATES, MATURITY AND AMORTIZATIONS) REMAINED THE SAME. THE ORGANIZATION DID NOT MAKE ANY PAYMENTS TO THE COUNTERPARTIES IN CONNECTION WITH THIS SWAP NOVATION TRANSACTION.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>RICHARD AFABLE MD</NamePerson>
        <PurposeOfLoan>RECRUITMENT</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>1000000</OriginalPrincipalAmount>
        <BalanceDue>1000000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>JACK COX SR VP</NamePerson>
        <PurposeOfLoan>RECRUITMENT</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>1500000</OriginalPrincipalAmount>
        <BalanceDue>1500000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>CYNTHIA PERAZZO SVP</NamePerson>
        <PurposeOfLoan>MOVING EXPENSES</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>105000</OriginalPrincipalAmount>
        <BalanceDue>32082</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>2532082</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ALEXANDER EASTON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>20988</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PACIFIC HOSPITALIST ASSOCIATES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>5591095</AmountOfTransaction>
        <DescriptionOfTransaction>MEDICAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>INTOUCH HEALTH</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>125694</AmountOfTransaction>
        <DescriptionOfTransaction>PURCHASE OF PRODUCT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RANEY ZUSMAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>789631</AmountOfTransaction>
        <DescriptionOfTransaction>MEDICAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MELISSA DICKERSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>49092</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HOAG ORTHOPEDIC INSTITUTE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>16813489</AmountOfTransaction>
        <DescriptionOfTransaction>ADMINISTRATIVE SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE L, PART IV</ReturnReference>
        <Explanation>- JAKE EASTON III IS A BOARD MEMBER OF HMHP. HIS SON, ALEXANDER EASTON, IS AN EMPLOYEE OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN. - WESTON CHANDLER, BOARD MEMBER OF HMHP, SERVES AS PRESIDENT &amp; CEO OF PACIFIC HOSPITALIST ASSOCIATES WHICH PROVIDES MEDICAL SERVICES TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN. - YULUN WANG, BOARD MEMBER OF HMHP, SERVES AS AN OFFICER / DIRECTOR AT INTOUCH HEALTH WHICH SELLS PRODUCTS TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN. - DOUGLAS ZUSMAN, BOARD MEMBER OF HMHP, HAS 50% OWNERSHIP INTEREST IN RANEY &amp; ZUSMAN WHICH PROVIDES MEDICAL SERVICES TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN. - TIMOTHY MOORE IS A KEY EMPLOYEE OF HMHP. HIS DAUGHTER-IN-LAW, MELISSA DICKERSON, IS AN EMPLOYEE OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN. - JENNIFER MITZNER AND ROBERT BRAITHWAITE ARE OFFICERS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND ALSO SERVE AS BOARD MEMBERS OF HOAG ORTHOPEDIC INSTITUTE (HOI). HMHP PROVIDES ADMINISTRATIVE AND OPERATIONAL SERVICES TO HOI.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4</ReturnReference>
        <Explanation>EXECUTIVE SUMMARY OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN'S COMMUNITY BENEFIT REPORT FOR 2011 WAS FILED WITH OSHPD. THE COMMUNITY MEDICINE DEPARTMENT AT HOAG MEMORIAL HOSPITAL PRESBYTERIAN WAS ESTABLISHED IN 1995. SINCE ITS BEGINNING, THE PROGRAM HAS FOCUSED ON TWO PRINCIPAL STRATEGIES: 1) PROVIDE NECESSARY HEALTHCARE-RELATED SERVICES WHICH ARE UNDUPLICATED IN THE COMMUNITY; AND 2) PROVIDE FINANCIAL SUPPORT TO EXISTING COMMUNITY BASED NOT-FOR-PROFIT ORGANIZATIONS WHICH ALREADY PROVIDE EFFECTIVE HEALTHCARE AND RELATED SOCIAL SERVICES TO MEET COMMUNITY HEALTH NEEDS. THE DEPARTMENT OF COMMUNITY MEDICINE, LED BY ITS DIRECTOR, DR. GWYN PARRY, IS RESPONSIBLE FOR THE COORDINATION OF HOAG HOSPITAL COMMUNITY BENEFIT REPORTING AND PROVIDES FREE PROGRAMS TO ASSIST THE UNDERSERVED IN THE COMMUNITY. THESE INCLUDE COMMUNITY CASE MANAGEMENT, COMMUNITY COUNSELING AND HEALTH MINISTRIES COORDINATION. IN ADDITION TO THESE SERVICES, MANY OTHER HOAG HOSPITAL DEPARTMENTS PROVIDE COMMUNITY HEALTH SERVICES INCLUDING EDUCATION AND SUPPORT GROUPS WHICH ARE FREE TO THE COMMUNITY. THE HOSPITAL ALSO HAS SUBSTANTIAL RELATIONSHIPS WITH LOCAL COLLEGES AND UNIVERSITIES TO INVEST IN THE EDUCATION OF VARIOUS HEALTH PROFESSIONS. COMMUNITY MEDICINE GRANTS SUPPORT HOAG HEALTH ASSOCIATES - ORGANIZATIONS THAT PROVIDE A BROAD RANGE OF SERVICES, INCLUDING THE FOLLOWING: FREE MEDICAL AND DENTAL CARE; ADULT DAY CARE AND EDUCATION FOR PERSONS WHO SUFFER FROM ALZHEIMER'S DISEASE OR MILD DEMENTIA WITH SUPPORT AND EDUCATION FOR THEIR CAREGIVERS AND FAMILIES; TRANSPORTATION SERVICES FOR LOCAL SENIOR CENTERS. HOAG MEMORIAL HOSPITAL PRESBYTERIAN IS A NOT-FOR-PROFIT ORGANIZATION THAT OPERATES GENERAL ACUTE CARE HOSPITALS IN NEWPORT BEACH AND IRVINE, CALIFORNIA. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES FOR RESIDENTS OF ORANGE COUNTY, CALIFORNIA. HOAG OPERATES A 498 LICENSED BED FACILITY IN NEWPORT BEACH AND AN 84 LICENSED BED FACILITY IN IRVINE. FULLY ACCREDITED BY THE DET NORSKE VERITAS HEALTHCARE, INC. (DNV) AND DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC), HOAG OFFERS A COMPREHENSIVE MIX OF HEALTH CARE SERVICES. THESE INCLUDE THE CENTERS OF EXCELLENCE IN CANCER, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, ORTHOPEDIC SERVICES AND WOMEN'S HEALTH SERVICES. SINCE OPENING THE NEWPORT BEACH CAMPUS IN 1952, HOAG HAS GROWN FROM A SINGLE-SITE HOSPITAL TO HAVING THREE HOSPITALS ACROSS TWO CAMPUSES AND MULTIPLE SATELLITE OUTPATIENT SERVICES LOCATIONS. HOAG HAS INSTILLED ITS EXEMPLARY BRAND OF QUALITY PATIENT CARE AT ALL LOCATIONS. ANCC MAGNET RECOGNITION PROGRAM (R) HAS RE-DESIGNATED HOAG HOSPITAL NEWPORT BEACH AS A MAGNET HOSPITAL AND EXTENDED THE MAGNET DESIGNATION TO HOAG HOSPITAL IRVINE IN RECOGNITION OF THE COMMITMENT TO NURSING EXCELLENCE AT BOTH HOSPITALS. HOAG HAS ALSO RECEIVED ACCLAIM AS A TOP RANKING HOSPITAL FROM CONSUMER PUBLICATIONS. IN 2010, US NEWS &amp; WORLD REPORT RELEASED ITS LATEST TOP 100 HOSPITAL RANKINGS. THE CANCER INSTITUTE RANKED 9TH AMONG CALIFORNIA HOSPITALS AND THE HIGHEST IN ORANGE COUNTY. FOR THE 15TH CONSECUTIVE YEAR, HOAG HAS BEEN NAMED THE MOST PREFERRED HOSPITAL BY ORANGE COUNTY RESIDENTS BASED ON A CONSUMER STUDY BY NATIONAL RESEARCH CORPORATION (NRC) AND IN A READER'S POLL, THE ORANGE COUNTY REGISTER SELECTED HOAG HOSPITAL AS THE BEST HOSPITAL IN ORANGE COUNTY, A TITLE HOAG HAS CLAIMED FOR 15 OF THE 16 YEARS THE POLL HAS BEEN TAKEN. HOAG SERVES ITS SURROUNDING COMMUNITIES WITH HEALTH CENTERS LOCATED IN COSTA MESA, HUNTINGTON BEACH, FOUNTAIN VALLEY, ALISO VIEJO, TWO IRVINE LOCATIONS AND ITS NEWEST LOCATION IN NEWPORT BEACH. HOAG SUCCESSFULLY OPENED HOAG HOSPITAL IRVINE ON SEPTEMBER 1, 2010. THE NEW HOSPITAL IS AN ACUTE CARE GENERAL HOSPITAL WITH A FULL-STAFFED EMERGENCY ROOM FOCUSED ON IMPROVING THE FLOW OF EMERGENCY CARE AND FEATURES HOAG ORTHOPEDICS, AN INPATIENT HOSPITAL WITHIN HOAG HOSPITAL IRVINE, PROGRESSIVE CARDIAC CARE AND DEDICATED HOSPITALISTS COMMITTED TO EXPANDING CARE 24/7.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS RELATIONSHIP</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 2</ReturnReference>
        <Explanation>OFFICERS ROBERT BRAITHWAITE AND JENNIFER MITZNER HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS AND THE NATURE OF THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 6</ReturnReference>
        <Explanation>IN ACCORDANCE WITH THE BYLAWS OF THE CORPORATION, THE MEMBERS OF THE CORPORATION ARE FIFTY (50) IN NUMBER AND ARE DIVIDED EQUALLY BETWEEN THE GEORGE HOAG FAMILY FOUNDATION AND THE CONSTITUENT CHURCHES OF THE LOS RANCHOS PRESBYTERY OF THE PRESBYTERIAN CHURCH (USA), AS REPRESENTED BY THE ASSOCIATION OF PRESBYTERIAN MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 7A</ReturnReference>
        <Explanation>THE MEMBERS OF THE CORPORATION HAVE THE POWER TO ELECT OR REMOVE DIRECTORS FROM THE BOARD OF DIRECTORS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS REQUIRING APPROVAL</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 7B</ReturnReference>
        <Explanation>THE POWERS AND RESPONSIBILITIES OF THE MEMBERS OF THE CORPORATION INCLUDE, BUT ARE NOT LIMITED TO: (A) TO ASSURE THE BOARD OF DIRECTORS CARRIES OUT THE CORPORATION'S MISSION; (B) TO CONSIDER THE QUALIFICATIONS OF DIRECTORS TO BE ELECTED TO THE BOARD OF DIRECTORS; (C) TO APPROVE ANY CHANGE TO THE NAME OF THE CORPORATION; (D) TO APPROVE ANY CHANGES TO THE CORPORATION'S MISSION STATEMENT; AND (E) TO APPROVE ANY SALE OR ALIENATION TO THE PROPERTY OR ASSETS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE ORGANIZATION'S BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD THE REVIEW OF THE FORM 990 PRIOR TO ISSUANCE. MANAGEMENT, INCLUDING AN OFFICER OF THE ORGANIZATION, PREPARES AND REVIEWS THE FORM 990. THE AUDIT AND COMPLIANCE COMMITTEE IS PROVIDED WITH A DRAFT FORM 990 AND IS PROVIDED AMPLE TIME TO READ THE DOCUMENT AND DEVELOP QUESTIONS. THE AUDIT AND COMPLIANCE COMMITTEE THEN CONVENES PRIOR TO ISSUANCE OF THE FORM 990 TO REVIEW AND DISCUSS THE DRAFT FORM 990 WITH MANAGEMENT AND EXTERNAL EXPERTS HIRED BY MANAGEMENT. AN ELECTRONIC VERSION OF THE FORM 990 IS POSTED TO A SECURE WEB SITE AVAILABLE TO ALL OF THE BOARD OF DIRECTORS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, AND SENIOR EXECUTIVES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE QUESTIONNAIRE ARE REVIEWED BY THE CHAIR AND CEO AND MATTERS ARE DISCUSSED AT THE APPROPRIATE LEVEL AS APPLICABLE GIVEN THE SITUATION. INDIVIDUAL TRANSACTIONS THAT OCCUR BETWEEN THE ANNUAL QUESTIONNAIRE ARE REVIEWED BY THE CORPORATION'S LEGAL AND COMPLIANCE OFFICERS FOR POTENTIAL CONFLICTS OF INTEREST. ANY DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT SHALL REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION OR ARRANGEMENT, OR BE EXCUSED FROM ANY MEETING WHERE THE PROPOSED CONTRACT IS DISCUSSED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS USED TO DETERMINE COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 15A AND 15B</ReturnReference>
        <Explanation>THE COMPENSATION OF THE CEO, CFO AND ALL SENIOR VICE PRESIDENTS (KEY EMPLOYEES) IS REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS PLUS ONE OUTSIDE NON-VOTING MEMBER. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE KEY EXECUTIVES. THE COMPENSATION COMMITTEE'S RECOMMENDATIONS RELATIVE TO EXECUTIVE COMPENSATION ARE REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS, MEETING IN EXECUTIVE SESSION, WHOSE MINUTES DOCUMENT THAT THE APPROVED COMPENSATION IS DEEMED REASONABLE. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE FOR IN EXCESS OF 36 YEARS. THIS PROCESS WAS LAST COMPLETED IN 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>THE CORPORATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC IN SUMMARY BY INCLUSION IN AN ANNUAL REPORT THAT IS AVAILABLE ON ITS WEBSITE HTTP://WWW.HOAG.ORG/ABOUT/CORPORATE-INFORMATION. HOAG'S CODE OF CONDUCT IS POSTED ON ITS PUBLIC WEBSITE AS WELL. THE CODE OF CONDUCT PROVIDES READERS WITH AN UNDERSTANDABLE REVIEW OF THE CODE OF CONDUCT THAT MUST BE ADHERED TO BY ALL EMPLOYEES, DIRECTORS AND VENDORS. THE CORPORATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>RICHARD AFABLE, M.D. IS A BOARD MEMBER OF HOAG HOSPITAL FOUNDATION (HHF) AND THE PRESIDENT &amp; CEO / BOARD MEMBER OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP). HE DEVOTED 3 HOURS PER WEEK TO HHF AND 50 HOURS PER WEEK TO HMHP. FLYNN ANDRIZZI IS THE PRESIDENT OF HHF AND AN SVP OF HMHP. HE DEVOTED 43 HOURS PER WEEK TO HHF AND 7 HOURS PER WEEK TO HMHP. STEPHEN JONES IS A BOARD MEMBER OF HHF AND THE CHAIR OF HMHP. HE DEVOTED 1 HOUR PER WEEK TO HHF AND 3 HOURS PER WEEK TO HMHP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCE</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>INCREASE IN VALUE OF CRT $1,600,000 UNREALIZED LOSSES ($24,364,100) CUMULATIVE EFFECT OF LOSS ON GOODWILL IMPAIRMENT ($3,125,831) UNRELATED BUSINESS LOSS FROM PARTNERSHIPS $500,538 OTHER ITEMS $65,608 -------------- TOTAL ($25,323,785)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONSOLIDATED AUDITED FINANCIAL STATEMENTS</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2B</ReturnReference>
        <Explanation>HOAG MEMORIAL HOSPITAL PRESBYTERIAN IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND AFFILIATES. A STAND-ALONE AUDIT IS NOT PREPARED FOR HOAG MEMORIAL HOSPITAL PRESBYTERIAN.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NEWPORT HEALTHCARE CENTER LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE HOAG DRIVE BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92663</ZIPCode>
        </AddressUS>
        <EIN>331127904</EIN>
        <PrimaryActivities>MEDICAL BLDG</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <TotalIncome>8567481</TotalIncome>
        <EOYAssets>152366902</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOAG OUTPATIENT CENTERS LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE HOAG DRIVE BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92663</ZIPCode>
        </AddressUS>
        <EIN>453587572</EIN>
        <PrimaryActivities>PATIENT SVCS</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOAG HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE HOAG DRIVE BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92663</ZIPCode>
        </AddressUS>
        <EIN>953222343</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HMHP</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOAG MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE HOAG DRIVE BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92663</ZIPCode>
        </AddressUS>
        <EIN>453583707</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HMHP</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOAG CHARITY SPORTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3920 BIRCH STREET SUITE 105</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92660</ZIPCode>
        </AddressUS>
        <EIN>452982422</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HHF</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NEWPORT IMAGING CENTER LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>360 SAN MIGUEL</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92660</ZIPCode>
        </AddressUS>
        <EIN>330191776</EIN>
        <PrimaryActivity>MEDICAL IMAGING</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>266842</ShareOfTotalIncome>
        <ShareOfEOYAssets>7524825</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.99000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOAG ORTHOPEDIC INSTITUTE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>ONE HOAG DRIVE BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92663</ZIPCode>
        </AddressUS>
        <EIN>611588294</EIN>
        <PrimaryActivity>SPECIALTY HSPL</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>942723</ShareOfTotalIncome>
        <ShareOfEOYAssets>39180086</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MAIN STREET SPECIALTY SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>280 MAIN STREET SUITE 100</AddressLine1>
          <City>ORANGE</City>
          <State>CA</State>
          <ZIPCode>92868</ZIPCode>
        </AddressUS>
        <EIN>954813223</EIN>
        <PrimaryActivity>SURGERY</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ORTHO SURGERY CENTER OF ORANGE COUNTY LL</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>22 CORPORATE PLAZA DRIVE</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92660</ZIPCode>
        </AddressUS>
        <EIN>330841806</EIN>
        <PrimaryActivity>SURGERY</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ORTHOPEDIC SPECIALISTS OF NEWPORT BEACH</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>22 CORPORATE PLAZA DRIVE</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92660</ZIPCode>
        </AddressUS>
        <EIN>203014704</EIN>
        <PrimaryActivity>INVESTMENT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOAG MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>ONE HOAG DRIVE BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>926586100</ZIPCode>
        </AddressUS>
        <EIN>330731587</EIN>
        <PrimaryActivity>MEDICAL MNMGT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C-CORP</TypeOfEntity>
        <ShareOfTotalIncome>675655</ShareOfTotalIncome>
        <ShareOfEOYAssets>15032041</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COASTAL MANAGEMENT SERVICES ORGANIZATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>ONE HOAG DRIVE BOX 6100</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>926586100</ZIPCode>
        </AddressUS>
        <EIN>330676831</EIN>
        <PrimaryActivity>PURCHASE CO-OP</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C-CORP</TypeOfEntity>
        <ShareOfTotalIncome>19551</ShareOfTotalIncome>
        <ShareOfEOYAssets>419890</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NEWPORT IMAGING CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>106592</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>17197978</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>90000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A(IV)</TransactionType>
        <AmountInvolved>168143</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COASTAL MANAGEMENT SERVICES ORGANIZATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>132000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG MANAGEMENT SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>4285676</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NEWPORT IMAGING CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1697909</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG ORTHOPEDIC INSTITUTE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>5497260</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG ORTHOPEDIC INSTITUTE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>2241553</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MAIN STREET SPECIALITY SURGERY CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <AmountInvolved>0</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ORTHO SURGERY CENTER ORANGE COUNTY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <AmountInvolved>0</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <AmountInvolved>0</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG CHARITY SPORTS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <AmountInvolved>0</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOAG OUTPATIENT CENTERS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <AmountInvolved>0</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ORTHOPEDIC SPECIALISTS OF NEWPORT BEACH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <AmountInvolved>0</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>