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        <ProgramServices>10519413</ProgramServices>
        <ManagementAndGeneral>616256</ManagementAndGeneral>
        <Fundraising>126583</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
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        <ProgramServices>1598328</ProgramServices>
        <ManagementAndGeneral>1150023</ManagementAndGeneral>
        <Fundraising>152600</Fundraising>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>377379</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>197824</ManagementAndGeneral>
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        <ManagementAndGeneral>176558</ManagementAndGeneral>
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      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
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        <ManagementAndGeneral>25234</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
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        <ProgramServices>50949181</ProgramServices>
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        <Fundraising>518026</Fundraising>
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        <ProgramServices>505152</ProgramServices>
        <ManagementAndGeneral>947365</ManagementAndGeneral>
        <Fundraising>27688</Fundraising>
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      <OfficeExpenses>
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        <ProgramServices>82794555</ProgramServices>
        <ManagementAndGeneral>420310</ManagementAndGeneral>
        <Fundraising>35353</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>21998230</Total>
        <ProgramServices>19879616</ProgramServices>
        <ManagementAndGeneral>2049936</ManagementAndGeneral>
        <Fundraising>68678</Fundraising>
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      <Travel>
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        <ProgramServices>183822</ProgramServices>
        <ManagementAndGeneral>68076</ManagementAndGeneral>
        <Fundraising>6256</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>234327</Total>
        <ProgramServices>193790</ProgramServices>
        <ManagementAndGeneral>34961</ManagementAndGeneral>
        <Fundraising>5576</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>13128906</Total>
        <ManagementAndGeneral>13128906</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>49786711</Total>
        <ProgramServices>47590181</ProgramServices>
        <ManagementAndGeneral>2121603</ManagementAndGeneral>
        <Fundraising>74927</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>1059657</ProgramServices>
        <ManagementAndGeneral>3774751</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>18291407</Total>
        <ProgramServices>18291407</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ALL OTHER EXPENSES</Description>
        <Total>27884411</Total>
        <ProgramServices>12008498</ProgramServices>
        <ManagementAndGeneral>15210047</ManagementAndGeneral>
        <Fundraising>665866</Fundraising>
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        <ProgramServices>413625229</ProgramServices>
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        <Fundraising>3865796</Fundraising>
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        <EOY>16105072</EOY>
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      <InvestmentsProgramRelated>
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      <OtherAssetsTotal>
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        <EOY>28683833</EOY>
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      <TotalAssets>
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      <TaxExemptBondLiabilities>
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      <MortNotesPyblSecuredInvestProp>
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      <OtherLiabilities>
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      <TotalLiabilities>
        <BOY>496587742</BOY>
        <EOY>534839818</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
        <BOY>15334928</BOY>
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      <TotalNetAssetsFundBalances>
        <BOY>489788823</BOY>
        <EOY>491079738</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>986376565</BOY>
        <EOY>1025919556</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-28377922</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>29668837</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>41558</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>true</RalliesDemonstrations>
      <RalliesDemonstrationsAmount>135000</RalliesDemonstrationsAmount>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>176558</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B</ReturnReference>
        <Explanation>EISENHOWER MEDICAL CENTER PAID HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA CONSOLIDATED DUES TO COVER MEMBERSHIP IN THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), CALIFORNIA HOSPITAL ASSOCIATION (CHA), AND CALIFORNIA HOSPITAL ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS). THESE DUES INCLUDE STATE AND FEDERAL REPRESENTATION AND ADVOCACY, LOCAL AND REGIONAL ADVOCACY, STATEWIDE PUBLIC ADVOCACY PROGRAM AND DUES-BASED PROGRAMS AND SERVICES. 23.72% OF THESE DUES IS FOR DIRECT LOBBYING EXPENSES OR $41,558. CASSIDY &amp; ASSOCIATES ASSISTS EISENHOWER MEDICAL CENTER IN LONG RANGE PLANNING FOR ORGANIZATIONAL AND INSTITUTIONAL DEVELOPMENT, IN ESTABLISHING PRIORITIES AMONG ITS FEDERAL FUNDING OBJECTIVES, IN DEVELOPING AND IMPLEMENTING STRATEGIC PLANS AND IN EXPANDING ITS GOVERNMENTAL OUTREACH ACTIVITIES. $135,000.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksOfArtAmts />
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        <Contributions>45421</Contributions>
        <InvestmentEarningsOrLosses>3306231</InvestmentEarningsOrLosses>
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        <EndOfYearBalance>19160580</EndOfYearBalance>
      </CurrentYear>
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        <InvestmentEarningsOrLosses>1403024</InvestmentEarningsOrLosses>
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        <EndOfYearBalance>16450538</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>16385406</BeginningOfYearBalance>
        <Contributions>34514</Contributions>
        <InvestmentEarningsOrLosses>-777584</InvestmentEarningsOrLosses>
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        <EndOfYearBalance>15559365</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.18850</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.81150</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>35111088</OtherCostOrOtherBasis>
        <BookValue>35111088</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>712218750</OtherCostOrOtherBasis>
        <Depreciation>168083031</Depreciation>
        <BookValue>544135719</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>6454233</Depreciation>
        <BookValue>16911857</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>90807792</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <BookValue>16567464</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>703533920</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>PENSION PLAN LONG TERM PAYABLE</Description>
        <Amount>27540784</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LIABILITIES-ANNUITANTS/BENEFICIARY</Description>
        <Amount>10140106</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>WORKERS COMP PAYABLE</Description>
        <Amount>8280000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>HPL &amp; GENERAL LIABILITY INSURANCE</Description>
        <Amount>3465000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>1926483</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MISCELLANEOUS OTHER</Description>
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      </OtherLiabilities>
      <TotalOfAmounts>51741274</TotalOfAmounts>
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      <ExcessOrDeficitForYear>-28377922</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3800207</NetUnrealizedGLOnInvestments>
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      <TotalAdjustments>29668837</TotalAdjustments>
      <ExcessOrDeficitPerFS>1290915</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>476838326</TotRevenueEtcAuditedFinclStmt>
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      <RevenueNotRptdOnFinStmt>25234</RevenueNotRptdOnFinStmt>
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      <ExpensesNotRptdF990>114325</ExpensesNotRptdF990>
      <ExpensesSubtotal>475433086</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>25234</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>25234</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>475458320</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
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        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO MAINTAIN THE PRINCIPLE DONATED AND USE THE EARNINGS FROM EACH DONATION FOR THE PURPOSE DESIGNATED IN THE ORIGINAL ENDOWMENT.</Explanation>
      </Form990ScheduleDPartXIV>
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        <Explanation>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 OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2011 OR 2010.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D, PART XI, LINE 8</Identifier>
        <Explanation>PENSION RELATED CHANGES: $25,372,084 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS: $ 3,227,654 PLEDGE WRITE OFFS: ($ 3,221,535) K-1 FLOW THROUGH INCOME $ 490,427 ------------ TOTAL $25,868,630</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D, PART XII, LINE 2D</Identifier>
        <Explanation>PENSION RELATED CHANGES: $25,372,084 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS: $ 3,227,654 PLEDGE WRITE OFFS: ($ 3,221,535) K-1 FLOW THROUGH INCOME $ 490,427 LOSS ON DISPOSAL OF ASSETS $ 114,325 ------------ TOTAL $25,982,955</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D, PART XIII, LINE 2D</Identifier>
        <Explanation>LOSS ON DISPOSAL OF ASSETS $ 114,325</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent350>X</Pcent350>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>false</AmountsBudgetedForCharityCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4681411</NetCommunityBenefitExpense>
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      </CharityCareAtCost>
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        <NetCommunityBenefitExpense>23500660</NetCommunityBenefitExpense>
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      </UnreimbursedMedicaid>
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        <PercentOfTotalExpense>0.06050</PercentOfTotalExpense>
      </TotalCharityCare>
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      </CommunityHealthServices>
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      </SubsidizedHealthServices>
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        <NetCommunityBenefitExpense>321560</NetCommunityBenefitExpense>
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      </Research>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>348514</NetCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>5700640</NetCommunityBenefitExpense>
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      <TotalCommunityBenefits>
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      </TotalCommunityBenefits>
      <EconomicDevelopment>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>1408</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CoalitionBuilding>
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        <NetCommunityBuildingExpense>26299</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <WorkforceDevelopment>
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        <NetCommunityBuildingExpense>2059</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </WorkforceDevelopment>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>29766</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3109539</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>154631466</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>221074565</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-66443099</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>EISENHOWER IMAGING</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MEDICAL IMAGING</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50795</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.49205</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>CENTER LLC</BusinessNameLine1>
        </NameOfEntity>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>MIRAGE ENDOSCOPY</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>ENDOSCOPY SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.39198</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.60802</PhysicansProfitOrOwnership>
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      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>CENTER LLC</BusinessNameLine1>
        </NameOfEntity>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>EISENHOWER MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>39000 BOB HOPE DRIVE</AddressLine1>
          <City>RANCHO MIRAGE</City>
          <State>CA</State>
          <ZIPCode>92270</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>EISENHOWER MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
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      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>21</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER URGENT CARE AND PRIMARY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>45580 SEELEY DRIVE</AddressLine1>
            <City>LA QUINTA</City>
            <State>CA</State>
            <ZIPCode>92253</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER URGENT CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>72780 COUNTRY CLUB DRIVE SUITE B-2</AddressLine1>
            <City>RANCHO MIRAGE</City>
            <State>CA</State>
            <ZIPCode>92270</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER OCCUPATIONAL HEALTH CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>78822 HWY 111</AddressLine1>
            <City>LA QUINTA</City>
            <State>CA</State>
            <ZIPCode>92253</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER URGENT CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>151 SOUTH SUNRISE WAY</AddressLine1>
            <City>PALM SPRINGS</City>
            <State>CA</State>
            <ZIPCode>92262</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER PRIMARY CARE AT ARGYROS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>45290 SEELEY DRIVE</AddressLine1>
            <City>LA QUINTA</City>
            <State>CA</State>
            <ZIPCode>92253</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER OCCUPATIONAL HEALTH CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>67780 EAST PALM CANYON</AddressLine1>
            <City>CATHEDRAL CITY</City>
            <State>CA</State>
            <ZIPCode>92234</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER DESERT ORTHO CENTER- ARGYROS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>45290 SEELEY DRIVE 2ND FLOOR</AddressLine1>
            <City>LA QUINTA</City>
            <State>CA</State>
            <ZIPCode>92253</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER PRIMARY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>72780 COUNTRY CLUB DRIVE SUITE B-2</AddressLine1>
            <City>RANCHO MIRAGE</City>
            <State>CA</State>
            <ZIPCode>92270</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER PRIMARY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4791 EAST PALM CANYON DRIVE</AddressLine1>
            <City>PALM SPRINGS</City>
            <State>CA</State>
            <ZIPCode>92262</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER PRIMARY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>78120 WILDCAT DRIVE</AddressLine1>
            <City>PALM DESERT</City>
            <State>CA</State>
            <ZIPCode>92210</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER NEUROSCIENCE INSTITUTE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>72780 COUNTRY CLUB DRIVE SUITE 104</AddressLine1>
            <City>RANCHO MIRAGE</City>
            <State>CA</State>
            <ZIPCode>92270</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER PRIMARY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>72780 COUNTRY CLUB DRIVE SUITE 305</AddressLine1>
            <City>RANCHO MIRAGE</City>
            <State>CA</State>
            <ZIPCode>92270</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BREAST CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>72780 COUNTRY CLUB DRIVE SUITE A-1</AddressLine1>
            <City>RANCHO MIRAGE</City>
            <State>CA</State>
            <ZIPCode>92270</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER EXPRESS CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>78822 HWY 111</AddressLine1>
            <City>LA QUINTA</City>
            <State>CA</State>
            <ZIPCode>92253</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER INDUSTRIAL REHABILITATION</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>78822 HWY 111</AddressLine1>
            <City>LA QUINTA</City>
            <State>CA</State>
            <ZIPCode>92253</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER LAB SERViCES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>72780 COUNTRY CLUB DRIVE SUITE B-2</AddressLine1>
            <City>RANCHO MIRAGE</City>
            <State>CA</State>
            <ZIPCode>92270</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER LABRADIOLOGY AT DEL WEBB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>78120 WILDCAT DRIVE</AddressLine1>
            <City>PALM DESERT</City>
            <State>CA</State>
            <ZIPCode>92210</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EMC OUTPATIENT SERVICES LABTECHNIQUES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4791 EAST PALM CANYON DRIVE</AddressLine1>
            <City>PALM SPRINGS</City>
            <State>CA</State>
            <ZIPCode>92262</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EMC OUTPATIENT SERVICES LABTECHNIQUES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>151 SOUTH SUNRISE WAY</AddressLine1>
            <City>PALM SPRINGS</City>
            <State>CA</State>
            <ZIPCode>92262</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER SCHNITZERNOVAK BREAST CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>151 SOUTH SUNRISE WAY</AddressLine1>
            <City>PALM SPRINGS</City>
            <State>CA</State>
            <ZIPCode>92262</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EISENHOWER PRIMARY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>151 SOUTH SUNRISE WAY</AddressLine1>
            <City>PALM SPRINGS</City>
            <State>CA</State>
            <ZIPCode>92262</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>BAD DEBT EXPENSE THAT WAS SUBTRACTED FROM TOTAL EXPENSES IN ORDER TO DETERMINE THE PERCENTAGE IN COLUMN (F) IS $18,291,407 PER AUDITED FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7</Identifier>
        <Explanation>THE COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT. THE COST OF THE COMMUNITY BENEFITS WAS CALCULATED USING SALARIES OF EMPLOYEES, DIRECT AND INDIRECT EXPENSES. WORKSHEET 2 WAS NOT USED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART II</Identifier>
        <Explanation>THE COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, INCLUDE ACTIVITIES SUCH AS CAREER DAYS AT LOCAL HIGH SCHOOLS AND "SHADOWING" PROGRAMS, WHEREBY STUDENTS CAN SHADOW A HEALTH CARE PROFESSIONAL TO GET A FIRST HAND VIEW OF WHAT A HEALTH CARE PROFESSIONAL DOES ON A DAILY BASIS. THE MORE EXPOSURE STUDENTS HAVE TO HEALTH CARE CAREERS, THE GREATER THE CHANCE TO RECRUIT FROM WITHIN THE COMMUNITY TO SERVICE THE COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 4</Identifier>
        <Explanation>THERE IS NO FOOTNOTE IN EMC'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS THE COST-TO-CHARGE RATIO PER THE COST REPORT. THE AMOUNT REPORTED ON LINE 3 IS 0. WE DO NOT INCLUDE OTHER BAD DEBT AMOUNTS IN COMMUNITY BENEFITS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 8</Identifier>
        <Explanation>100% OF THE COST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE IS A SUBSTANTIAL PROPORTION OF EMC'S PATIENT POPULATION. WHILE THE LEVEL OF CARE IS THE SAME REGARDLESS OF SOURCE OF PAYER, THE LEVEL OF PAYMENT FOR MEDICARE IS DETERMINED BY GOVERNMENT REIMBURSEMENT POLICY. THE MEDICARE SHORTFALL IS AN UNREIMBURSED AMOUNT THAT MUST BE ACCOUNTED FOR IN EMC'S FINANCIAL STATEMENTS. SINCE GENERALLY ACCEPTED ACCOUNTING STANDARDS IDENTIFY THIS SHORTFALL IT SHOULD BE ACCEPTED AS A SHORTFALL IN IRS REPORTING STANDARDS. THE COSTING METHODOLOGY FOR THE AMOUNT REPORTED ON LINE 6 IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 9B</Identifier>
        <Explanation>FOR PATIENTS WHO QUALIFY FOR PARTIAL CHARITY CARE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED BILLS, EMC MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. EMC WILL NOT IMPOSE EXTRAORDINARY COLLECTION ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART V</Identifier>
        <Explanation>SECTION B IS OPTIONAL FOR 2010. EMC HAS OPTED NOT TO COMPLETE IT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>EMC UTILIZES THE FINDINGS OF THE HEALTH ASSESSMENT RESOURCE CENTER AND THE DESERT HEALTHCARE DISTRICT TO DETERMINE THE NEEDS OF THE COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>EMC EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER ITS CHARITY CARE POLICY THROUGH VERBAL COMMUNICATION DURING COLLECTION FOLLOW UP AND THROUGH INFORMATIONAL FLYERS INCLUDED WITH BILLING STATEMENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>COMMUNITY IS DEFINED TO INCLUDE THE FOLLOWING CITIES/AREAS IN THE COACHELLA VALLEY: RANCHO MIRAGE, INDIAN WELLS, PALM DESERT, THOUSAND PALMS, LA QUINTA, CATHEDRAL CITY, PALM SPRINGS, INDIO AND DESERT HOT SPRINGS. THE COMMUNITY CAN BE FURTHER DEFINED AS URBAN. BASED ON 2007 HEALTH ASSESSMENT RESOURCE CENTER (HARC) SURVEY ESTIMATES, APPROXIMATELY 36% OF THE COMMUNITY'S ADULT POPULATION (18 AND OLDER) ARE AGE 65 YEARS AND OLDER. BASED ON FINDINGS FROM THE HARC NEEDS ASSESSMENTS, APPROXIMATELY 23.8% OF SENIORS (55+) REQUIRE ASSISTANCE FOR INDEPENDENT ACTIVITIES OF DAILY LIVING. ADDITIONAL SURVEY RESULTS IDENTIFIED THE ESTIMATED TOTAL NUMBER PEOPLE ENROLLED IN MEDICARE, MEDI-CAL OR VETERANS ASSISTANCE PROGRAMS IN THE COMMUNITY IS 160,375 PERSONS. ABOUT 36,400 SENIORS (65+) IN THE SURVEY AREA DO NOT HAVE MEDICARE SUPPLEMENTAL INSURANCE. BASED UPON THE SAME REPORT, AN ESTIMATED 21.9% OF SENIOR SURVEY RESPONDENTS, OR 32,500 SENIOR RESIDENTS, IN THE EISENHOWER MEDICAL CENTER SERVICE AREA HAVE ANNUAL INCOMES THAT PLACE THEM AT OR BELOW 250% OF THE POVERTY GUIDELINE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>THE MAJORITY OF EMC BOARD OF TRUSTEES IS MADE UP OF PROMINENT MEMBERS OF THE COMMUNITY WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. EMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. WHEN EMC ENDS THE YEAR WITH AN EXCESS OF OPERATING RECEIPTS OVER OPERATING DISBURSEMENTS, THESE EXCESS FUNDS ARE USED TO EXPAND AND REPLACE EXISTING FACILITIES AND MEDICAL EQUIPMENT, TO IMPROVE PATIENT CARE, AND FOR MEDICAL TRAINING AND EDUCATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 7</ReturnReference>
        <Explanation>CALIFORNIA</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <NamePerson>MARTIN J MASSIELLO</NamePerson>
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        <NamePerson>MARY ANN MCLAUGHLIN</NamePerson>
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        <NamePerson>ANN M MOSTOFI</NamePerson>
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        <NamePerson>DAVID PEREZ</NamePerson>
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        <NamePerson>JOSEPH SCHERGER MD</NamePerson>
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        <NamePerson>LOUISE A WHITE</NamePerson>
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        <NamePerson>ALAN WILLIAMSON</NamePerson>
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        <NamePerson>STEVEN ARENDT</NamePerson>
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        <NamePerson>FREDERICK L WESTERGARD</NamePerson>
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        <NamePerson>MIGUEL A PADILLA</NamePerson>
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        <NamePerson>THOMAS M POTTS</NamePerson>
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        <Identifier>TERMS AND CONDITIONS OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, LINE 4B</ReturnReference>
        <Explanation>EMC HAS A 457(F) PLAN OFFERED TO PROVIDE AN OPPORTUNITY TO DEFER CURRENT SALARY AND/OR BONUS AS PART OF THE EXECUTIVE FLEXIBLE BENEFIT PLAN. EXECUTIVES MUST MAKE ELECTION PRIOR TO JULY 1 EACH YEAR. ELECTION MAY NOT REDUCE THE PARTICIPANTS ANNUAL INCOME BELOW THE SOCIAL SECURITY WAGE BASE. DEFERRALS WILL BE CREDITED MID-PLAN YEAR. PARTICIPANT ELECTS THE VESTING DATE FOR EACH YEAR'S DEFERRALS. THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM THE NONQUALIFIED DEFERRED COMPENSATION PLAN DURING THE YEAR: G. AUBREY SERFLING - $38,192 ALI TOURKAMAN - $53,560 ANN MOSTOFI - $13,942</Explanation>
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        <Identifier>NON FIXED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, LINE 7</ReturnReference>
        <Explanation>IF THE OVERALL ORGANIZATION MEETS ITS BUDGET OPERATING INCOME TARGET, THE EXECUTIVE LEADERSHIP TEAM AND DIRECTORS WILL BE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION BASED ON THE FOLLOWING CRITERIA IF APPLICABLE: MEETING OVERALL PATIENT SATISFACTION GOAL ON A HOSPITAL-WIDE BASIS, MEETING VOLUME ADJUSTED BUDGET AT THE DEPARTMENT LEVEL, MEETING GALLUP EMPLOYEE ENGAGEMENT/SATISFACTION GOALS, MAINTAINING COMPLIANCE WITH REGULATORY/JOINT COMMISSION REQUIREMENTS AND PHYSICIAN SATISFACTION GOALS. THE INCENTIVE COMPENSATION PAID IN CALENDAR 2010 RELATES TO FISCAL YEAR PERFORMANCE FOR THE YEAR ENDED JUNE 30, 2010.</Explanation>
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        <DescriptionOfPurpose>SEE PART V</DescriptionOfPurpose>
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        <CUSIPNumber>75212YAF8</CUSIPNumber>
        <DateIssued>2007-08-14</DateIssued>
        <IssuePrice>261211954</IssuePrice>
        <DescriptionOfPurpose>SEE PART V</DescriptionOfPurpose>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <CapitalExpenditures>76905215</CapitalExpenditures>
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        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
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      <Form990ScheduleKPartV>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>SCHEDULE K, PART I, COLUMN F</ReturnReference>
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        <Identifier>PART II, COLUMN A &amp; B, LINE 3</Identifier>
        <Explanation>THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE FOR THE 2010 AND 2007 ISSUES, IS INVESTMENT INCOME OF $7,894.90 FOR THE 2010 BONDS AND $2,653,488.10 OF INVESTMENT INCOME FOR THE 2007 BONDS.</Explanation>
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    </IRS990ScheduleK>
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        <Relationship>OWNER/KEY EMPL WILLIAMSON</Relationship>
        <AmountOfTransaction>14787031</AmountOfTransaction>
        <DescriptionOfTransaction>VENDOR FOR PHYSICIAN SVCS</DescriptionOfTransaction>
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        <MethodOfDeterminingRevenues>OPINIONS OF EXPERTS</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>21</NumberOfContributions>
        <NoncashContribsRptdF990>1338029</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST/SELLING PRICE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>EQUIPMENT</Description>
        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>15493</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>OPINIONS OF EXPERTS</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>6</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4</ReturnReference>
        <Explanation>IN AUGUST 2010, EISENHOWER MEDICAL CENTER IS HONORED WITH A 2010 DISTINGUISHED ACHIEVEMENT AWARD FOR ITS USE OF MCKESSON'S ENTERPRISE INTELLIGENCE SOLUTIONS TO IMPROVE PATIENT CARE. EISENHOWER'S ACCOMPLISHMENTS INCLUDE REDUCING THE OVERUSE OF ANTIBIOTICS AND ENSURING CONSISTENT PRESCRIBING ACROSS THE HOSPITAL. IN OCTOBER 2010, EISENHOWER MEDICAL CENTER INSTALLS SIEMENS HEALTHCARE'S ACUSON S2000, THE MOST ADVANCED WHOLE-BREAST, THREE DIMENSIONAL ULTRASOUND TECHNOLOGY AVAILABLE. IN OCTOBER 2010, EISENHOWER SCHNITZER/NOVACK BREAST CENTER IS DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR), AND IS FIRST IN THE COACHELLA VALLEY TO EARN THIS PRESTIGIOUS DESIGNATION. IN JANUARY 2011, EISENHOWER CELEBRATES THE OPENING OF TWO NEW HEALTH CENTERS IN PALM SPRINGS. EISENHOWER HEALTH CENTER AT RIMROCK PROVIDES PRIMARY CARE SERVICES TO THE COMMUNITY. EISENHOWER HEALTH CENTER AT SUNRISE PROVIDES PRIMARY CARE, BREAST CENTER SERVICES, AN URGENT CARE, IMAGING AND LAB SERVICES. ON FEBRUARY 5, 2011, EISENHOWER SMILOW HEART CENTER AND THE AMERICAN HEART ASSOCIATION PRESENT THE EIGHTH ANNUAL COMMUNITY HEART CONFERENCE AT THE ANNENBERG CENTER FOR HEALTH SCIENCES AT EISENHOWER. IN MARCH 2011, EISENHOWER MEDICAL CENTER BECAME ONE OF ONLY 29 COMPANIES IN THE WORLD TO RECEIVE THE GALLUP GREAT WORKPLACE AWARD. GALLUP, THE WORLD'S BEST KNOWN AND MOST RESPECTED BEHAVIORAL SCIENCE AUTHORITY, SURVEYED NEARLY 15 MILLION EMPLOYEES FROM AROUND THE WORLD FROM COMPANIES IN ALL FACETS OF BUSINESS FROM HEALTH CARE TO HOSPITALITY, RETAIL TO MANUFACTURING, AND BANKS TO INSURANCE. ON MARCH 12, 2011, EISENHOWER HOSTS THE 16TH ANNUAL JIM COOK DAY OF HOPE FOR DIABETES, THE LARGEST EDUCATIONAL AND INSPIRATIONAL EVENT OF ITS KIND IN THE 11 WESTERN UNITED STATES, AT THE ANNENBERG CENTER FOR HEALTH SCIENCES AT EISENHOWER. DENISE FAUSTMAN, MD, PHD, ASSOCIATE PROFESSOR, HARVARD MEDICAL SCHOOL, DELIVERS THE KEYNOTE PRESENTATION END STAGE DIABETES - FROM MICE TO HUMAN TRIALS. ON APRIL 9, 2011 THE HIV PROVIDER NETWORK, WHICH INCLUDES EISENHOWER MEDICAL CENTER, HOLDS THE FIRST ANNUAL HIV CONFERENCE IN THE COACHELLA VALLEY AT THE ANNENBERG CENTER FOR HEALTH SCIENCES AT EISENHOWER. IN MAY 2011, EISENHOWER WOUND CARE CENTER RECEIVES THE ROBERT A. WARRINER III, MD, CENTER OF EXCELLENCE AWARD FOR ACHIEVING PATIENT SATISFACTION RATES OF MORE THAN 90 PERCENT AND AN 89 PERCENT HEALING RATE IN 30 MEDIAN DAYS, AMONG OTHER QUALITY STANDARDS. THE CENTER WAS AWARDED THIS PRESTIGIOUS HONOR BY DIVERSIFIED CLINICAL SERVICES (DCS), INC., THE NATION'S LEADING WOUND CARE MANAGEMENT COMPANY. IN MAY 2011, EISENHOWER MEDICAL CENTER IS NAMED A BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT BY BLUE SHIELD OF CALIFORNIA FOR DEMONSTRATING BETTER OVERALL QUALITY OF CARE AND PATIENT RESULTS IN KNEE AND HIP REPLACEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 2</ReturnReference>
        <Explanation>KATHRYN B. SAMPLE AND STEVEN B. SAMPLE HAVE A FAMILY RELATIONSHIP. SUSAN FORD BALES AND MRS. GERALD (BETTY) FORD (DECEASED), BOTH BOARD OF TRUSTEES HAVE A FAMILY RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF SIGNIFICANT CHANGES TO ORGANIZING OR ENABLING DOCUMENT</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 4</ReturnReference>
        <Explanation>AMENDMENT MADE TO THE BYLAWS TO INCREASE THE AUTHORIZED NUMBER OF ELECTED DIRECTORS FROM TWENTY-FIVE TO THIRTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 6</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEES ARE MEMBERS OF EISENHOWER MEDICAL CENTER.</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>TRUSTEES HAVE THE RIGHT TO ELECT THE GOVERNING BODY MEMBERS OF THE EISENHOWER MEDICAL CENTER BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR &amp; TYPE OF VOTING RIGHTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 7B</ReturnReference>
        <Explanation>MEMBERS HAVE THE RIGHT TO VOTE ON THE FOLLOWING MAJOR DECISIONS: ANY MATERIAL CHANGE IN THE MISSION OF EMC; THE MERGER OF EMC WITH ANY OTHER BUSINESS ENTITY; THE DISSOLUTION OF EMC; THE SALE OF ALL OR SUBSTANTIALLY ALL OF EMC'S ASSETS; AND ANY MATTER ON WHICH A MEMBER OF A CALIFORNIA NON-PROFIT CORPORATION IS REQUIRED TO BE PERMITTED TO VOTE ON UNDER APPLICABLE LAW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND SUBSEQUENTLY REVIEWED BY MANAGEMENT. AFTER MANAGEMENT REVIEW, THE FORM 990 IS PRESENTED TO THE BOARD FOR THEIR REVIEW PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY RELATED PARTIES, INCLUDING OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE SURVEYED FOR TRANSACTIONS THAT COULD GIVE RISE TO CONFLICTS. WRITTEN QUESTIONNAIRES ARE REVIEWED BY LEGAL AND FINANCE TO DETERMINE IF ADDITIONAL QUESTIONS OR INFORMATION SHOULD BE DOCUMENTED REGARDING SPECIFIC TRANSACTIONS. ALL NEW CONTRACTS ARE REVIEWED BY EXECUTIVE MANAGEMENT FOR CONFLICT CONSIDERATIONS. GENERAL COUNSEL REVIEWS ALL STATEMENTS SUBMITTED BY BOARD MEMBERS WHO INDICATE A POTENTIAL CONFLICT. GENERAL COUNSEL ADVISES THE CEO AND CHAIRMAN OF THE BOARD OF ANY MATERIAL CONFLICTS SO THAT THE INDIVIDUAL CAN BE RECUSED FROM ANY DISCUSSION OR DELIBERATION PERTAINING TO THE CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 15A AND 15B</ReturnReference>
        <Explanation>EISENHOWER MEDICAL CENTER ENGAGES AN INDEPENDENT CONSULTING FIRM TO PROVIDE TO THE BOARD'S COMPENSATION COMMITTEE BENCHMARKED SURVEY DATA FOR OFFICERS AND KEY EMPLOYEES IN THE ORGANIZATION. THE COMPENSATION COMMITTEE UTILIZES THE SURVEY DATA TO DETERMINE IF ANNUAL INCREASES WILL BE GIVEN AND IN WHAT AMOUNTS. HUMAN RESOURCES IS RESPONSIBLE FOR PROCESSING THE INCREASES. SURVEYS ARE DONE ON AN ANNUAL BASIS.</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>EISENHOWER MEDICAL CENTER RELEASES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THAT REQUEST MAY BE EITHER VERBAL OR WRITTEN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>ALVIN SHOEMAKER, CHAIRMAN AND BOARD DIRECTOR OF EISENHOWER MEDICAL HOSPITAL (EMC), ALSO SERVES AS DIRECOR (EX-OFFICIO) OF ANNENBERG CENTER FOR HEALTH SCIENCES (ACHS). HE DEVOTES 2 HOURS PER WEEK TO EMC AND 1 HOUR PER WEEK TO ACHS. G. AUBREY SERFLING, PRESIDENT AND CEO OF EMC, IS ALSO THE BOARD DIRECTOR (EX-OFFICIO) OF ACHS, BSCC AND EISENHOWER HEALTH SERVICES (EHS). HE DEVOTES 40 HOURS PER WEEK TO HIS POSITION AT EMC AND 1 HOUR PER WEEK TO ACHS, BSCC AND EHS. KIMBERLY OSBORNE, CHIEF FINANCIAL OFFICER OF EMC, IS ALSO THE BOARD DIRECTOR AND TREASURER AT EHS. SHE DEVOTES 40 HOURS PER WEEK TO HER POSITION AT EMC AND 1 HOUR PER WEEK AT EHS. MARY KROLL IS THE CORPORATE SECRETARY OF EMC, ACHS, BSCC AND EHS. SHE DEVOTES 40 HOURS PER WEEK TO HER POSITION AT EMC, 2 HOURS PER WEEK AT BSCC AND 1 HOURS PER WEEK TO ACHS AND EHS. MARTIN MASSIELLO, CHIEF OPERATING OFFICER OF EMC, IS ALSO THE BOARD DIRECTOR AND PRESIDENT OF EHS. HE DEVOTES 40 HOURS PER WEEK TO HIS POSITION AT EMC AND 1 HOUR PER WEEK AT EHS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PAYMENT FOR SERVICES OTHER THAN BOARD SERVICES</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>EUTHYM KONTAXIS, MD RECEIVED A TOTAL OF $120,150 AS A STIPEND FOR EMERGENCY ROOM ADMINISTRATIVE SERVICES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS/FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>PENSION RELATED CHANGES: $25,372,084 UNREALIZED GAIN ON INVESTMENTS: $ 3,800,207 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS: $ 3,227,654 PLEDGE WRITE OFFS: ($ 3,221,535) K-1 FLOW THROUGH INCOME $ 490,427 ------------ TOTAL $29,668,837</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EISENHOWER PROPERTIES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>39000 BOB HOPE DRIVE</AddressLine1>
          <City>RANCHO MIRAGE</City>
          <State>CA</State>
          <ZIPCode>92270</ZIPCode>
        </AddressUS>
        <EIN>201971850</EIN>
        <PrimaryActivities>PROP. RENTAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <TotalIncome>2408001</TotalIncome>
        <EOYAssets>23864368</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>39000 BOB HOPE DRIVE</AddressLine1>
          <City>RANCHO MIRAGE</City>
          <State>CA</State>
          <ZIPCode>92270</ZIPCode>
        </AddressUS>
        <EIN>330617193</EIN>
        <PrimaryActivities>SUPPORT SVCS</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ANNENBERG CENTER FOR HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>39000 BOB HOPE DRIVE</AddressLine1>
          <City>RANCHO MIRAGE</City>
          <State>CA</State>
          <ZIPCode>92270</ZIPCode>
        </AddressUS>
        <EIN>953382683</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BARBARA SINATRA CHILDREN'S CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>39000 BOB HOPE DRIVE</AddressLine1>
          <City>RANCHO MIRAGE</City>
          <State>CA</State>
          <ZIPCode>92270</ZIPCode>
        </AddressUS>
        <EIN>330136550</EIN>
        <PrimaryActivities>CHILD SVCS</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>EISENHOWER IMAGING CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>39000 BOB HOPE DRIVE</AddressLine1>
          <City>RANCHO MIRAGE</City>
          <State>CA</State>
          <ZIPCode>92270</ZIPCode>
        </AddressUS>
        <EIN>680554124</EIN>
        <PrimaryActivity>MEDICAL IMAGING</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1018942</ShareOfTotalIncome>
        <ShareOfEOYAssets>2081835</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.50795</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHARITABLE REMAINDER TRUST (21)</BusinessNameLine1>
        </NameOfRelatedOrg>
        <PrimaryActivity>HOSPITAL SUPPORT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ANNENBERG CENTER FOR HEALTH SCIENCES</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ANNENBERG CENTER FOR HEALTH SCIENCES</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BARBARA SINATRA CHILDREN'S CENTER</BusinessNameLine1>
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        <AmountInvolved>445702</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BARBARA SINATRA CHILDREN'S CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>2036481</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EISENHOWER IMAGING CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>369368</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EISENHOWER IMAGING CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>842104</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHARITABLE REMAINDER TRUST (21)</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP</Identifier>
        <ReturnReference>SCHEDULE R, PART III</ReturnReference>
        <Explanation>EISENHOWER IMAGING CENTER EIN: 68-0554124 ADDRESS: 39000 BOB HOPE DRIVE RANCHO MIRAGE, CA 92270</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>