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        <AddressLine1>2767 OLIVE HWY</AddressLine1>
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      <Name>Ashok P Khanchandani</Name>
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      <DateSigned>2011-08-03</DateSigned>
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        <Compensation>652281</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <AllOtherContributions>151311</AllOtherContributions>
      <TotalContributions>151311</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Outpatient Services</Description>
        <TotalRevenueColumn>182362879</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>182362879</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other Income</Description>
        <TotalRevenueColumn>353442</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>353442</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Medical Bldg Services</Description>
        <TotalRevenueColumn>193243</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>193243</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Inpatient Services</Description>
        <TotalRevenueColumn>337929438</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>337929438</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Dietary/Cafeteria</Description>
        <TotalRevenueColumn>259617</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>259617</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>-370295765</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-370337777</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>2412</UnrelatedBusinessRevenue>
        <ExclusionAmount>39600</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>150802854</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>39291</TotalRevenueColumn>
        <ExclusionAmount>39291</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>34937</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>93342</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-58405</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-58405</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-58405</RelatedOrExemptFunctionIncome>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>150935051</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>150509194</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>195655</UnrelatedBusinessRevenue>
        <ExclusionAmount>78891</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1154559</Total>
        <ProgramServices>1154559</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>61340650</Total>
        <ProgramServices>58091749</ProgramServices>
        <ManagementAndGeneral>3248901</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1911624</Total>
        <ProgramServices>1812656</ProgramServices>
        <ManagementAndGeneral>98968</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>12159291</Total>
        <ProgramServices>11504117</ProgramServices>
        <ManagementAndGeneral>655174</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>4677493</Total>
        <ProgramServices>4435331</ProgramServices>
        <ManagementAndGeneral>242162</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>244299</Total>
        <ManagementAndGeneral>244299</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>50282</Total>
        <ProgramServices>50282</ProgramServices>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>80001</Total>
        <ManagementAndGeneral>80001</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>16250745</Total>
        <ProgramServices>16192751</ProgramServices>
        <ManagementAndGeneral>57994</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1171862</Total>
        <ProgramServices>1020033</ProgramServices>
        <ManagementAndGeneral>151829</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2275880</Total>
        <ProgramServices>2215706</ProgramServices>
        <ManagementAndGeneral>60174</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>200690</Total>
        <ProgramServices>194811</ProgramServices>
        <ManagementAndGeneral>5879</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>134924</Total>
        <ProgramServices>123719</ProgramServices>
        <ManagementAndGeneral>11205</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1426540</Total>
        <ManagementAndGeneral>1426540</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>3057441</Total>
        <ProgramServices>3022862</ProgramServices>
        <ManagementAndGeneral>34579</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1815464</Total>
        <ProgramServices>1683109</ProgramServices>
        <ManagementAndGeneral>132355</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Utilities</Description>
        <Total>1081296</Total>
        <ProgramServices>1067167</ProgramServices>
        <ManagementAndGeneral>14129</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased Service</Description>
        <Total>5260221</Total>
        <ProgramServices>5224286</ProgramServices>
        <ManagementAndGeneral>35935</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Physician, Registry, Consultin</Description>
        <Total>16601066</Total>
        <ProgramServices>16396207</ProgramServices>
        <ManagementAndGeneral>204859</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other Expenses</Description>
        <Total>1117217</Total>
        <ProgramServices>1278150</ProgramServices>
        <ManagementAndGeneral>-160933</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>HQAF Fee</Description>
        <Total>10607483</Total>
        <ProgramServices>10607483</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>422605</Total>
        <ProgramServices>133534</ProgramServices>
        <ManagementAndGeneral>289071</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>143041633</Total>
        <ProgramServices>136208512</ProgramServices>
        <ManagementAndGeneral>6833121</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>4108162</BOY>
        <EOY>3953911</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>13774531</BOY>
        <EOY>21726238</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>33338</BOY>
        <EOY>190192</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>1266464</BOY>
        <EOY>1394661</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>274116</BOY>
        <EOY>281276</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>62665649</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>38059303</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>24322417</BOY>
        <EOY>24606346</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>4184181</BOY>
        <EOY>4333997</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>47963209</BOY>
        <EOY>56486621</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>20368530</BOY>
        <EOY>24606723</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>4402667</BOY>
        <EOY>4305861</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>23354441</BOY>
        <EOY>19843048</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>48125638</BOY>
        <EOY>48755632</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-162429</BOY>
        <EOY>7729440</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <EOY>1549</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-162429</BOY>
        <EOY>7730989</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>47963209</BOY>
        <EOY>56486621</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="09000047" softwareVersion="2009v1.7">
      <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>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <Land>
        <OtherCostOrOtherBasis>161550</OtherCostOrOtherBasis>
        <BookValue>161550</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>25816567</OtherCostOrOtherBasis>
        <Depreciation>12124217</Depreciation>
        <BookValue>13692350</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2227589</OtherCostOrOtherBasis>
        <Depreciation>1583138</Depreciation>
        <BookValue>644451</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>32652323</OtherCostOrOtherBasis>
        <Depreciation>24351948</Depreciation>
        <BookValue>8300375</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1807620</OtherCostOrOtherBasis>
        <BookValue>1807620</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>24606346</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Silver Bars</Description>
        <BookValue>4816</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Rounding</Description>
        <BookValue>1</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Goodwill</Description>
        <BookValue>196108</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred Compensation</Description>
        <BookValue>160000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Bond Issuance/Discount Cost</Description>
        <BookValue>242949</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>4333997</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Mcare Settlements</Description>
        <Amount>253690</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Mcal/CMSP Settlements</Description>
        <Amount>4939358</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Bonds Payable</Description>
        <Amount>14650000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>19843048</TotalOfAmounts>
      <TotalRevenue>150935051</TotalRevenue>
      <TotalExpenses>143041633</TotalExpenses>
      <ExcessOrDeficitForYear>7893418</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>7893418</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>150935051</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>150935051</RevenueSubtotal>
      <TotalRevenuePerForm990>150935051</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>143041633</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>143041633</ExpensesSubtotal>
      <TotalExpensesPerForm990>143041633</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="09000047" softwareVersion="2009v1.7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent350>X</Pcent350>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>2997</PersonsServed>
        <TotalCommunityBenefitExpense>1632470</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>127213</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1505257</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01050</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>83425</PersonsServed>
        <TotalCommunityBenefitExpense>43510961</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>42139379</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1371582</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00960</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <PersonsServed>14389</PersonsServed>
        <TotalCommunityBenefitExpense>6519126</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8349023</DirectOffsettingRevenue>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <PersonsServed>100811</PersonsServed>
        <TotalCommunityBenefitExpense>51662557</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>50615615</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2876839</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02010</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>10</NumberOfActivitiesOrPrograms>
        <PersonsServed>3113</PersonsServed>
        <TotalCommunityBenefitExpense>124560</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>905</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>123655</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <PersonsServed>512</PersonsServed>
        <TotalCommunityBenefitExpense>161440</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>160440</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00110</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>10915</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>10915</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>10</NumberOfActivitiesOrPrograms>
        <PersonsServed>3625</PersonsServed>
        <TotalCommunityBenefitExpense>296915</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1905</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>295010</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00210</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>10</NumberOfActivitiesOrPrograms>
        <PersonsServed>104436</PersonsServed>
        <TotalCommunityBenefitExpense>51959472</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>50617520</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3171849</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02220</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>298234907</BadDebtExpenseAmount>
      <AmountAttributableTo>596456</AmountAttributableTo>
      <AmountReimbursedByMedicare>46904208</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>38159414</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>8744794</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Oroville Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2767 Olive Highway</AddressLine1>
          <City>Oroville</City>
          <State>CA</State>
          <ZIPCode>95966</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>Patient Accounts Receivable The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payors, patients, and others. The Hospital provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information, and existing economic condictions. As a service to the patient, the Hospital bills third-party payors directly and bills the patient when the patient's liablility is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. No interest is charged to patients for delinquent accounts.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>The hospital's DSH payments are in excess of $7,000,000, which makes up most of the excess of payments over costs. The excess is used to subsidize charity and bad debt, and to improve patient care through programs, training, and acquired capital.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Any self-pay, uninsured patient who indicates an inability to pay is screened for a charity discount. Additionally, "high cost" patients as defined are also screened for a charity discount when the patient requests such screening. Screening for discounts will occur only after all other potential resources have been exhausted. The screening process will optimally occur at the time of service but may occur anytime during the collection process including post assignment to an outside collection agency.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>9 Rural Health Clinics2 Outpatient Imaging Centers1 PT, OT, &amp; Speech</NumberOfFacilityTypeExpln>
        <NeedsAssessment>The hospital assesses the needs of it's community on an ongoing basis as part of the budget process and by polling patients, physicians, and employees. Periodically, the hospital has gone through a more formal, extensive process and included various organizations, agencies and churches. The agencies, organizations and churches responded to a community needs survey of adult and senior needs. Health Ministry Outreach has played a vital role in identifying a community needs focus and initiating a collaborative plan to meet the needs of the population at risk. Input was sought from The Cooperating Christian Churches of Oroville, Paradise Strive Center (servicing the disabled and elderly), Oroville Hospital Extended Care Unit, Butte County Elder Services Planning Project, Butte County Adult Services, Home Health Agencies, Hospital Sponsored Support Groups Leaders, Butte County Behavioral Health (Senior Connections), Community Action Agency (Senior Nutrition Sites), Feather River Recreation and Park District, Oroville Adult Education, Greater Oroville Senior Organization and Community Advocates. Managers from the hospital departments of Intensive Care, Extended Care, Outpatient Services and Home Health Services discharge planners were interviewed and service gaps were identified to address the health and safety needs of a rural multi-cultural community with focus on adults and seniors. Recommendations were made to address the health and safety needs of a rural multi-cultural community with a high percentage of older adults. Additional information and statistics identifying community health and safety needs and existing services were obtained from the Area Agency on Aging, The Butte County Long Term Care Network, City of Oroville demographic reports, Butte County statistics, the Butte County Department of Public Health, The Community Health Alliance of Oroville (CHAO), annual reports on family health, the Department of Social Welfare and the Employment Development Center the Peg Taylor Center, Adult Day Health Care, Community Action Agency and Home Health Agencies.</NeedsAssessment>
        <PatientEducationAssistance>Oroville Hospital posts signs in the business office, the admitting and registration areas and the emergency department informing patients about our financial assistance policies and the availability of charity discounts. Additionally, patient statements include standard language informing patients that they may request financial screening to determine eligibility for charity discounts and how that request may be made. All statements sent to patients contain a plain language summary of the patient's rights pursuant to AB 774 and the Rosenthal Fair Debt Collection Practices Act. Once a charity determination has been made, the outcome is communicated to the patient by a letter and/or phone call and is documented in the patient's account notes.</PatientEducationAssistance>
        <CommunityInformation>Oroville Hospitals services a population of approximately 50,000 which is comprised of approximately 72% Caucasian, 13 % Hispanic, 9% Asian and 4% African American, 2% Native American. Approximately 50% of the population is 55 years of age or older.The hospital service area is comprised of, but not limited to Oroville, Thermalito, Palermo, Berry Creek, Concow, Feather Falls and Bangor. Rural, isolated adults, seniors (many living alone) and families and special populations who are at risk for poor health outcomes and behavior are the targeted populations for the community Benefit Plan. The challenges involved in meeting the ongoing needs of a rural population are many. The majority of adults do not identify a particular faith community as an affiliation. Many adults and seniors lack a social support system and have limited knowledge access on how to effectively healthcare services and resources. Frequent visits to emergency services and ongoing chronic health conditions are common among the rural adult population.</CommunityInformation>
        <CommunityBuildingActivities>As the largest employer, Oroville Hospital has been a leader in the community through representation on Community Boards and active participation in community planning. Oroville Hospital is committed to continued involvement and support of its community in all areas, not just healthcare. High quality healthcare, affordable healthcare and good access to healthcare are critical determinants of a healthy community. Oroville Hospital's role goes beyond healthcare to assisting the community in providing a good place to bring up children, lowering the level of child abuse, supporting education, supporting the local economy, providing good jobs, providing programs addressing teen pregnancy, recycling efforts, sponsoring art and cultural events and strengthening families.</CommunityBuildingActivities>
        <OtherInformation>Promoting health and wellness to the members of our surrounding community is a priority. Our outreach to the community includes the annual Health Fair, where we are able to show a large number of people that Oroville Hospital is here to help them become and stay as healthy as possible though all stages of life. We offer First Aid and CPR classes to the community as well as facilitate enrollment into birthing classes. We distribute stroke information cards to local businesses and assist with the Stroke Survivor Golf Tournament. We are a sponsor in the Relay for Life of Oroville and participate in the heart walk in Chico. Our nurse educators as well as some of our physicians lead health related lectures at area clubs and schools. We also participate in career fairs at the local high schools, where we hope to inspire future generations of health care providers. A majority of the organization's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof. The hospital applies surplus funds by preparing a three year capital budget annually. The process involves recommendations and feedback from physicians and management. The hospital continually monitors new developments in healthcare technology that would enhance the quality and accuracy of patient care and treatment. Funds are allocated in the capital budget for replacement and/or additions due to improved technology or obsolescence. Additionally, the hospital is in the process of installing an electronic health record system that will streamline the medical record and provide more timely and accurate measurable medical information. The E.H.R. will enhance patient care and reduce medical errors. Oroville Hospital supports a robust Continuing Medical Education program that received the coveted six-year accreditation with commendation in 2009. Our program provides problem-focused evidence-based education bringing both recognized authorities in the field and tapping the expertise of local providers to present programs that support clinical excellence, promote equality in access to health care and examine advances in clinical practice. Six Regularly Scheduled Series (RSS) bring accessible and relevant information to the point of care for both inpatient and outpatient providers. Patient care areas of concern are identified and targeted for stand-alone or series CME education. Faculty is carefully chosen for demonstrated knowledge and proficiency within the desired topic. Events are videotaped to provide viewing opportunities for providers unable to attend or who wish to review the presentations at a later date. These are only a few of the ways Oroville Hospital promotes the health of the community of Oroville and the surrounding area.</OtherInformation>
        <ReportsFiledWithStates>CA</ReportsFiledWithStates>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Oroville Hospital makes financial, governing, and policy information available to the public through several avenues. The Office of Statewide Planning and Development posts the annual financial disclosure report, quarterly reports, utilization reports, and charge master on an easily assessable internet site. The Internal Revenue Service also makes the Form 990 Return of Organizations Exempt From Income Tax available to the public. In additional, these reports are available to any community member who requests them.</Explanation>
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        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The CEO compensation is established after reviewing market studies and comparable hospitals. A compensation committee made up of members of the Board of Trustees reviews the data and establishes the salary. Other officers and key employees salaries are established after reviewing market studies and comparable hospitals, with the CEO and COO making any final decisions.</Explanation>
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        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: Oroville Hospital also provides a variety of outpatient Medical Imaging services, including a Women's Imaging Center. It has Outreach Laboratory Services, Home Health Services, Ambulatory Services, and Outpatient Surgery. Oroville Hospital had 84,303 outpatient visits, 7,542 Home Health visits and performed 2,633 outpatient surgeries in 2010.</Explanation>
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