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      <Description>OPERATION OF TWO ACUTE CARE HOSPITALS WITH A TOTAL OF 167 ACUTE, 26 SKILLED NURSING AND 14 ACUTE PSYCHIATRIC BEDS. SERVICES INCLUDE ICU/CCU, MEDICAL, SURGICAL, OBSTETRIC, NURSERY INPATIENT SERVICE, AND EMERGENCY ROOM, URGENT CARE AND OUTPATIENT SERVICES. ALSO CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY-CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ANY PROFITS MADE FROM OPERATIONS ARE INVESTED INTO NEW FACILITIES, EQUIPMENT AND SERVICES. WE ALSO SERVE THE COMMUNITY WITH OUTREACH PROGRAMS INCLUDING THE MOBILE HEALTH UNIT AND NURSES TRAINING.Medical and Surgical Services. The Corporation's services include acute inpatient medical and surgical care, advanced diagnostic services, emergency and urgent care, critical care, obstetrics, pediatrics, skilled nursing, geriatric psychiatric care, inpatient and outpatient rehabilitation, and an integrated medical fitness center. The Pleasanton Campus has been designated by Alameda County as a cardiac receiving center. Other programs of the Corporation include oncology services, a bariatrics program, a coumadin clinic, cardio-vascular services, a pediatric hospitalist program with a local tertiary hospital, and an oncology research program with the University of California at Davis.Nurse Education. The Corporation opened the Mertes-Feit Education Center (the "Education Center") on the Livermore Campus in 2003. Partnering with the local community college system, the Corporation opened the Chabot College Nursing Program, Extended Campus at ValleyCare, with the first 10 students enrolled in September 2003 and graduated in May 2005. Currently, the program has 40 nursing students. The nursing program is intended to provide a continuous stream of registered nurses to meet the immediate and future staffing needs of the Corporation. The Education Center, which houses the nursing program, also has the first fully functional simulation laboratory in the East Bay area and is used as a training site for a number of healthcare disciplines.Community Education. The ValleyCare Medical Plaza (the "Medical Plaza"), located at W. Las Positas and Stoneridge, houses the Corporation's Health Library and Ryan Comer Cancer Resource Center, which opened in 1991. Its mission is to provide access to current, easily understood health and medical information in a relaxed and supportive environment.Community Outreach. In addition to the services provided at the Pleasanton Campus, the Livermore Campus, and the Medical Plaza, the Corporation provides a variety of programs within the community, including a "Meals on Wheels" program, which is based at the Livermore Campus kitchen, for homebound seniors. The Corporation was first awarded the contract to provide this program in 1997.Another community service is the Corporation's nutrition program, which has served local Head Start Centers since 1998. This program addresses the unique needs of children in the local community and supports local agencies in addressing social needs that affect health by delivering hot meals on school days for low-income children at Head Start Centers. In addition to the Head Start meals, the Corporation also provides hot meals to children in the Livermore Play School per requests from parents and staff. Each summer the Corporation also participates in a joint program with the Livermore Housing Authority and CAPE, Inc. Preschools to provide summer recreation and free meals to low-income children.At the Las Positas College Student Health Center, a Chabot Community College (at Las Positas Community College), the Corporation provides a program that gives students access to primary diagnostic and treatment services, as well as offering critical access to information to help students improve and maintain their health. The Corporation's Public Health Nurse works closely with the community on a variety of projects including the Bay Area Regional Immunization Registry, Senior Injury Prevention, Pastoral Care, and the procurement of a Mobile Medical Van to bring medical services and continuity of care to the region's underserved population, including children and seniors. The Corporation also financially supports two nurses in the Pleasanton Unified School District.</Description>
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        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>215003</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19868</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>Christine Rawls</NamePerson>
        <Title>Lead Ultrasound Tech</Title>
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        <ReportableCompFromOrganization>201981</ReportableCompFromOrganization>
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      <Form990PartVIISectionA>
        <NamePerson>Paul Muser</NamePerson>
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        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>247403</ReportableCompFromOrganization>
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        <NameOfContractor>
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          <AddressUS>
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      <ContractorCompensation>
        <NameOfContractor>
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          <AddressUS>
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            <State>CA</State>
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      <ContractorCompensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>XL Construction Corporation</BusinessNameLine1>
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          <AddressUS>
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            <State>CA</State>
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        <DescriptionOfServices>construction</DescriptionOfServices>
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      <NumberOfContractorsGT100K>37</NumberOfContractorsGT100K>
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      <ProgramServiceRevenue>
        <Description>ANCILLARY PTNT SRVCS</Description>
        <BusinessCode>621990</BusinessCode>
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      <ProgramServiceRevenue>
        <Description>OUTPATIENT SRVCS</Description>
        <BusinessCode>621990</BusinessCode>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
        <Description>LAB SERvices</Description>
        <BusinessCode>621500</BusinessCode>
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        <UnrelatedBusinessRevenue>447156</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONTRACTUAL ALLOWANCE</Description>
        <BusinessCode>621990</BusinessCode>
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        <RelatedOrExemptFunctionIncome>-734810085</RelatedOrExemptFunctionIncome>
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      <GrossRents>
        <Real>2182591</Real>
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      <OtherRevenueMisc>
        <Description>OTHER REVENUES</Description>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>426697</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>3690482</Total>
        <ManagementAndGeneral>3690482</ManagementAndGeneral>
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        <ProgramServices>980677</ProgramServices>
        <ManagementAndGeneral>401418</ManagementAndGeneral>
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        <Total>12036809</Total>
        <ProgramServices>8534923</ProgramServices>
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      <PayrollTaxes>
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        <ProgramServices>4905293</ProgramServices>
        <ManagementAndGeneral>1869530</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ProgramServices>18928</ProgramServices>
        <ManagementAndGeneral>1507766</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>148645</Total>
        <ManagementAndGeneral>148645</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>18270182</Total>
        <ProgramServices>9954755</ProgramServices>
        <ManagementAndGeneral>8315427</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>35296585</ProgramServices>
        <ManagementAndGeneral>6928630</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>6242026</ProgramServices>
        <ManagementAndGeneral>2415314</ManagementAndGeneral>
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      <Occupancy>
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        <ManagementAndGeneral>1946510</ManagementAndGeneral>
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        <ManagementAndGeneral>252156</ManagementAndGeneral>
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      <ConferencesMeetings>
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        <ManagementAndGeneral>103330</ManagementAndGeneral>
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      <Interest>
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        <ProgramServices>3896850</ProgramServices>
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        <ManagementAndGeneral>424679</ManagementAndGeneral>
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        <ProgramServices>28435402</ProgramServices>
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      <OtherLiabilities>
        <BOY>6234511</BOY>
        <EOY>7372801</EOY>
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      <TotalLiabilities>
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        <EOY>136012341</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <BOY>85719112</BOY>
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      <TemporarilyRestrictedNetAssets>
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        <EOY>8709</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>90515029</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>212633196</BOY>
        <EOY>226527370</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
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      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>The organization pays dues to CHA/HCNCC and AHA. A portion of the dues paid are used for lobbying purposes.</Explanation>
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    </IRS990ScheduleC>
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        <Description>NON PATIENT RECEIVABLES</Description>
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      <OtherAssets>
        <Description>EQUITY INVESTMENT (PPA-II)</Description>
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      <OtherAssets>
        <Description>third party payor receivable</Description>
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      <OtherAssets>
        <Description>OTHER non-patient receivable</Description>
        <BookValue>34496</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Intercompany Receivable</Description>
        <BookValue>18105544</BookValue>
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      <OtherLiabilities>
        <Description>Minimum pension liability</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LIABILITY FOR SELF INSURANCE RESERVES</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>BOND INTEREST PAYABLE</Description>
        <Amount>2166014</Amount>
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      <OtherLiabilities>
        <Description>REFUNDABLE DEPOSITS</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>estimated third-party payor settlements</Description>
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      <RevenueNotRptdOnFinStmt>757910</RevenueNotRptdOnFinStmt>
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      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>VHS adopted the provisions of ASC Topic 740-10, Income Taxes, relating to accounting for uncertain tax positions. VHS had no unrecognized tax benefits which would require an adjustment to the July 1, 2009 beginning balance of net assets and had no unrecognized tax benefits at June 30, 2010. VHS files federal and California exempt organization returns.</Explanation>
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      <Form990ScheduleDPartXIV>
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      <Form990ScheduleDPartXIV>
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      <Form990ScheduleDPartXIV>
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      <Form990ScheduleDPartXIV>
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      </Form990ScheduleDPartXIV>
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      <WrittenPolicy>1</WrittenPolicy>
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      <Pcent200>X</Pcent200>
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      <Pcent350>X</Pcent350>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
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      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <PersonsServed>894</PersonsServed>
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        <NetCommunityBenefitExpense>1313480</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>9259</PersonsServed>
        <TotalCommunityBenefitExpense>17330178</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13263106</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4067072</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01910</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>505974</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>170041</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>335933</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00160</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>10153</PersonsServed>
        <TotalCommunityBenefitExpense>19149632</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13433147</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5716485</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02690</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>63</NumberOfActivitiesOrPrograms>
        <PersonsServed>242040</PersonsServed>
        <TotalCommunityBenefitExpense>3235563</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1415470</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1820093</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00850</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>1325641</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1325641</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>1948395</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1948395</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00910</PercentOfTotalExpense>
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      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>63</NumberOfActivitiesOrPrograms>
        <PersonsServed>242040</PersonsServed>
        <TotalCommunityBenefitExpense>6509599</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1415470</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5094129</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02380</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>69</NumberOfActivitiesOrPrograms>
        <PersonsServed>252193</PersonsServed>
        <TotalCommunityBenefitExpense>25659231</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14848617</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10810614</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05070</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>6331221</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>51362862</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>73790183</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-22427321</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Valley Memorial Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1111 E Stanley Blvd</AddressLine1>
          <City>livermore</City>
          <State>CA</State>
          <ZIPCode>94550</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>Lifestyle Rx Medical Fitness Facility</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>ValleyCare Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>5555 W Las Positas Blvd</AddressLine1>
          <City>pleasanton</City>
          <State>CA</State>
          <ZIPCode>94558</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Part I, Line 7: Ratio of Patient Care Cost to Charges was used to calculate the amounts included in the table at Schedule H, Part I, Line 7. Part I, Line 7, COLUMN (F): THE AMOUNT OF BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 25 THAT WAS SUBTRACTED FOR THE PURPOSES OF CALCULATING THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7, COLUMN (F) IS $28,435,402.</CostingMethodUsed>
        <BadDebtFootnote>Part III, Line 4: Bad Debt expense on the income statement for fiscal year 2010 was $28,687,000, which is at charges. Bad Debt is based on remaining account balance after any discounts or payments have been applied. VCHS does not reclassify any bad debt to charity unless the patient qualifies under the charity care policy. A cost to charge ratio was used to determine cost. Per the audited financial statements: The provision for bad debts of approximately $28,687,000 and $26,985,000 for the years ended June 30, 2010 and 2009, respectively, represents estimated uncollectible charges for services provided primarily to self-pay and private health insurance patients.Patient accounts receivable consist of amounts owed by various government agencies, insurance companies and private patients. VHS grants credit without collateral to its patients, most of whom are insured under third-party payor agreements. VHS manages its collection risk by regularly reviewing its accounts and contracts and by providing appropriate allowances. The significant concentration of receivables from patients and third-party payors is as follows at June 30:Medicare 21%, Medi-Cal 15%, Self payors 13% and Contracted third-party payors 51%.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: the methodology described in the instructions to Schedule H, Part III, Section B, Line 6 does not take into account all costs incurred by the hospital and does not represent the total community benefit conferred in this area. The Medicare shortfall of $22,427,321 reflected on Schedule H, Part III, Section B was determined using information from the organization's Medicare Cost Report. However, using a financial statement cost-to-charge ratio methodology actually results in a much larger Medicare shortfall of $28,301,608. The most common reasons for a difference between the Medicare shortfall reported on Schedule H and the Medicare shortfall reported on the core form, Part III included Medicare Managed Care. Reasons why Medicare shortfall should be treated as community benefit are:1. Absent the Medicare program, it is likely many of the individuals would qualify for charity care or other means-based government programs,2. By accepting payment below cost to treat these individuals, the burdens of government are relieved with respect to these individuals,3. There is a significant possibility that continued reduction on reimbursement may actually create difficulties in access for these individual, and4. The amount spent to cover the Medicare shortfall is money not available to cover charity care or other community benefit needs.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: The amount determined as charity care are not collected and written off to charity. If a reduced rate is given, the amount determined as patient balance is collected on in the same manner as all other patients.</DebtCollectionPolicy>
        <NeedsAssessment>Part VI, Line 2: VcHS is a participant in the Community Assessment, Planning, and Education Unit collaborative, which compiles information for all participating Hospitals to produce a report every 3 years for the Hospital Council of No. California. The 9/10 report identifies the uninsured population, which most are eligible for Medi-Cal. The report was studied in the County for recommendations regarding care and access issues. Next report will be completed by July 2013.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: In keeping with a commitment to meet the needs of our community, ValleyCare Health System will extend financial assistance in the form of a Patients/Guarantor Financial Assistance Program to those patients/guarantors who have demonstrated an inability to pay for needed medical and supportive services. ValleyCare Health System will interview each patient/guarantor and determine the capability to meet his/her financial obligations for medical care. Patients/guarantors who are unable to meet the financial obligation will first be screened for possible eligibility under state or federal healthcare programs. If they do not meet state or federal criteria for healthcare benefits, the patient/guarantor will be interviewed to determine whether they meet the criteria for patient/guarantor financial assistance, as defined in the Financial assistance/charity care policy.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: The Tri-Valley region is based around the four suburban cities of Livermore, Pleasanton, Dublin and San Ramon in the three valleys from which it takes its name: Amador Valley, Livermore Valley and San Ramon Valley. Livermore, Pleasanton and Dublin are in Alameda County, while San Ramon is in Contra Costa County. ValleyCare's primary service area is the Tri-Valley. ValleyCare has facilities in Pleasanton, Livermore, and Tracy (a city within its secondary service area). The Tri-Valley accounts for over 80% of ValleyCare's inpatient discharges.Medicaid 13,620 Medicare 22,130 Managed Care 136,322 Commercial 76,194 Uninsured 15,173 TOTAL 263,440</CommunityInformation>
        <OtherInformation>Part VI, Line 6: The following programs and services further the organization's exempt purpose by promoting the health of the community:Pleasanton Campus. ValleyCare Medical Center, which opened in December 1991, is an acute care community hospital with approximately 114,000 square feet of space that provides a comprehensive range of medical and surgical inpatient and outpatient acute services, including an outpatient surgical center, a diagnostic imaging center including computerized tomography, magnetic resonance imaging and a women's center (mammography), cardiac care, emergency room, intensive care, obstetrics, pediatrics and operating and recovery rooms. The current licensed bed capacity of ValleyCare Medical Center is 167 acute care beds (all of which are staffed), including 116 medical/surgical acute care, 15 perinatal, 22 critical care, 4 pediatric, and 10 intensive care nursery beds.Livermore Campus. Valley Memorial Hospital, on the Livermore Campus, is an acute care community hospital with approximately 125,000 square feet of space that includes 26 skilled nursing, and 14 geriatric psychiatric beds. Additional services at Valley Memorial Hospital include urgent care, laboratory, occupational health, diagnostic imaging (ultrasound, mammography, bone densitometry) and radiology. The Ambulatory Surgery Center on the Livermore Campus, opened in July 2003, has four operating rooms, three gastro-intestinal (GI) suites, and a 21-bed-pre-op and post anesthesia care unit. The Urgent Care Unit on the Livermore Campus, also opened in July 2003, has nine examination rooms where patients receive care for conditions of an urgent nature.The Livermore Campus is also the location of LifeStyle Rx, an integrated medical fitness center owned and operated by the Corporation. It is designed to promote community wellness through services such as medically based fitness, cardiac and pulmonary rehabilitation, strength and cardiac training, physical and sports medicine, and water therapies. Licensed and Staffed Beds The licensed and staffed beds for 2010 at ValleyCare Medical Center were 167, while at the Valley Memorial Hospital the number of licensed beds is 75, with staffed beds at 40.</OtherInformation>
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      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>VALLEYCARE CHARITABLE FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1111 e stanley blvd</AddressLine1>
          <City>livermore</City>
          <State>CA</State>
          <ZIPCode>94550</ZIPCode>
        </AddressUS>
        <EINOfRecipient>942941652</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>426697</AmountOfCashGrant>
        <PurposeOfGrant>ALLOCATED EXPENSES</PurposeOfGrant>
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      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: THERE IS NO SPECIFIC PROCEDURE FOR MONITORING THE USE OF FUNDS TO VALLEYCARE CHARITABLE FOUNDATION. AS PART OF THE OVERALL OPERATION OF THESE RELATED ORGANIZATIONS, VALLEYCARE CHARITABLE FOUNDATION KEEPS CAREFUL TRACK OF THE USE OF FUNDS WHICH THE GRANTS FROM HOSPITAL COMMITTEE FOR THE LIVERMORE/PLEASANTON AREA ARE A PART OF.</Explanation>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3358</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7513</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>212852</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Paul Muser</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>247403</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6511</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18331</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>272245</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Severance Payment in the amount of 70,996.68 paid to Neil Sol</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>California Enterprise Development Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>352273601</IssuerEIN>
        <DateIssued>2009-07-15</DateIssued>
        <IssuePrice>10500000</IssuePrice>
        <DescriptionOfPurpose>Building and equipment</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>California Statewide Communities Development Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>680164610</IssuerEIN>
        <DateIssued>2007-05-31</DateIssued>
        <IssuePrice>54310000</IssuePrice>
        <DescriptionOfPurpose>Refunding of prior issue</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>10406075</TotalProceeds>
        <AmountInReserveFund>10406075</AmountInReserveFund>
        <WorkingCapitalExpenditures>7385000</WorkingCapitalExpenditures>
        <CapitalExpenditures>10406075</CapitalExpenditures>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>0</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>53224097</TotalProceeds>
        <AmountInReserveFund>5222758</AmountInReserveFund>
        <AmountDefeased>48000349</AmountDefeased>
        <AmountUnspent>990</AmountUnspent>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>David Mertes and Barbara Mertes are husband and wife and both serve as board members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The finance department reviews the Form 990 for accuracy. Prior to filing the return with the Internal Revenue Service, a complete copy of the Form 990 Is sent electronically to each member of the board of directors for their review. The CFO reviewed the Form 990 with the Board of Directors and invited questions. Once these steps are complete, the return is filed with the Internal Revenue Service.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>VCHS uses an RFP process for these actIvities and document the decision-making process to demonstrate why we chose a specific contractor, vendor, or product. Thus even if someone has an interest in one of these, we can demonstrate that the decision was made for reasons such as quality, cost availability, etc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>VCHS utilizes the services of Rodeghero Consulting Group for compensation benchmarking, analysis, and reporting. The Board of Directors has a Compensation Sub-Committee who review the results of the compensation review and is assured that total compensation is consistent with the market.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>990, PART VII, SECTION A, COLUMN B</Identifier>
        <ReturnReference>HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS</ReturnReference>
        <Explanation>JIM MAYER'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS BARBARA MERTES' TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS TOM ROSE'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS JIM SUMMERS' TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS MARCELINA FEIT'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 36.10 HRS VALLEYCARE CHARITABLE FOUNDATION .20 HRS VALLEYCARE MEDICAL FOUNDATION INC. 3.50 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS KENNETH JENSEN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 36.10 HRS VALLEYCARE CHARITABLE FOUNDATION .20 HRS VALLEYCARE MEDICAL FOUNDATION INC. 3.50 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS LAVERN BROWN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 39.80 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS RICHARD FISCHER'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 2.00 HRS DEBORAH MCKEEHAN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 2.00 HRS CLAIRE SHOEN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 30.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 10.00 HRS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 2C</Identifier>
        <ReturnReference>AUDIT COMMITTEE AND OVERSIGHT</ReturnReference>
        <Explanation>THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ValleyCare Charitable Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 e stanley blvd</AddressLine1>
          <City>livermore</City>
          <State>CA</State>
          <ZIPCode>94550</ZIPCode>
        </AddressUS>
        <EIN>942941652</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ValleyCare Senior Housing</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 e stanley blvd</AddressLine1>
          <City>livermore</City>
          <State>CA</State>
          <ZIPCode>94550</ZIPCode>
        </AddressUS>
        <EIN>943382224</EIN>
        <PrimaryActivities>INDEPENDENT AND ASSISTED LIVING FOR SENIORS</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C - fi</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ValleyCare Medical Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5655 w las positas blvd 220</AddressLine1>
          <City>pleasanton</City>
          <State>CA</State>
          <ZIPCode>94588</ZIPCode>
        </AddressUS>
        <EIN>262593526</EIN>
        <PrimaryActivities>SUPPORT CHARITABLE ACTIVITIES OF THE HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Valleycare Charitable Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>502430</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Valleycare Charitable Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>332794</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>valleycare Charitable Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>426697</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>valleycare Charitable Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>426697</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>valleycare Medical Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>17403173</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>