﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-15T07:20:19-06:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>390758449</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>WIPFLI LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1502 LONDON ROAD SUITE 200</AddressLine1Txt>
        <CityNm>DULUTH</CityNm>
        <StateAbbreviationCd>MN</StateAbbreviationCd>
        <ZIPCd>55812</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>952082686</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>RIDGECREST REGIONAL HOSPITAL</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>RIDG</BusinessNameControlTxt>
      <PhoneNum>7604463351</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1081 N CHINA LAKE BLVD</AddressLine1Txt>
        <CityNm>RIDGECREST</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>93555</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JAMES SUVER</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>7604463351</PhoneNum>
      <SignatureDt>2024-11-14</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MICHAEL J PETERSON CPA</PreparerPersonNm>
      <PTIN>P01833529</PTIN>
      <PhoneNum>2187224705</PhoneNum>
      <PreparationDt>2024-11-14</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>JAMES SUVER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1081 N CHINA LAKE BLVD</AddressLine1Txt>
        <CityNm>RIDGECREST</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>93555</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>147764992</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.RRH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1965</FormationYr>
      <LegalDomicileStateCd>CA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>COMMUNITY-BASED ORGANIZATION THAT PROVIDES AND PROMOTES COMPREHENSIVE QUALITY HEALTHCARE FOR THE PEOPLE OF THE SOUTHERN SIERRA REGION.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1100</TotalEmployeeCnt>
      <TotalVolunteersCnt>44</TotalVolunteersCnt>
      <TotalGrossUBIAmt>-508294</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1664392</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>278959</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>144066825</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>147100750</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1245774</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>364483</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-16452</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-7916</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>146960539</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>147736276</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>69371487</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>75897067</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>89130113</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>86250684</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>158501600</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>162147751</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-11541061</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-14411475</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>155656130</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>144856988</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>73501559</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>74801323</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>82154571</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>70055665</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>TO BE A COMMUNITY-BASED ORGANIZATION THAT PROVIDES AND PROMOTES COMPREHENSIVE QUALITY HEALTHCARE FOR THE PEOPLE OF THE SOUTHERN SIERRA REGION.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>105116045</ExpenseAmt>
      <GrantAmt>0</GrantAmt>
      <RevenueAmt>147275037</RevenueAmt>
      <Desc>RIDGECREST REGIONAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE. CHARITY CARE IS PROVIDED TO QUALIFIED PATIENTS WITH MINIMUM OR NO CHARGE. CARE ACCOMPLISHMENTS FOR THE YEAR ARE AS FOLLOWS:NUMBER OF VISITS 65,844NUMBER OF PATIENT DAYS 5,889VISITING NURSE SERVICES VISITS 3,962HOSPICE ROUTINE CARE DAYS 1,131SNF RESIDENT DAYS 19,746RURAL HEALTH VISITS 58,370COMMUNITY CARE CLINIC VISITS 31,735</Desc>
      <TotalProgramServiceExpensesAmt>105116045</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">1</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>243</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>1100</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>JAMES SUVER</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7604463351</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1081 N CHINA LAKE BLVD</AddressLine1Txt>
          <CityNm>RIDGECREST</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93555</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER ELLIS</PersonNm>
        <TitleTxt>DIRECTOR/CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE HASLAM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA LYONS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHROOQ ABU-ISSA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET HANNON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE COSNER</PersonNm>
        <TitleTxt>DIRECTOR/PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>73661</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14997</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTI HOPPUS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WALTER MARTIN</PersonNm>
        <TitleTxt>DIRECTOR (THRU 05/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANITA READ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM RIZZARDINI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAIGE SORBO-NETZER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY THARP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS CRUISE</PersonNm>
        <TitleTxt>CFO (THRU 11/2023)</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>250078</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27197</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SUVER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>563317</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35803</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN FLANIGAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>317956</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47279</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOPE ZISSOS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>313885</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>55982</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANI CHAABO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>358833</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35297</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MINU AMBIKA RAJENDRAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>311057</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36791</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEALTHY DESAI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>678654</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56965</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2867441</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>310311</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>216</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROLINK HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4600 MONTGOMERY RD SUITE 300</AddressLine1Txt>
            <CityNm>CINCINATTI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45212</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>6456964</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REGIONAL ANESTHESIA ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7370 N PALM STE 101</AddressLine1Txt>
            <CityNm>FRESNO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93711</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>3322235</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHCOMP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>621 SANTA FE</AddressLine1Txt>
            <CityNm>FRESNO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93721</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BENEFITS ADMINISTRATION</ServicesDesc>
        <CompensationAmt>1386665</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GHASSAN A MOHSEN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1017 MEADOWVIEW LANE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93721</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>1368068</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BARTON ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>300 JUBILEE DRIVE</AddressLine1Txt>
            <CityNm>PEABODY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01960</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>1014700</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>82</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>116384</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>162575</AllOtherContributionsAmt>
      <TotalContributionsAmt>278959</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REV</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>145584074</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>145584074</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER SUPPORTING REVENUE</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>1515130</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1181123</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>334007</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>799917</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>509840</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>290077</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMBULANCE S CORP</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>-798371</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-798371</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>147100750</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>364448</TotalRevenueColumnAmt>
        <ExclusionAmt>364448</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>20800</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>28716</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-7916</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-7916</TotalRevenueColumnAmt>
        <ExclusionAmt>-7916</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>35</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>35</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>35</TotalRevenueColumnAmt>
        <ExclusionAmt>35</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>147736276</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>147275037</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-508294</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>690574</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>875505</TotalAmt>
        <ProgramServicesAmt>656629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218876</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>52511929</TotalAmt>
        <ProgramServicesAmt>39844511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12667418</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1266542</TotalAmt>
        <ProgramServicesAmt>279327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>987215</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>16711824</TotalAmt>
        <ProgramServicesAmt>3806174</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12905650</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>4531267</TotalAmt>
        <ProgramServicesAmt>1037865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3493402</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1046566</TotalAmt>
        <ProgramServicesAmt>722903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>323663</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>193160</TotalAmt>
        <ProgramServicesAmt>133423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59737</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>43850290</TotalAmt>
        <ProgramServicesAmt>30289085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13561205</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4636457</TotalAmt>
        <ProgramServicesAmt>4462643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173814</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2632744</TotalAmt>
        <ProgramServicesAmt>482723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2150021</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>651045</TotalAmt>
        <ProgramServicesAmt>519314</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131731</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>2178666</TotalAmt>
        <ProgramServicesAmt>2178666</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>6970598</TotalAmt>
        <ProgramServicesAmt>4600595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2370003</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2063876</TotalAmt>
        <ProgramServicesAmt>707233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1356643</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>8525850</TotalAmt>
        <ProgramServicesAmt>6967199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1558651</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>5193437</TotalAmt>
        <ProgramServicesAmt>5193437</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR &amp; MAINTENANCE</Desc>
        <TotalAmt>4019268</TotalAmt>
        <ProgramServicesAmt>1854592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2164676</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
        <TotalAmt>966627</TotalAmt>
        <ProgramServicesAmt>314056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>652571</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3322100</TotalAmt>
        <ProgramServicesAmt>1065670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2256430</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>162147751</TotalAmt>
        <ProgramServicesAmt>105116045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57031706</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3474905</BOYAmt>
        <EOYAmt>8183080</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>31334194</BOYAmt>
        <EOYAmt>33060443</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>95104</BOYAmt>
        <EOYAmt>72404</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2496080</BOYAmt>
        <EOYAmt>2566247</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>5002265</BOYAmt>
        <EOYAmt>4850222</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>167360196</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>105024585</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>66889628</BOYAmt>
        <EOYAmt>62335611</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>25406476</BOYAmt>
        <EOYAmt>15140694</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>2083334</BOYAmt>
        <EOYAmt>1822917</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>18874144</BOYAmt>
        <EOYAmt>16825370</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>155656130</BOYAmt>
        <EOYAmt>144856988</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>19037602</BOYAmt>
        <EOYAmt>17067594</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>182</BOYAmt>
        <EOYAmt>580613</EOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>67440</BOYAmt>
        <EOYAmt>75177</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>52058396</BOYAmt>
        <EOYAmt>45701393</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2337939</BOYAmt>
        <EOYAmt>11376546</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>73501559</BOYAmt>
        <EOYAmt>74801323</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>82154571</BOYAmt>
        <EOYAmt>70055665</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>82154571</BOYAmt>
        <EOYAmt>70055665</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>155656130</BOYAmt>
        <EOYAmt>144856988</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-14411475</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1514198</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>798371</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>10740</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>10740</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDES 11.04% LOBBYING PORTION OF MEMBERSHIP DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION, HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, AND HOSPITAL COUNCIL - NORTHERN AND CENTRAL CALIFORNIA. THE ORGANIZATIONS ADVOCATE ON BEHALF OF THE COLLECTIVE MEMBERSHIP TO IMPROVE THE OVERALL ENVIRONMENT OF HOSPITALS AND PATIENTS IN THE STATE OF CALIFORNIA (WHICH INCLUDES ADVOCATING FOR CERTAIN LEGISLATIVE MATTERS).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3584584</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3584584</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>111830983</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>63151859</DepreciationAmt>
        <BookValueAmt>48679124</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>294632</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>189604</DepreciationAmt>
        <BookValueAmt>105028</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>47158814</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>41683122</DepreciationAmt>
        <BookValueAmt>5475692</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4491183</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4491183</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>62335611</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>PROGRESSIVE AMBULANCE INTERCOMPANY RECEIVABLE</Desc>
        <BookValueAmt>9226188</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING AND FINANCE LEASES NET</Desc>
        <BookValueAmt>7599182</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>16825370</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>608077</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDS PAYABLE</Desc>
        <Amt>3103342</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE OBLIGATION</Desc>
        <Amt>6522544</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATION</Desc>
        <Amt>1142583</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11376546</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SKILLED NURSING FACILITY RESIDENT PRIVATE MONIES MAINTAINED AS A DRAWING ACCOUNT AS REQUIRED BY TITLE 22 OF THE CALIFORNIA CODE OF REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>513242</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>513242</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00330</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>50706104</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>39869232</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10836872</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06900</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>51219346</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>39869232</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11350114</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07230</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>209663</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>89423</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>120240</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>9200</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>9200</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>218863</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>89423</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>129440</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00090</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>51438209</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>39958655</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11479554</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07320</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <TotalCommunityBenefitExpnsAmt>3397</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3397</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CommunitySupportGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>16830</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>16830</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>309102</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>309102</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00200</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>329329</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>329329</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00210</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5193438</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>1298359</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>43182661</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>42715479</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>467182</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>RIDGECREST REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1081 N CHINA LAKE BLVD</AddressLine1Txt>
          <CityNm>RIDGECREST</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93555</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.RRH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>120000186</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>RIDGECREST REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SUPPLEMENTAL SECTION</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>23</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SUPPLEMENTAL SECTION</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIDGECREST REGIONAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS GATHERED THROUGH AN ONLINE SURVEY WITH 619 COMMUNITY RESIDENTS OVER A PERIOD OF SEVEN WEEKS FROM IN JUNE TO JULY 2022. INTERVIEWS WERE CONDUCTED WITH 8 KEY COMMUNITY STAKEHOLDERS. INDIVIDUALS CONSULTED INCLUDED 2 MEMBERS OF COMMUNITY INSTITUTIONS WITH HIGH VISIBILITY AND INVESTMENT IN THE PUBLIC HEALTH OF THE RIDGECREST COMMUNITY AND 5 MEMBERS OF THE HOSPITAL LEADERSHIP OR MANAGEMENT TEAM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIDGECREST REGIONAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE IDENTIFIED IN THE 2022 CHNA AND WILL BE ADDRESSED THROUGH 2025:1) ACCESS TO HEALTH CARE2) MENTAL HEALTH3) HEALTH EDUCATION/WELLNESS/DISEASE PREVENTION4) SUBSTANCE USE OR ADDICTION5) SEXUAL HEALTH6) CHRONIC DISEASE7) ELDER/SENIOR CARETHE HOSPITAL HAS CONTINUED TO MAKE PROGRESS IN 2023 TOWARDS THE NEEDS IDENTIFIED BY THE CHNA. THE FOLLOWING ACTION PLAN ITEMS AND STATUS TO DATE IS AS FOLLOWS:1) ACCESS TO HEALTH CAREA. EXPAND PRIMARY CARE SERVICES: PEDIATRICS, FAMILY MEDICINE, ADULT MEDICINE, INTERNAL MEDICINE AND WOMEN'S HEALTH/MATERNAL HEALTH. PEDIATRICS &amp; WOMEN'S HEATH CLINIC IS AT CAPACITY AND MEETS DEMAND OF COMMUNITY. SAME DAY APPOINTMENTS AND WALK-IN CLINIC ARE NOW AVAILABLE FOR ACUTE PATIENTS. SCHEDULING HAS BEEN IMPROVED BY OFFERING A NEW FEATURE TO REQUEST APPOINTMENTS ONLINE. B. CONTINUE RECRUITMENT EFFORTS FOR PHYSICIANS AND ADVANCED PRACTICE PROVIDERS; INCLUDING PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND CERTIFIED NURSE MIDWIVES. TWO PCPS JOINED IN 2023. RECRUITMENT EFFORTS CONTINUE TO FILL PRIMARY CARE ROLES. THE OB PROGRAM WAS SUSPENDED SO MIDWIVES WERE NOT RECRUITED. C. INCREASE THE NUMBER OF ADVANCED PRACTICE PROVIDERS IN ALL PRIMARY CARE CLINICS IS IN PROGRESS. D. CONTINUE ESTABLISHING PATIENT CENTERED MEDICAL HOME MODELS IN CLINICS. BUSINESS PLAN IN PROGRESS. SERVICES EXPECTED TO BEGIN IN QUARTER 3 OF 2024. E. ESTABLISH HOSPITAL DISCHARGE CLINIC. NOT STARTED.F. INCREASE PROMOTION AND ACCESS TO HEALTHCARE SERVICES THROUGH MARKETING AND ADVERTISING. INCREASED SOCIAL MEDIA POSTS.G. PROVIDE FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTHCARE SERVICES. VARIOUS FINANCIAL ASSISTANCE PROGRAMS ARE OUTLINED ON THE HOSPITAL WEBSITE. A REPRESENTATIVE IS AVAILABLE TO WORK WITH PATIENTS. FREE AND DISCOUNTED CARE IS AVAILABLE FOR QUALIFYING PATIENTS. H. INCREASE COMMUNITY KNOWLEDGE OF MEDICAL TRANSPORTATION RESOURCES AVAILABLE IN RIDGECREST AND THROUGH HEALTH CARE INSURANCE PLANS. THE RRH WEBSITE NOW INCLUDES THIS INFORMATION. THE INFORMATION IS ALSO LOCATED AT MULTIPLE LOCATIONS THROUGHOUT THE HOSPITALS/CLINICS AND SOCIAL MEDIA POSTS INCLUDE HIGHLIGHTING TRANSPORTATION AVAILABLE VIA INSURANCE. 2) MENTAL HEALTHA. CONTINUE TO RECRUIT ADDITIONAL CLINICAL STAFF. B. ONGOING PARTNERSHIP WITH LOCAL SCHOOL DISTRICT THAT PROVIDES SUPPORT STAFF DEVELOPMENT, EDUCATION AND SUPERVISION. C. THE NEED FOR ADDITIONAL BUILDING SPACE, HAS BEEN PUT ON HOLD DUE TO FUNDING. D. CONTINUE TO RECRUIT FOR ADDITION OF MD.E. WELLNESS GROUP PROGRAMMING IS RUNNING THROUGHOUT THE YEAR. F. CREATING RELATIONSHIP WITH RECOGNIZED UNIVERSITIES IS ON HOLD DUE TO CONSTRAINTS REQUIRED TO IMPLEMENT. 3) HEALTH EDUCATION, WELLNESS, AND DISEASE PREVENTIONA. SEND LETTERS TO PATIENT WHEN THEY ARE DUE FOR ANNUAL WELLNESS VISITS WITH HANDOUT STATING WHAT AN ANNUAL WELLNESS VISIT IS, ALSO PROMOTE ANNUAL WELLNESS VISITS VIA SOCIAL MEDIA, PODCASTS AND LOCAL NEWSPAPER ADS. ANNUAL WELLNESS LETTERS WERE SENT, WELLNESS INFORMATION PROVIDED MULTIPLE LOCATIONS THROUGHOUT HOSPITALS/CLINICS, AND VIA SOCIAL MEDIA POSTS. B. PROVIDE MONTHLY WELLNESS ARTICLES TO THE COMMUNITY FOCUSED ON WELL-BEING AND PREVENTION. HOSPITAL NOW PROVIDES A MONTHLY WELLNESS ARTICLE IN NEWSPAPERS, WEBSITE AND ON SOCIAL MEDIA. C. PROVIDE EDUCATIONAL CLASSES, SEMINARS, AND PRESENTATION AT THE LOCAL LIBRARY FOCUSED ON HEALTH AND WELLNESS. IMPLEMENTED EDUCATIONAL DISPLAY ON ADDED SUGARS, OFFERED A BREAKFAST MEAL PREP SEMINAR WITH COOKING DEMO AND NUTRITIONAL INFORMATION. D. PROVIDE DIABETES INFORMATION IN SPANISH. SPANISH DIABETES BOOKLETS ARE NOW AVAILABLE TO NEWLY DIAGNOSED INDIVIDUAL OR THOSE REQUIRING INFORMATION. E. PROVIDED HEALTH PROMOTION MONTHS FOCUSED ON A PARTICULAR HEALTH CONCERN TO EDUCATE AND BRING AWARENESS. EACH MONTH A DIFFERENT TOPIC IS ADDRESSED, INFORMATION DISTRIBUTED VIA SOCIAL MEDIA, HEALTH TABLES THROUGHOUT THE HOSPITAL/CLINICS. F. PROVIDE ALL LOCAL RESOURCES ON THE RRH WEBSITE. THEY HAVE BEEN POSTED ON WEBSITE IN ENGLISH AND SPANISH. G. CONTINUE TO WORK WITH LOCAL ORGANIZATIONS TO PROVIDE HEALTH AND WELLNESS EDUCATION. TO DATE RRH HAS PARTICIPATED WITH LOCAL GROUPS OR SPONSORED EVENTS THAT OFFER SUPPORT, INFORMATION AND EDUCATION TO THE COMMUNITY. H. OFFER HEALTH COACHING SERVICES. COACHING SERVICES ARE OFFERED AND ARE FREE TO THE COMMUNITY. 4) SUBSTANCE ABUSE OR ADDICTIONA. ADVERTISING CAMPAIGN TO RAISE AWARENESS IS COMMUNICATED TO COMMUNITY BY BILLBOARDS AND SOCIAL MEDIA. B. OUTREACH IS ONGOING THROUGH MONTHLY COLLABORATIVE MEETINGS. HELD AN OPEN HOUSE. C. CA BRIDGE PROGRAM GRANT PROVIDED FUNDING. GRANT REQUIREMENTS WERE SUCCESSFULLY MET.D. HIRED A SUBSTANCE USE NAVIGATOR THAT COORDINATED ED PATIENTS WITH CLINIC SERVICES. E. SUBOXONE CLINIC HAS OPENED. ENABLES APPOINTMENTS WITHOUT WAIT TIMES. F. ADDITIONAL TRAINING OF ED DOCTORS IS CONTINUOUS. 5) SEXUAL HEALTHA. PROVIDED INFORMATION AND RESOURCES FOR THE PUBLIC AND PROVIDERS AND THEIR STAFFB. EDUCATION OF PROVIDERS IS ONGOING6) CHRONIC DISEASEA. PROVIDE MONTHLY WELLNESS ARTICLES TO THE COMMUNITY. HOSPITAL NOW PROVIDES A MONTHLY WELLNESS ARTICLE IN NEWSPAPERS, WEBSITE AND ON SOCIAL MEDIA. B. PROVIDE EDUCATIONAL CLASSES AND PRESENTATIONS AT THE LOCAL LIBRARY. IMPLEMENTED EDUCATIONAL DISPLAY ON ADDED SUGARS, OFFERED A BREAKFAST MEAL PREP SEMINAR WITH COOKING DEMO AND NUTRITIONAL INFORMATION.C. PROVIDE DIABETES INFORMATION IN SPANISH. SPANISH DIABETES BOOKLETS ARE NOW AVAILABLE TO NEWLY DIAGNOSED INDIVIDUAL OR THOSE REQUIRING INFORMATION.D. PROVIDE HEALTH PROMOTION MONTHS FOCUSED ON A PARTICULAR HEALTH CONCERN TO EDUCATE AND BRING AWARENESS. EACH MONTH A DIFFERENT TOPIC IS ADDRESSED, INFORMATION DISTRIBUTED VIA SOCIAL MEDIA, HEALTH TABLES THROUGHOUT THE HOSPITAL/CLINICSE. PROVIDE ALL LOCAL RESOURCES ON THE RRH WEBSITE. THEY HAVE BEEN POSTED ON WEBSITE IN ENGLISH AND SPANISH. F. CONTINUE TO WORK WITH LOCAL ORGANIZATIONS TO PROVIDE HEALTH AND WELLNESS EDUCATION. TO DATE RRH HAS PARTICIPATED WITH LOCAL GROUPS OR SPONSORED EVENTS THAT OFFER SUPPORT, INFORMATION AND EDUCATION TO THE COMMUNITY. G. OFFER HEALTH COACHING SERVICES. COACHING SERVICES ARE OFFERED AND ARE FREE TO THE COMMUNITY. 7) ELDER/SENIOR CAREA. CONTINUOUS COMMUNICATION CAMPAIGN TO GET THE WORD OUT REGARDING RESOURCES AVAILABLE. B. SOCIAL MEDIA POSTS INCLUDE REMINDERS OF SENIOR SCAMS, FOOD BANKS, CAREGIVER SUPPORT GROUPS, COOLING CENTERS AND OTHER INFORMATION USEFUL TO COMMUNITY. C. UPDATES TO WEBSITE WHEN HOURS CHANGE OR SERVICES. D. SENIOR SERVICES ENSURES PHYSICIAN'S OFFICES AND CASE MANAGEMENT HAS ACCESS TO INFORMATION AND PROVIDES BROCHURES TO COMMUNITY. THE FOLLOWING NEEDS WILL NOT BE ADDRESSED BECAUSE IT WAS DETERMINED THAT THE NEEDS WERE BEST SERVED BY OTHERS IN THE COMMUNITY WHO HAVE THE EXPERTISE, CAPACITY AND ADEQUATE RESOURCES:1) MATERNAL HEALTH2) ACUTE ILLNESS AND INJURY3) ENVIRONMENTAL CONDITIONS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIDGECREST REGIONAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: UNINSURED, SELF-PAY PATIENTS WITH INCOMES AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL ARE OFFERED FREE CARE. INSURED PATIENTS WITH HIGH MEDICAL COSTS (ANNUAL EXPENSES EXCEED 10% OF INCOME) AND INCOMES AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR DISCOUNTED CARE. MONETARY ASSETS ARE CONSIDERED IN CONNECTION WITH ELIGIBILITY FOR CHARITY CARE, BUT NOT FOR DISCOUNTED CARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIDGECREST REGIONAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: IN ADDITION TO FINANCIAL PACKETS BEING PROVIDED TO EACH SELF-PAY PATIENT, IT IS ALSO PROVIDED IN THE FOLLOWING METHODS: A WEBSITE REFERENCE TO THE POLICY, AN ONSITE FINANCIAL COUNSELOR MADE AVAILABLE TO PATIENTS, AND POSTING OF THE POLICY IN ALL PATIENT ACCESS AREAS. THE HOSPITAL ALSO POSTS A COMPREHENSIVE PRICING LIST AND TOP 25 PROCEDURES PRICING LIST ON THE WEBSITE: HTTPS://WWW.RRH.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE-PROGRAM-POLICY/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H LINE 16A, 16B AND 16C (WEBSITES)</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 16 A:HTTPS://WWW.RRH.ORG/IMAGES/FINANCIAL-ASSISTANCE-PROGRAM-POLICY-WEBSITE-2023.2).PDFLINE 16BHTTPS://WWW.RRH.ORG/IMAGES/FINANCIAL-ASSISTANCE-APPLICATION-COVER-LETTER-WEBSITE-VERSION.PDFHTTPS://WWW.RRH.ORG/IMAGES/ES_FINANCIAL-ASSISTANCE-APPLICATION-WEBSITE.PDFLINE 16CHTTPS://WWW.RRH.ORG/IMAGES/PLAIN-LANGUAGE-SUMMARY-OF-HOSPITAL-FINANCIAL-ASSISTANCE-POLICY-WEBSITE-POSTER-ENGLISH-2023.PDFHTTPS://WWW.RRH.ORG/IMAGES/ES_PLAIN-LANGUAGE-SUMMARY-OF-HOSPITAL-FINANCIAL-ASSISTANCE-POLICY-WEBS....PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>21</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - RIDGECREST REGIONAL HOSPITAL RURAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1111 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - BELLA SERRA SKILLED NURSING FACILITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1131 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>SKILLED NURSING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - PHYSICAL &amp; SPEECH THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>540 PERDEW AVE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - CENTER PROFESSIONAL PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1109 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>CENTER PROFESSIONAL PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - SOUTHERN SIERRA MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>105 E SYDNOR AVE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY CARE CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - CHINA LAKE COMMUNITY HEALTH CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1041 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>COMMUNITY HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - RIDGECREST REGIONAL HOSPITAL URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1111 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - RIDGECREST REGIONAL HOSP VISITING NURSE SE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1653 N TRIANGLE DR</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>VISITING NURSE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - SOUTHERN SIERRA SPECIALTY - DERMATOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>105 E SYDNOR AVE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>DERMATOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - RIDGECREST REGIONAL HOSPITAL OBSTETRICS AN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1011 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>OBGYN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>540 PERDEW AVE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>OCCUPATIONAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - RIDGECREST REGIONAL HOSP PAIN CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>105 E SYDNOR AVE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>PAIN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - SSMC SPECIALTY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>105 E SYDNOR AVE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALTY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - RIDGECREST REGIONAL HOSPITAL PERSONAL CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1653 N TRIANGLE DR</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>PERSONAL CARE SERVICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - RRH CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1011 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - AMBULATORY SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1111 N CHINA LAKE BLVD-STE 220</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - RIDGECREST REGIONAL HOSPITAL HOSPICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1653 N TRIANGLE DR</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - RIDGECREST REGIONAL HOSP CHIRO CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>840 N NORMA ST</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>CHIROPRACTIC CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - RIDGECREST REGIONAL HOSP SENIOR SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>417 DRUMMOND AVE</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>SENIOR SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - STEMMER CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1011 N CHINA LAKE BLVD</AddressLine1Txt>
            <CityNm>RIDGECREST</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93555</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - TRONA RURAL HEALTH CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>82820 TRONA RD</AddressLine1Txt>
            <CityNm>TRONA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93562</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>LINES 7A, 7B, 7G WERE CONVERTED TO COST BASED ON AN AVERAGE RATIO OF COSTS TO GROSS CHARGES ACCORDING TO COSTS ALLOCATED TO THE RELEVANT COST CENTERS ON THE MEDICARE COST REPORT.LINES 7E, 7F, AND 7I WERE BASED ON ACTUAL EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,193,437.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVITIES INCLUDE: PROVIDED FREE OFFICE SPACE FOR ORGANIZATIONS WITHIN THE COMMUNITY, COMMUNITY COLLABORATION THROUGH SUPPORT AND OTHER ADVOCACY GROUPS, PHYSICIAN RECRUITMENT TO ENSURE BASIC AND SPECIALTY CARE IS AVAILABLE LOCALLY, AND COLLABORATED WITH OTHER EMERGENCY SERVICES ON DISASTER AND EMERGENCY PREPAREDNESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 2 INCLUDES IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS IS ESTIMATED BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS AND RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ESTIMATES THAT ABOUT 25% OF THEIR FINANCIAL APPLICATIONS ARE NOT RETURNED TO THE HOSPITAL. THEREFORE, THE HOSPITAL IS ESTIMATING APPROXIMATELY 25% OF THE IMPLICIT PRICE CONCESSIONS WOULD BE CONSIDERED CHARITY CARE IF THEY WERE COMPLETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FN 1, PG. 15: SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, WAS NOT SIGNIFICANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE HUNDRED PERCENT OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. A FACILITY MUST BE ABLE TO RECOVER ITS COSTS IN ORDER TO CONTINUE TO PROVIDE QUALITY CARE TO MEDICARE PATIENTS AND THE COMMUNITY AS A WHOLE. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THAT NOT ALL COSTS ASSOCIATED WITH PROVIDING THESE SERVICES WILL BE RECOVERED. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASE THEIR ACCESS TO HEALTHCARE SERVICES. THEREFORE, THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT.THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RIDGECREST REGIONAL HOSPITAL WILL MAKE REASONABLE EFFORTS TO PROVIDE PATIENTS WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY BEFORE WE OR OUR AGENCY REPRESENTATIVES TAKE EXTRAORDINARY ACTIONS TO COLLECT YOUR BILL.RRH SHALL PROVIDE COLLECTION AGENCIES WITH THIS POLICY AND SHALL OBTAIN WRITTEN AGREEMENT THAT THE AGENCY SHALL COMPLY WITH THIS POLICY. THE HOSPITAL SHALL NOT KNOWINGLY ASSIGN AN ACCOUNT TO A COLLECTION AGENCY IF THE PATIENT HAS A PENDING APPLICATION FOR A COUNTY, STATE, OR FEDERAL HEALTH ASSISTANCE PROGRAM. FOR A PATIENT WHO LACKS INSURANCE COVERAGE OR A PATIENT WHO PROVIDES INFORMATION THAT HE OR SHE MAY BE A PATIENT WITH HIGH MEDICAL COSTS, NEITHER RRH, NOR ANY ASSIGNEE OF THE HOSPITAL OR OTHER OWNER OF THE PATIENT DEBT, INCLUDING A COLLECTION AGENCY, SHALL REPORT ADVERSE INFORMATION TO A CREDIT REPORTING BUREAU OR ENGAGE IN EXTRAORDINARY DEBT COLLECTION ACTIVITIES ("ECA") AT ANY TIME PRIOR TO 180 DAYS AFTER THE FIRST BILLING, AND ONLY AFTER PROVIDING A THIRTY DAY NOTICE OF THE ECA THAT WILL BE COMMENCED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, RIDGECREST REGIONAL HOSPITAL USES PATIENT SATISFACTION SURVEYS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY, ALONG WITH CONDUCTING BLOOD DRAWS AT HEALTH FAIRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNS ARE POSTED IN REGISTRATION AREAS INFORMING PATIENTS OF ASSISTANCE WITH THEIR BILLS AND INCLUDES CITING A PHONE NUMBER TO CALL FOR ASSISTANCE IN THIS AREA. SELF-PAY PATIENTS ARE SENT A PACKET OF INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>RURAL CALIFORNIA DESERT COMMUNITY LOCATED IN KERN COUNTY; MORE THAN 50 MILES FROM THE NEXT NEAREST HOSPITAL. THE POPULATION IS APPROXIMATELY 38,000 AND APPROXIMATELY 4% OF THAT POPULATION IS UNINSURED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>RIDGECREST REGIONAL HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THE HOSPITAL APPLIES ANY SURPLUS FUNDS TO IMPROVE THE FACILITY AND EQUIPMENT TO IMPROVE PATIENT CARE. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO OTHER QUALIFIED PHYSICIANS IN THE COMMUNITY.RIDGECREST REGIONAL HOSPITAL (RRH) OFFERS A VARIETY OF FREE OUTREACH CLASSES INCLUDING: 16 WEEKLY EXERCISE CLASSES TO SENIORS WITHIN THE COMMUNITY, FREE OF CHARGE. A SENIORS GROUP IS ALSO OFFERED TWICE A MONTH CATERED TO FINDING JOY AND HAPPINESS IN LIFE WHILE SOCIALIZING AND BUILDING SUPPORT SYSTEMS. RIDGECREST REGIONAL HOSPITAL ALSO OFFERS 4 ROCK STEADY BOXING EXERCISE CLASSES PER WEEK FOR THOSE WITH PARKINSON'S DISEASE, FREE OF CHARGE AS WELL AS 2 TAI CHI CLASSES A WEEK FOR THOSE OF ANY AGE. RIDGECREST REGIONAL HOSPITAL OFFERS THE DIABETES EDUCATION EMPOWERMENT PROGRAM TM WORKSHOPS FOUR TIMES A YEAR AND A DIABETES GROCERY STORE TOUR IS ALSO OFFERED SEVERAL TIMES THROUGHOUT THE YEAR. THE FOLLOWING SUPPORT GROUPS ARE OFFERED FREE OF CHARGE TO THE COMMUNITY: ALZHEIMER'S CAREGIVER, CONGESTIVE HEART FAILURE, AND DIABETES. THE WELLNESS RESOURCE CENTER PROVIDES FREE ACCESS TO INFORMATION ON HEALTH AND NUTRITION, INCLUDING VIDEOS AND BOOKS. IN ADDITION, THE WELLNESS RESOURCE CENTER PROVIDES NUTRITION PROGRAMS, COOKING CLASSES AND PRESENTATIONS TO SCHOOLS, CHURCHES, BUSINESSES, PARENTS, AND OTHER ORGANIZATIONS. A MONTHLY WELLNESS ARTICLE IS PUBLISHED IN THE LOCAL NEWSPAPERS TO HIGHLIGHT THE BENEFITS OF WELL-BEING.RRH PROVIDES A BROCHURE WITH INFORMATION FOR LOCAL MENTAL HEALTH SERVICES AND DISTRIBUTES THIS THROUGHOUT TOWN AND IS PROVIDED ON THE RRH WEBSITE. RRH ALSO HAD SEVERAL EMPLOYEES VOLUNTEER AT THE LOCAL SALVATION ARMY AS BELL RINGERS FOR THE HOLIDAYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>0</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEALTHY DESAI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>571244</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>106600</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21349</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35616</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>735619</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES SUVER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>387912</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>152303</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23102</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15578</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20225</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>599120</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HANI CHAABO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>316945</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21625</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20263</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12904</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22393</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>394130</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOPE ZISSOS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>284775</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27844</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1266</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11928</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>44054</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>369867</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN FLANIGAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>307743</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8840</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1373</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34679</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>365235</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MINU AMBIKA RAJENDRAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>270608</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>449</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36791</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>347848</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENNIS CRUISE</PersonNm>
        <TitleTxt>CFO (THRU 11/2023)</TitleTxt>
        <BaseCompensationFilingOrgAmt>224180</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25898</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5092</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22105</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>277275</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DENNIS CRUISE RECEIEVED $6,656 IN HOUSING FRINGE BENEFITS FOR THE YEAR OF 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS ONE CLASS OF MEMBERS, CORPORATE MEMBERS AND AN HONORARY NONVOTING GROUP OF INDIVIDUALS CALLED EMERITUS MEMBERS WHO ARE APPOINTED BY THE BOARD OF DIRECTORS AND HAVE LIMITED RIGHTS. CORPORATE MEMBERSHIP IS LIMITED TO THIRTY (30) PERSONS, WHO MUST RESIDE IN THE HOSPITAL SERVICE AREA (AS SUCH SERVICE AREA IS DETERMINED BY THE BOARD OF DIRECTORS WHO ARE ELECTED TO MEMBERSHIP BY A VOTE OF THE CORPORATE MEMBERS PRESENT OR REPRESENTED AT A MEETING OF CORPORATE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE BYLAWS, THE CORPORATE MEMBERS HAVE THE RIGHT TO: ELECT THE MEMBERS OF THE BOARD OF DIRECTORS; FILL A VACANCY ON THE BOARD OF DIRECTORS; AND RATIFY THE BYLAWS THAT HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, MEMBERS HAVE CERTAIN RIGHTS GRANTED PURSUANT TO THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION ACT INCLUDING THE RIGHT TO: REMOVE A DIRECTOR; APPROVE MOST AMENDMENTS TO THE ARTICLES OF INCORPORATION; APPROVE A SALE OF ASSETS NOT IN THE USUAL AND REGULAR COURSE OF ITS BUSINESS; MERGE WITH ANOTHER ENTITY; AND DISSOLVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS VIA ELECTRONIC DISTRIBUTION PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS ANNUAL DISCLOSURE ON CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS, MEDICAL STAFF OFFICERS, AND ADMINISTRATIVE EMPLOYEES, AND CORPORATE MEMBERS. COMPLIANCE WITH CONFLICT OF INTEREST POLICY IS MONITORED BY THE CEO. ANY NOTED CONFLICTS ARE REVIEWED AND DISCUSSED BY THE BOARD OF DIRECTORS. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT MUST ABSTAIN FROM THE DISCUSSION AND VOTE ON THE POTENTIAL CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO WAS DETERMINED BY A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS USING COMPENSATION COMPARISON PROVIDED BY HASC. FOR OTHER OFFICERS, THE HASC SALARY SURVEY IS USED TO COMPLY WITH PROHIBITION FROM DIRECT SOLICITATION OF SALARY INFORMATION DUE TO ANTI-TRUST REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PUBLIC DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING AND PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,289,085. MANAGEMENT AND GENERAL EXPENSES 13,561,205. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,850,290.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOK TO TAX DIFFERENCE IN S CORP INVESTMENT 798,371.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE NO CHANGES MADE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RIDGECREST REGIONAL HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1081 N CHINA LAKE BLVD</AddressLine1Txt>
          <CityNm>RIDGECREST</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93555</ZIPCd>
        </USAddress>
        <EIN>464181603</EIN>
        <PrimaryActivitiesTxt>RAISING HOSPITAL CAPITAL EQUIPMENT FUNDS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RIDGECREST REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROGRESSIVE AMBULANCE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1325 W RIDGECREST BLVD</AddressLine1Txt>
          <CityNm>RIDGECREST</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93555</ZIPCd>
        </USAddress>
        <EIN>330736730</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RIDGECREST REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>S</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-798371</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>6730984</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PROGRESSIVE AMBULANCE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>497495</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CHANGE IN DUE FROM ACCOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>