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      <Desc>See Schedule OThe organization, Memorial Health Services, is the parent nonprofit corporation of a nonprofit integrated health care delivery system, known as the MemorialCare Health System (MemorialCare). Memorial Health Services is the sole member of (1) Long Beach Memorial Medical Center, a California nonprofit corporation which operates MemorialCare Long Beach Medical Center, Community Hospital of Long Beach, and Miller Children's and Women's Hospital Long Beach, (2) Orange Coast Memorial Medical Center, a California nonprofit corporation, and (3) Saddleback Memorial Medical Center, a California nonprofit corporation. Effective July 3, 2018, MemorialCare closed CHLB. CHLB is located on an active geologic fault zone. MemorialCare discussed and determined that after much diligence, including consulting with seismic experts, structural engineers, and architects that the seismic remediation necessary to achieve SB1953 compliance (California's seismic safety building standards for hospitals) for CHLB as it currently exists is not feasible. MemorialCare's largest program services consist of providing inpatient and outpatient hospital care to improve the health of the communities it serves. MemorialCare hospitals are committed to meeting the health care needs of patients who may be uninsured or underinsured, and provide medically necessary services, without cost or at a reduced cost, to patients who qualify based on income. In the year ending June 30, 2018, MemorialCare hospitals operated over 1,400 beds, recorded 279,227 patient days, discharged 65,038 patients, provided 30,309 surgical procedures, delivered 9,351 babies, and had 204,791 emergency department visits.Memorial Health Services is the sole member of MemorialCare Medical Foundation (MCMF), a California nonprofit corporation and medical practice foundation described in section 1206(l) of the California Health and Safety Code, which provides comprehensive outpatient clinical services at approximately 30 sites throughout Orange and Los Angeles counties in the areas of internal medicine, family medicine, and multiple other specialties. Also, MCMF provides administration, management and contracting services for exclusive primary care providers and a specialty network of affiliated individual and physician groups. MCMF also operates several ambulatory surgery centers and imaging centers throughout Orange and Los Angeles counties. Additionally, MCMF is part of several joint venture partnerships for dialysis clinics throughout Orange and Los Angeles counties. For the year ending June 30, 2018, MCMF provided 569,826 clinic visits and performed 41,107 ambulatory surgeries.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joslyn J Scott</PersonNm>
        <TitleTxt>SVP, Info Systems/CIO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>651652</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>52171</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Diane Laird thru 518</PersonNm>
        <TitleTxt>Chief Strategy Officer/CEO NMG</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>608304</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>44176</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lorraine C Booth</PersonNm>
        <TitleTxt>Chief Human Resources Officer</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>473653</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42759</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John D Cascell</PersonNm>
        <TitleTxt>SVP, Managed Care</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>422209</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>45261</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cathy D Capaldi</PersonNm>
        <TitleTxt>SVP, Bus Develop, Mark &amp; Comm</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>417106</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>36752</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brian C Stuckman</PersonNm>
        <TitleTxt>SVP Op Surg, Pharm &amp; Sup Chain</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>411508</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>39128</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Beal</PersonNm>
        <TitleTxt>VP, Information Service - MCMF</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Somers</PersonNm>
        <TitleTxt>VP Real Estate and Facilities</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin C Torres</PersonNm>
        <TitleTxt>VP, Information Systems</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Terri Cammarano thru 717</PersonNm>
        <TitleTxt>Chief Legal Counsel</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Julie Morrison</PersonNm>
        <TitleTxt>VP, Information Systems</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>358595</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen McNamara</PersonNm>
        <TitleTxt>VP PFS and CFO SHP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Finch</PersonNm>
        <TitleTxt>VP Chief Compliance Officer</TitleTxt>
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        <PersonNm>Kristen L Pugh</PersonNm>
        <TitleTxt>VP Advocacy &amp; Govern Relations</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
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        <PersonNm>Seth Ellis</PersonNm>
        <TitleTxt>VP, Clinical Integration</TitleTxt>
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        <PersonNm>Kevin G Davidson</PersonNm>
        <TitleTxt>VP Bus Develop &amp; Strategic Svc</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel F Exley thru 1217</PersonNm>
        <TitleTxt>VP Data Strategy &amp; Analytics</TitleTxt>
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        <PersonNm>Diane C Wynn</PersonNm>
        <TitleTxt>VP, Risk Management Svcs</TitleTxt>
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        <PersonNm>LynnMarie Catherine Verzino</PersonNm>
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        <PersonNm>Matthew C Pond thru 118</PersonNm>
        <TitleTxt>VP Pharmacy Services</TitleTxt>
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        <PersonNm>Sara Love Koors</PersonNm>
        <TitleTxt>VP Research Administration</TitleTxt>
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        <PersonNm>Adolfo Oscar Chanez</PersonNm>
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        <PersonNm>Frederick W Nafis</PersonNm>
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        <PersonNm>Donald Thompson</PersonNm>
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        <PersonNm>Daniel T Asaoka</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>Epstein Becker Green</BusinessNameLine1Txt>
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        <ProgramServicesAmt>41424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42842</ManagementAndGeneralAmt>
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        <ExplanationTxt>Accounting standards codification (ASC) 740, income taxes, clarifies the accounting for income taxes by prescribing a minimum recognition threshold that a tax position is required to meet before being recognized in the financial statements. ASC 740 also provides guidance on de-recognition, measurement, classification, interest, and penalties, disclosure and transition. The guidance is applicable to pass-through entities and tax-exempt organizations. No significant tax liability or tax benefits, interest or penalties was accrued at June 30, 2018.</ExplanationTxt>
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        <PersonNm>Karen A Testman</PersonNm>
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        <PersonNm>Helen L Macfie</PersonNm>
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        <PersonNm>Joslyn J Scott</PersonNm>
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        <PersonNm>Diane Laird thru 518</PersonNm>
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        <PersonNm>Steven Beal</PersonNm>
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        <PersonNm>John Somers</PersonNm>
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        <PersonNm>Kevin C Torres</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kevin G Davidson</PersonNm>
        <TitleTxt>VP Bus Develop &amp; Strategic Svc</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44024</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10191</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8121</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11608</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>293767</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel F Exley thru 1217</PersonNm>
        <TitleTxt>VP Data Strategy &amp; Analytics</TitleTxt>
        <BaseCompensationFilingOrgAmt>201768</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42262</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25256</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12332</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15198</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296816</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Diane C Wynn</PersonNm>
        <TitleTxt>VP, Risk Management Svcs</TitleTxt>
        <BaseCompensationFilingOrgAmt>205863</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>49324</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15802</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15114</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17482</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303585</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LynnMarie Catherine Verzino</PersonNm>
        <TitleTxt>VP Perioperative Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>223952</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30418</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10078</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6725</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>271173</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew C Pond thru 118</PersonNm>
        <TitleTxt>VP Pharmacy Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>147603</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15578</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8330</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>193011</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sara Love Koors</PersonNm>
        <TitleTxt>VP Research Administration</TitleTxt>
        <BaseCompensationFilingOrgAmt>166685</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7454</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6340</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>184936</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adolfo Oscar Chanez</PersonNm>
        <TitleTxt>Exec Dir, MHS Finance</TitleTxt>
        <BaseCompensationFilingOrgAmt>275499</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>70522</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>44447</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18181</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>424549</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Weinstein</PersonNm>
        <TitleTxt>Assistant General Counsel</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>16519</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>18738</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott I Raymond thru 418</PersonNm>
        <TitleTxt>Ex Dir Strat &amp; Innovation &amp; IT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Frederick W Nafis</PersonNm>
        <TitleTxt>Exec Dir, Information Sys</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Donald Thompson</PersonNm>
        <TitleTxt>Associate General Counsel</TitleTxt>
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        <PersonNm>Daniel T Asaoka</PersonNm>
        <TitleTxt>Exec Dir, Information Sys</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>14046</DeferredCompensationFlngOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Memorial Health Services (MHS) sponsors a supplemental executive retirement plan (SERP), covering selected executives, as approved by the Compensation Committee of the MHS board of directors. The SERP provides for a lump sum payment to each executive at vesting date, as defined in the SERP plan document and agreement. There were payouts during calendar year 2018. The SERP payment benefit is subject to a substantial risk of forfeiture until age 62, such that the benefit will be forfeited if the executive leaves MHS prior to reaching age 62. A full benefit is payable only if an executive has achieved at least 20 years of service on the vesting date, and is reduced proportionally for service less than 20 years. MHS believes that the SERP helps the organization attract and retain talented healthcare executives. The amount of benefit reported in part ii, column (C) includes all retirement plan contributions made to the MemorialCare Retirement Plan, a defined contribution plan, and any increase in the net present value of the accrued benefit for each participant in the SERP. This includes an additional one year accrual of benefit earned, but also includes the impact on benefit funding liability based on changes in interest rates and other actuarial assumptions. These changes were based on advice of an independent, third-party actuarial firm. No changes were made to the SERP benefit formula that the executives may earn and accrue over time.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain executives receive part of their overall compensation in the form of an annual incentive payment. Several financial and non-financial metrics are utilized in the formula for the incentive compensation, and these metrics and the formula are reviewed and approved each year in advance by the Compensation Committee of the organization's board of directors. Payment of any incentive compensation must be approved by the Compensation Committee after it has reviewed the metrics to determine whether they have been met and the amount of the payments (if any) based on the approved formula.</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <IssuePriceAmt>65000000</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
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        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
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        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Date Rebate Computation Performed</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer Name: California Health Facilities Financing Authority Date the Rebate Computation was Performed: 10/17/2018</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column F, Bond A:</FormAndLineReferenceDesc>
        <ExplanationTxt>The bonds were used for advance refunding of 2003 Certificates of Participation issued on February 12, 2003.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column F, Bond B:</FormAndLineReferenceDesc>
        <ExplanationTxt>The bonds were used for the benefit of wholly controlled affiliates of Memorial Health Services which are exempt from tax as public charities under section 501(c)(3) of the Internal Revenue Code.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line B, Column (e) and Part II, Line 3, Column B</FormAndLineReferenceDesc>
        <ExplanationTxt>The difference between the amount reported in Part II at Line 3 and the issue price reported in Part I is due to investment earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>James D Leo MD Inc</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>See Part V</RelationshipDescriptionTxt>
        <TransactionAmt>287680</TransactionAmt>
        <TransactionDesc>Administrative services provided by director's business.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part IV</FormAndLineReferenceDesc>
        <ExplanationTxt>Jim Leo, MD - Is a board member of MHS and the owner of James D Leo MD Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CHLB Closure. See disclosure in Part III of Line 4a for more details on the closure and change in program services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization engages an independent accounting firm to assist with the preparation of its annual Form 990, and the chief financial officer and chief investment officer, with assistance from other executives and including finance, legal, compliance and government relations, provide all the financial data and other information for the reporting period necessary to complete the Form 990. The chief financial officer and chief investment officer then review the Form 990, with assistance from other executives as needed or appropriate. Finally, the Form 990 is provided to each member of the MemorialCare Health System board of directors for review prior to a meeting of the board of directors, so that any questions or concerns can be addressed at the meeting of the board and prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each director, officer, and key employee is required to complete an annual survey that requires disclosure of actual or potential conflicts of interest and affirmation that the organization's conflict of interest policy has been read and understood. The results of the survey are reported to the organization's executive leadership and the organization's board of directors. Questions and conflicts are evaluated in consultation with the organization's legal, compliance, and finance executives, and outside experts as necessary, so that conflicts may be appropriately managed and addressed in accordance with the California Nonprofit Corporation Law and the applicable principles governing tax exempt public charities. In addition, an annual notice is sent to each employee to remind employees of the organization's policy regarding the acceptance of gifts from vendors and others who do or seek to do business with the organization. Finally, each employee is required to attest annually that they have read and understood the organization's Code of Conduct.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of all executives holding the position of vice president or higher (e.g., senior vice president or c-level officer), including the CEO, are reviewed annually by an independent consultant with expertise in assessing whether executive compensation is reasonable and consistent with fair market value, considering appropriate market data. The results of this review are presented to the Compensation Committee of the organization's board of directors for consideration, and based upon this information, compensation (including any proposed changes to compensation) is approved only if the Compensation Committee, having considered the review and data presented by the independent expert consultant, determines that the compensation is reasonable and consistent with fair market value. Such determinations are reflected in the minutes of the meeting(s) of the Compensation Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not make its governing documents (articles of incorporation, bylaws) available to the general public. However, the articles of incorporation are available from the California Secretary of State's office. The organization's Research conflict of interest policy is posted on the organization's website at https://www.memorialcare.org/services/research-clinical-trials/conflict-inte rest-research-policy-250. The organization's audited financial statements are available to the general public upon request. The organization's various policies governing conflicts, compliance and ethics are summarized in the organization's Code of Conduct, which is available to the general public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>SERP Liability Adjustment -415,364. Equity Transfer to Beach Imaging -4,607.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <AddressLine1Txt>17360 Brookhurst St</AddressLine1Txt>
          <CityNm>Fountain Valley</CityNm>
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          <BusinessNameLine1Txt>American Inst for Philanthropic Studies</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <CityNm>Long Beach</CityNm>
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        </USAddress>
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        <PrimaryActivitiesTxt>Philanthropic</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>LBMMC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Beach Surgical Holdings II LLC</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>2073880</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <CityNm>Birmingham</CityNm>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Memorialcare Innovation Fund LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>320 Golden Shore Avenue Ste 120</AddressLine1Txt>
          <CityNm>Long Beach</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>Investments</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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