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            <CityNm>BAKERSFIELD</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93311</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES ANESTHESIA</ServicesDesc>
        <CompensationAmt>1266168</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELANO HEALTH ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1401 GARCES HWY</AddressLine1Txt>
            <CityNm>DELANO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93215</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES REGISTRY</ServicesDesc>
        <CompensationAmt>576260</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRAL CALIFORNIA HOSPITALISTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6001 TRUXTUN AVE BLDG A STE 180</AddressLine1Txt>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES HOSPITALISTS</ServicesDesc>
        <CompensationAmt>535985</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEAM PHYSICIANS OF CALIFORNIA MEDICAL GR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 634850</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452634850</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES ER PHYSICIANS</ServicesDesc>
        <CompensationAmt>325000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEBBIE DENNIS JOHNSON MD INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8766 SUNSET AVE</AddressLine1Txt>
            <CityNm>FAIR OAKS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95628</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>810</TotalContributionsAmt>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>89865958</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>1676669</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>314419</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>111801</RealAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>202618</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>215599</TotalRevenueColumnAmt>
        <ExclusionAmt>215599</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>1002285</GrossSalesOfInventoryAmt>
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        <TotalRevenueColumnAmt>-192632</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-192632</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>722100</BusinessCd>
        <TotalRevenueColumnAmt>295465</TotalRevenueColumnAmt>
        <ExclusionAmt>295465</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT FEES - DHA</Desc>
        <BusinessCd>561000</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>104322</UnrelatedBusinessRevenueAmt>
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      <MiscellaneousRevenueGrp>
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        <ExclusionAmt>120862</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>-88310</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2511213</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>4765638</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>501363</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6607</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>176228</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>291626</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65492</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>27642</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>741361</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5860826</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>359384</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>QUALITY ASSURANCE FEES</Desc>
        <TotalAmt>7348225</TotalAmt>
        <ProgramServicesAmt>7348225</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>4836077</TotalAmt>
        <ProgramServicesAmt>4762479</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
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        <ManagementAndGeneralAmt>3667566</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>NON-MEDICAL SUPPLIES</Desc>
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      <AllOtherExpensesGrp>
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      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
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        <BusinessName>
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          <AddressLine1Txt>1401 GARCES HWY</AddressLine1Txt>
          <CityNm>DELANO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93215</ZIPCd>
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        <WebsiteAddressTxt>WWW.DRMC.COM</WebsiteAddressTxt>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
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        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.DRMC.COM/ABOUT-DRMC/COMMUNITY-BENEFITS-REPORTS.PHP</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTP://WWW.DRMC.COM/WP-CONTENT/UPLOADS/2015/09/DRMC-IMPLEMENTATION-STRATEGY</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <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>HTTP://WWW.DRMC.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTP://WWW.DRMC.COM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTP://WWW.DRMC.COM</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <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>DELANO REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT, INFORMATION WAS OBTAINED THROUGH A COMMUNITY SURVEY AND INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH, AND SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS.INTERVIEWS TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE COMMUNITY SERVED BY THE HOSPITAL. GIVEN SHARED SERVICE AREAS, DRMC PARTNERED WITH THE KERN COUNTY COMMUNITY BENEFIT COLLABORATIVE HOSPITALS TO CONDUCT THE INTERVIEWS. THIRTY-THREE (33) INTERVIEWS WERE COMPLETED DURING SEPTEMBER THROUGH NOVEMBER, 2015. THE KERN COUNTY COMMUNITY BENEFIT COLLABORATIVE DEVELOPED A LIST OF KEY INFLUENCERS WHO HAVE KNOWLEDGE OF COMMUNITY HEALTH NEEDS. THEY WERE SELECTED TO COVER A WIDE RANGE OF COMMUNITIES WITHIN KERN COUNTY, REPRESENT DIFFERENT AGE GROUPS, AND RACIAL/ETHNIC POPULATIONS. THE STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. COMMUNITY SURVEY THE KERN COUNTY COMMUNITY BENEFIT COLLABORATIVE HOSPITAL REPRESENTATIVES DEVELOPED A PLAN FOR DISTRIBUTION OF A SURVEY TO ENGAGE COMMUNITY RESIDENTS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK, AND IN A PAPER COPY FORMAT IN ENGLISH AND SPANISH. THE HOSPITALS DISTRIBUTED THE SURVEYS TO THEIR CLIENTS, IN HOSPITAL WAITING ROOMS AND SERVICE SITES, AND THROUGH SOCIAL MEDIA, INCLUDING POSTING THE SURVEY LINK ON HOSPITAL FACEBOOK PAGES. THE SURVEY WAS ALSO DISTRIBUTED TO COMMUNITY PARTNERS WHO MADE THEM AVAILABLE TO THEIR CLIENTS. A WRITTEN INTRODUCTION TO THE SURVEY QUESTIONS EXPLAINED THE PURPOSE OF THE SURVEY AND ASSURED PARTICIPANTS THE SURVEY WAS VOLUNTARY, AND THAT THEY WOULD REMAIN ANONYMOUS. FOR COMMUNITY MEMBERS WHO WERE ILLITERATE, AN AGENCY STAFF MEMBER READ THE SURVEY INTRODUCTION AND QUESTIONS TO THE CLIENT IN HIS/HER PREFERRED LANGUAGE AND MARKED HIS/HER RESPONSES ON THE SURVEY. INTERVIEW AND SURVEY PARTICIPANTS WERE ASKED TO PROVIDE ADDITIONAL COMMENTS TO SHARE WITH THE HOSPITALS. ANALYSIS OF THE PRIMARY DATA OCCURRED THROUGH A PROCESS THAT COMPARED AND COMBINED RESPONSES TO IDENTIFY THEMES. ALL RESPONSES TO EACH QUESTION WERE EXAMINED TOGETHER AND CONCEPTS AND THEMES WERE THEN SUMMARIZED TO REFLECT THE RESPONDENTS' EXPERIENCES AND OPINIONS. THE RESULTS OF THE PRIMARY DATA COLLECTION WERE REVIEWED IN CONJUNCTION WITH THE SECONDARY DATA. PRIMARY DATA FINDINGS WERE USED TO CORROBORATE THE SECONDARY DATA-DEFINED HEALTH NEEDS, SERVING AS A CONFIRMING DATA SOURCE. SOURCES OF DATA INCLUDE HEALTHY KERN, KERN COUNTY NETWORK FOR CHILDREN, U.S. CENSUS AMERICAN COMMUNITY SURVEY, COUNTY HEALTH RANKINGS, CALIFORNIA HEALTH INTERVIEW SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH; CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING &amp; DEVELOPMENT; CALIFORNIA DEPARTMENT OF JUSTICE, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, COMMUNITY COMMONS, CALIFORNIA CANCER REGISTRY, CALIFORNIA DEPARTMENT OF EDUCATION, AND OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF CALIFORNIA STATE, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>DELANO REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: DIGNITY HOSPITALS IN BAKERSFIELD</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>DELANO REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: OVERALL, DELANO REGIONAL MEDICAL CENTER WORKED COLLABORATIVELY WITH THESE COMMUNITY ORGANIZATIONS TO ADDRESS THE IDENTIFIED HEALTH NEEDS: DELANO CHAMBER OF COMMERCECHURCHES/FAITH COMMUNITYSCHOOLS AND SCHOOL DISTRICTSPRISON SYSTEMLOCAL BUSINESSESDELANO AND MCFARLAND POLICE DEPARTMENTSDELANO URGENT CARE CLINICS DRMC WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ENGAGE ADDITIONAL COMMUNITY PARTNERS AS A WAY TO LEVERAGE RESOURCES AND SUPPORT INCREASED PARTICIPATE IN DECISION MAKING. DRMC WILL ADDRESS THE FOLLOWING HEALTH NEEDS THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND CHARITABLE RESOURCES: IDENTIFIELD COMMUNITY HEALTH NEEDS AND STRATEGIES A. ACCESS TO HEALTH CARESTRATEGIES DRMC WILL ADDRESS ACCESS TO HEALTH CARE BY TAKING THE FOLLOWING ACTIONS:1.PROVIDE FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.2.CONNECT THE MEDICALLY INDIGENT TO RESOURCES TO ACCESS A MEDICAL HOME.3.PROVIDE TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARE SERVICES.4.INVESTIGATE LAUNCHING A MOBILE UNIT TO INCREASE ACCESS TO HEALTH CARE SERVICES IN AREAFARMING COMMUNITIES.5.PROVIDE FREE PREVENTIVE HEALTH SCREENINGS AT COMMUNITY EVENTS. B.CARDIOVASCULAR DISEASESTRATEGIES DRMC WILL ADDRESS CARDIOVASCULAR DISEASE BY TAKING THE FOLLOWING ACTIONS:1.PROVIDE CHRONIC DISEASE EDUCATION FOCUSED ON PREVENTION AND DISEASE SELF-MANAGEMENT, HEALTHY EATING AND PHYSICAL ACTIVITY.2.PROVIDE SCREENING FOR CHOLESTEROL, BLOOD PRESSURE AND BMI.3.OFFER CPR TRAINING TO COMMUNITY RESIDENTS. C.DIABETESSTRATEGIES DRMC WILL ADDRESS DIABETES BY TAKING THE FOLLOWING ACTIONS:1. PROVIDE DIABETES EDUCATION FOCUSED ONPREVENTION AND DISEASE SELF-MANAGEMENT, HEALTHY LIFESTYLES, NUTRITION ANDPHYSICAL ACTIVITY.2.PROVIDE SCREENING FOR CHOLESTEROL, BLOOD PRESSURE, BLOOD GLUCOSE AND BMI.3.DISTRIBUTE GLUCOMETERS AND GLUCOSE STRIPS TO INDIVIDUALS WITH DIABETES WHO CANNOTAFFORD OR ACCESS THESE DIABETES MONITORING RESOURCES. D.SEXUALLY TRANSMITTED INFECTIONSSTRATEGIES DRMC WILL ADDRESS STIS BY TAKING THE FOLLOWING ACTIONS:1.THROUGH THE DRMC WOMEN'S MEDICAL CLINIC AND THE URGENT CARE CLINIC, PROVIDE EDUCATION FOCUSED ON STI PREVENTION AND FAMILY PLANNING SERVICES.2.DISTRIBUTE CONDOMS TO REDUCE THE SPREAD OF STIS.3.PROVIDE FAMILY PLANNING COUNSELING TO TEENS AND YOUNG PARENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>5</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - WASCO MEDICAL PLAZA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2300 7TH STREET</AddressLine1Txt>
            <CityNm>WASCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93280</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - DELANO WOMEN'S MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1201 JEFFERSON</AddressLine1Txt>
            <CityNm>DELANO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93215</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT WOMEN'S CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - DELANO DIABETIC CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1519 GARCES HWY STE 103</AddressLine1Txt>
            <CityNm>DELANO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93215</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DIABETIC CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - DELANO URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1201 JEFFERSON 12TH AVE ENTRANCE</AddressLine1Txt>
            <CityNm>DELANO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93215</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT URGENT CARE CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - DELANO WOUND CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1519 GARCES HWY STE 103</AddressLine1Txt>
            <CityNm>DELANO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93215</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT WOUND CARE CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <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 $ 3,677,566.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FOOTNOTE 1 ON AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES DISCUSSING BAD DEBT ("ACCOUNTS RECEIVABLE AND "CHARITY AND INDIGENT CARE" SECTIONS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEPENDING ON UTILIZATION AND CMI AVERAGE OF THE PATIENTS WE MAY BE EITHER ABOVE OR BELOW COST.COSTING METHODOLOGY: TOTAL COST AS A PERCENTAGE OF TOTAL NET REVENUE AND APPLY TOTAL COST TO THE NET REVENUE FOR MEDICARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE A PATIENT IS IDENTIFIED AS A CHARITY CARE PATIENT ALL COLLECTION EFFORTS CEASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DELANO REGIONAL MEDICAL CENTER IS PART OF A CORE GROUP OF LOCAL HEALTHCARE AND COMMUNITY AGENCIES, THAT ASSESSES THE COMMUNITY NEEDS WE SERVE. THROUGH THE CREATION OF A WEB BASED INTERACTIVE NEEDS ASSESSMENT (WWW.HEALTHYKERN.ORG) NEEDS ARE ASSESSED THROUGH A CONSTANTLY UPDATED NEEDS ASSESSMENT WITH REPORTING AND TRACKING TOOLS. THIS WEB BASED ASSESSMENT PROVIDES A TOOL FOR COMMUNITY STRATEGIC PLANNING, BRINGS US TOGETHER WITH OTHER STAKEHOLDERS IN OUR COMMUNITY FOR PARTNERSHIP IN DETERMINING THE NEEDS AS WELL AS DEFINING BEST PRACTICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>BY LETTER AND AT ADMISSION, WE INFORM PATIENTS ABOUT THE AVAILABILITY TO HELP APPLY FOR SPECIFIC GOVERNMENTAL PROGRAM ASSISTANCE AND THE PATIENTS' ABILITY TO APPLY FOR CHARITY CONSIDERATION. ALSO, POSTERS IN BOTH ENGLISH AND SPANISH ARE DISPLAYED IN THE ER, WAITING AREA, CLINICS AND HOSPITAL ADMISSION AREAS INFORMING OF THE AVAILABILITY OF THE HOSPITAL'S PROGRAM TO ASSIST THROUGH THE CHARITY OR SLIDING FEE SCALE FOR THEIR BILL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SERVES A CULTURALLY ABUNDANT AND DIVERSE POPULATION OF APPROXIMATELY 130,000 PEOPLE FROM THREE PRIMARY CULTURAL GROUPS: HISPANIC, FILIPINO AND CAUCASIAN. DRMC IS THE SOLE HOSPITAL PROVIDER WITHIN A 30 MILE RADIUS. OVER THE YEARS, THE HOSPITAL'S SERVICE AREA HAS BEEN FACED WITH MANY CHALLENGES. THESE INCLUDE HIGH RATES OF UNEMPLOYMENT, OBESITY, TEEN PREGNANCY, DIABETES, ASTHMA, POVERTY, SUBSTANCE ABUSE, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO HEALTHCARE SERVICES. ALTHOUGH THESE ISSUES ARE NOT UNIQUE TO OUR SERVICE AREA, DATA SHOW THAT OUR COMMUNITIES ARE MUCH WORSE THAN THE AVERAGE COMMUNITY IN KERN COUNTY OR CALIFORNIA AS A WHOLE.THE FOLLOWING STATISTICS PRESENT A PICTURE OF THE COMMUNITIES WE SERVE.ETHNIC COMPOSITION: HISPANIC 68.47% WHITE 9.2% ASIAN/PACIFIC ISLANDER 15.9% BLACK 5.07% AMERICAN INDIAN 1.4%UNEMPLOYMENT RATE: OUR COMMUNITIES RANK #7 OUT OF THE 101 COMMUNITIES IN THE US FOR THE HIGHEST UNEMPLOYMENT RATE AT 35.2% (SEASONALLY ADJUSTED)ECONOMIC LEVELS: ACCORDING TO 2007 DATA, 28.2% OF OUR POPULATION FALL BELOW THE NATIONAL POVERTY LEVELS. THE CALIFORNIA STATE AVERAGE IS 14.2%.EDUCATION: DESPITE GOOD API SCORES, 52% OF FAMILIES CONTINUE TO HAVE AN EDUCATION ATTAINMENT AND READING LEVEL AT THE THIRD GRADE LEVEL OR LOWER.PUBLIC ASSISTANCE: 285 OF FAMILIES RECEIVE AFDC AND 85% OF STUDENTS, DEPENDING ON SEASON, QUALIFY FOR FREE OR REDUCED PRICE LUNCHES AT SCHOOL.CULTURAL: OVER 20% OF FAMILIES ARE MIGRANT FARM WORKERS. 72% OF FAMILY ARE PRIMARILY SPANISH SPEAKING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>DRMC'S COMMITMENT TO THE COMMUNITIES EXTENDS TO THE EMPLOYMENT OF A DIRECTOR OF MARKETING AND COMMUNITY RELATIONS, AS WELL AS A MARKETING &amp; COMMUNITY RELATIONS COORDINATOR BOTH OF WHICH PROVIDE OUTREACH SERVICES WITHIN THE COMMUNITIES DRMC SERVES. THE COMMUNITY RELATIONS COORDINATOR SERVES AS A LIAISON BETWEEN DRMC'S SERVICES AND THE COMMUNITY, IN AN EFFORT TO PROVIDE ASSISTANCE TO THE MEDICALLY UNDERSERVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>CA</ExplanationTxt>
      </SupplementalInformationDetail>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY SCROGGS</PersonNm>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDRA BAKICH</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BABITA DATTA</PersonNm>
        <TitleTxt>OB/GYN PHYSICIAN</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>530045</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRANCE MONRIAN</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6104</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>265858</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEE YOUNG LEE</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6259</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212793</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRYANT MENG</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>198443</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>203842</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMUEL KHALIL</PersonNm>
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        <BaseCompensationFilingOrgAmt>183204</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7442</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190646</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT AND LEADERSHIP PERSONNEL ARE PAID AN ADDITIONAL SUM TO THEIR WAGES IF CERTAIN FINANCIAL GOALS ARE MET IN REGARDS TO NET INCOME, PATIENT SATISFACTION AND DEPARTMENTS MEETING THEIR BUDGETS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF DELANO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>956000702</BondIssuerEIN>
        <CUSIPNum>245584BU0</CUSIPNum>
        <BondIssuedDt>2012-12-20</BondIssuedDt>
        <IssuePriceAmt>30542500</IssuePriceAmt>
        <PurposeDesc>TO REFUND AND RETIRE 1998 BONDS AT A LOWER RATE OF INTEREST</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>9005000</RetiredAmt>
        <TotalProceedsAmt>30542500</TotalProceedsAmt>
        <InReserveFundAmt>3054250</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>610850</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>26877400</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>1</Form8038TFiledInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ONE CLASS OF MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS WERE APPOINTED WHEN THE ORGANIZATION WAS FORMED. UPON DEATH OR RESIGNATION OF ONE OF THE MEMBERS, REMAINING MEMBERS ELECT/APPOINT NEW MEMBER. MEMBERS ARE ELECTED FOR LIFE AND CANNOT BE REMOVED UNLESS THEY CHOOSE TO RESIGN. MEMBERS HAVE THE RIGHT TO NAME NEW MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES TO BYLAWS BY THE GOVERNING BODY MUST BE APPROVE BY THE MEMBERS AS WELL AS THE DECISION TO SELL THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE FILING, FORM 990 IS REVIEWED BY THE AUDITING FIRM, CEO AND PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE THROUGH A COMPLIANCE OFFICER MONITORING SYSTEM. WE STRESS WITH NEW EMPLOYEES AS WELL AS YEARLY AT THE EDUCATION FAIR THAT WE INVITE EMPLOYEES TO REPORT ANY HOSPITAL ACTIVITY THAT THEY THINK MIGHT BE A COMPLIANCE ISSUE EVEN TO A RECORDED PHONE # THAT IS MONITORED BY THE COMPLIANCE COMMITTEE. ALL COMPLIANCE ISSUES ARE INVESTIGATED BY THE COMPLIANCE DIRECTOR AND A COMMITTEE IF NEEDED. IF AN ISSUE EXISTS, A RECOMMENDED COURSE OF ACTION THAT WOULD INCLUDE NOTIFICATION TO THE PROPER AUTHORITY OF THE RESULT OF THE INVESTIGATION IS PRESENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO/CHAIRMAN AND CFO/PRESIDENT ARE BASED ON AN ANNUAL SURVEY OF THE CALIFORNIA HOSPITAL ASSOCIATION, SURVEYING RECRUITMENT AGENCIES, LEGAL COUNSEL CONSULTATION, DISCUSSION WITH BOARD COMMITTEE AND FINAL BOARD APPROVAL. SALARY SURVEYS AS WELL AS THE OTHER SOURCES LISTED ARE CONTINUOUSLY MONITORED. CONTRACTS FOR THE CEO AND CFO WERE REVIEWED, APPROVED AND DOCUMENTED. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED BY THE CEO AND CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADJUSTMENT TO ELIMINATE DHA ACTIVITY -41,024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <RelatedOrganizationName>
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        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1401 GARCES HWY</AddressLine1Txt>
          <CityNm>DELANO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93215</ZIPCd>
        </USAddress>
        <EIN>770340007</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE HEALTHCARE REGISTRY SERVICES TO DELANO REGIONAL MEDICAL CENTER.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>569845</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1314903</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
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      <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>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>DELANO HEALTH ASSOCIATES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>611669</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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</Return>