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    <Timestamp>2011-07-13T17:33:33-07:00</Timestamp>
    <TaxPeriodEndDate>2010-08-31</TaxPeriodEndDate>
    <PreparerFirm>
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        <BusinessNameLine1>Baker Peterson &amp; Franklin CPA LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>970 W Alluvial 101</AddressLine1>
        <City>Fresno</City>
        <State>CA</State>
        <ZIPCode>93711</ZIPCode>
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    <ReturnType>990</ReturnType>
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    <Filer>
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      <Name>
        <BusinessNameLine1>COMMUNITY HOSPITALS OF CENTRAL</BusinessNameLine1>
        <BusinessNameLine2>CALIFORNIA FOUNDATION</BusinessNameLine2>
      </Name>
      <NameControl>COMM</NameControl>
      <Phone>5594696000</Phone>
      <USAddress>
        <AddressLine1>P O BOX 1232</AddressLine1>
        <City>FRESNO</City>
        <State>CA</State>
        <ZIPCode>93715</ZIPCode>
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    <Officer>
      <Name>Roger Fretwell</Name>
      <Title>Controller</Title>
      <DateSigned>2011-07-13</DateSigned>
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    <Preparer>
      <Name>Edward J Hashim</Name>
      <Phone>5594322346</Phone>
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    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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        <City>FRESNO</City>
        <State>CA</State>
        <ZIPCode>93721</ZIPCode>
      </AddressPrincipalOfficerUS>
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      <WebSite>www.medwatchtoday.com</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
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      <StateLegalDomicile>CA</StateLegalDomicile>
      <ActivityOrMissionDescription>CHCC Foundation's mission is to support Community Medical Centers' (CMC) other affiliated, not-for-profit companies. Thereby, improving the health status of the community and promoting medical education.</ActivityOrMissionDescription>
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      <PoliciesReferenceChapters>true</PoliciesReferenceChapters>
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        <NamePerson>ROGER FRETWELL</NamePerson>
        <TelephoneNumber>5594696000</TelephoneNumber>
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          <City>FRESNO</City>
          <State>CA</State>
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      <NetIncomeFromGaming>
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      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>817101</TotalRevenueColumn>
        <ExclusionAmount>6505</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>52234</Total>
        <ProgramServices>47011</ProgramServices>
        <ManagementAndGeneral>5223</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>917413</Total>
        <ProgramServices>834603</ProgramServices>
        <ManagementAndGeneral>82810</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>73298</Total>
        <ProgramServices>66643</ProgramServices>
        <ManagementAndGeneral>6655</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>107269</Total>
        <ProgramServices>97530</ProgramServices>
        <ManagementAndGeneral>9739</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>73787</Total>
        <ProgramServices>67088</ProgramServices>
        <ManagementAndGeneral>6699</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>258005</Total>
        <ProgramServices>201660</ProgramServices>
        <ManagementAndGeneral>56345</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>63995</Total>
        <ProgramServices>58227</ProgramServices>
        <ManagementAndGeneral>5768</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>106005</Total>
        <ProgramServices>101288</ProgramServices>
        <ManagementAndGeneral>4717</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>18825</Total>
        <ProgramServices>18825</ProgramServices>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>1328</Total>
        <ProgramServices>1328</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>15997</Total>
        <ProgramServices>3278</ProgramServices>
        <ManagementAndGeneral>12719</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>2000</Total>
        <ManagementAndGeneral>2000</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Other expenses</Description>
        <Total>81917</Total>
        <ProgramServices>81917</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues &amp; subscriptions</Description>
        <Total>7486</Total>
        <ProgramServices>7486</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>1779559</Total>
        <ProgramServices>1586884</ProgramServices>
        <ManagementAndGeneral>192675</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>300</BOY>
        <EOY>312</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>5187971</BOY>
        <EOY>6070421</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <EOY>0</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2000</BOY>
        <EOY>2000</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1468218</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>35607</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>181413</BOY>
        <EOY>1432611</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>5036198</BOY>
        <EOY>9712175</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>2296740</BOY>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>12704622</BOY>
        <EOY>17217519</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>143801</BOY>
        <EOY>178763</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <EOY>1612792</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>143801</BOY>
        <EOY>1791555</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2070565</BOY>
        <EOY>1108108</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>10490256</BOY>
        <EOY>14317856</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>12560821</BOY>
        <EOY>15425964</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>12704622</BOY>
        <EOY>17217519</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type2>X</SupportingOrg509a3Type2>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Fresno Community Hospital &amp; Medical</BusinessNameLine1>
        </Name>
        <EIN>941156276</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>1945651</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>1945651</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="09000047" softwareVersion="2009v1.7">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <CurrentYear>
        <BeginningOfYearBalance>383593</BeginningOfYearBalance>
        <EndOfYearBalance>383593</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>383593</BeginningOfYearBalance>
        <EndOfYearBalance>383593</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>21500</OtherCostOrOtherBasis>
        <BookValue>21500</BookValue>
      </Land>
      <Equipment>
        <OtherCostOrOtherBasis>39916</OtherCostOrOtherBasis>
        <Depreciation>35607</Depreciation>
        <BookValue>4309</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1406802</OtherCostOrOtherBasis>
        <BookValue>1406802</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1432611</TotalOfBookValueLandBuildings>
      <TotalOfBookValueProgramRelated>9712175</TotalOfBookValueProgramRelated>
      <OtherLiabilities>
        <Description>OTHER CURRENT LIABILITIES</Description>
        <Amount>1612792</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1612792</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>true</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>true</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT SAROYAN</NamePerson>
        <BaseCompensationFilingOrg>256035</BaseCompensationFilingOrg>
        <DeferredCompRelatedOrgs>10051</DeferredCompRelatedOrgs>
        <TotalCompensationFilingOrg>256035</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>10051</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHRYN ZENOVICH</NamePerson>
        <BaseCompensationFilingOrg>145559</BaseCompensationFilingOrg>
        <DeferredCompRelatedOrgs>4989</DeferredCompRelatedOrgs>
        <TotalCompensationFilingOrg>145559</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>4989</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 6b</Identifier>
        <ReturnReference>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</ReturnReference>
        <Explanation>The Community Medical Centers Executive Incentive Plan is designed to motivate and reward key members of the Executive Team for meeting specific and measurable goals at the Health System and individual levels. The main objectives of the Plan are: Motivate executives and reward them for improving CMC's operational performance; Increase community involvement and effectiveness; Increase Executive commitment to CMC's short and long term goals; Provide Executives with competitive but reasonable compensation; and Attract and retain highly talented Executives that are critically important to the success of CMC. The goals are financial success in meeting overall budget targets, specific quality and patient core measures, patient satisfaction, employee satisfaction, and meeting 5 individual goals. The financial performance is only 45% of the measure.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 5b</Identifier>
        <ReturnReference>Part I, Line 5b: Explanation of organization compensation based on revenues of related organization</ReturnReference>
        <Explanation>Community Hospitals of Central California (CHCC) (94-2864615) is the common paymaster for itself and the following related corporations: (1) Fresno Community Hospital and Medical Center (94-1156276), (2) Sierra Hospital Foundation (94-1431181), and (3) Community Hospitals of Central California, Foundation (CHCC FND) (77-0191730). ("Common Paymaster" describes an arrangement in which individuals are employed, at the same time, by two or more related corporations, but receive their combined wages from only one of those employers, i.e. the common paymaster.) The total compensation (Form W-2/1099-MISC compensation) of each of the above individuals is reported on Form 990, Part VII. The amounts above on Part II of of this schedule disclose only that portion of this compensation attributable to CHCC FND.As common paymaster, CHCC filed all payroll forms (941, 1096, W-2, W-3) for itself and the three affiliates noted above (see Form 990, Part V, Line 1 and 2).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>First-class travel is allowed on overnight flights to business meetings.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>See Schedule O attached</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>See Schedule O attached</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>See Schedule O attached</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>See Schedule O attached</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Community Insurance Services Company</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 1232</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93715</ZIPCode>
        </AddressUS>
        <EIN>980674776</EIN>
        <PrimaryActivities>Insurance</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <TotalIncome>3805000</TotalIncome>
        <EOYAssets>12140000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FCH&amp;MC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Deran Kologian Ambulatory Care Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2440 Tulare Street Ste 400</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93721</ZIPCode>
        </AddressUS>
        <EIN>263813822</EIN>
        <PrimaryActivities>Leasing</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <TotalIncome>-357000</TotalIncome>
        <EOYAssets>26179000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FCH&amp;MC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Fresno Heart Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>15 E Audubon Drive</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93720</ZIPCode>
        </AddressUS>
        <EIN>770513288</EIN>
        <PrimaryActivities>Hospital (Supported)</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <TotalIncome>6797000</TotalIncome>
        <EOYAssets>67733000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FCH&amp;MC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Community Hospitals of Cen California</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 1232</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93715</ZIPCode>
        </AddressUS>
        <EIN>942864615</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sierra Hospital Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 1232</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93715</ZIPCode>
        </AddressUS>
        <EIN>941431181</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Fresno Community Hospital &amp; Medical Ctr</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 1232</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93715</ZIPCode>
        </AddressUS>
        <EIN>941156276</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Community Health Plan</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1925 E Dakota</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93715</ZIPCode>
        </AddressUS>
        <EIN>770246798</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FCH&amp;MC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Sante Health Systems</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1180 E Shaw Ste 201</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93710</ZIPCode>
        </AddressUS>
        <EIN>770382381</EIN>
        <PrimaryActivity>Mgmt service</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FCH&amp;MC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <ShareOfTotalIncome>960050</ShareOfTotalIncome>
        <ShareOfEOYAssets>22344037</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Community Health Enterprises</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 1232</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93715</ZIPCode>
        </AddressUS>
        <EIN>770175659</EIN>
        <PrimaryActivity>Pharmacy Sales</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FCH&amp;MC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>-953026</ShareOfTotalIncome>
        <ShareOfEOYAssets>6101820</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>