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      <Description>ENLOE MEDICAL CENTER (EMC), A CALIFORNIA NONPROFIT BENEFIT CORPORATION IS LOCATED IN THE CITY OF CHICO (THE"CITY"), 90 MILES NORTH OF SACRAMENTO IN BUTTE COUNTY, CALIFORNIA. EMC IS EXEMPT FROM FEDERAL INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE NEARLY 400,000 RESIDENTS OF A SIX-COUNTY REGION OF CALIFORNIA, INCLUDING GLENN AND BUTTE COUNTIES (GENERALLY REFERRED TO AS THE NORTH VALLEY). EMC PROVIDES TRAUMA AND CARDIAC SURGERY SERVICES TO PATIENTS THROUGHOUT NORTHERN CALIFORNIA. EMC OWNS AND OPERATES SEVEN FACILITIES IN THE CITY, INCLUDING THREE INPATIENT FACILITIES: AN ACUTE CARE HOSPITAL, ENLOE MEDICAL CENTER - ESPLANADE CAMPUS (THE "HOSPITAL"); A BEHAVIORAL HEALTH FACILITY, ENLOE MEDICAL CENTER - COHASSET CAMPUS (THE "BEHAVIORAL HEALTH FACILITY"); AND A FACILITY FOR REHABILITATION SERVICES, ENLOE REHAB CENTER (THE "REHAB CENTER"). EMC IS THE LARGEST PROVIDER OF ACUTE CARE SERVICES AND SOLE PROVIDER OF COMPREHENSIVE CARDIOLOGY SERVICES IN THE REGION. INPATIENT UNITS INCLUDE MEDICAL/SURGICAL ACUTE CARE, INTENSIVE CARE, CARDIAC CARE, POST CORONARY CARE, NEURO-TRAUMA CARE, INTENSIVE CARE NURSERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, BEHAVIORAL HEALTH AND REHABILITATION. IN ADDITION TO A FULL RANGE OF INPATIENT AND OUTPATIENT ANCILLARY AND SUPPORT SERVICES, EMC PROVIDES SPECIALTY REFERRAL SERVICES IN CARDIAC SURGERY, STROKE, NEUROSURGERY, ORTHOPEDICS, CANCER, WOMEN'S HEALTH, AND BARIATRIC SERVICES. EMC OPERATES, AT ITS ESPLANADE CAMPUS, ONE OF TWO LEVEL II TRAUMA CENTERS IN CALIFORNIA NORTH OF SACRAMENTO, AND HOUSES THE ONLY LEVEL II NEONATAL INTENSIVE CARE UNIT IN THE REGION. EMC IS ONE OF THE LARGEST EMPLOYERS IN THE AREA, WITH APPROXIMATELY 2,400 FULL-AND PART-TIME EMPLOYEES. THE MEDICAL STAFF IS COMPRISED OF APPROXIMATELY 250 PHYSICIANS REPRESENTING OVER 40 SPECIALTY AREAS. IN ADDITION, MORE THAN 400 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT TO EMC'S ACTIVITIES. ENLOE MEDICAL CENTER IS CURRENTLY GOVERNED BY A 15-MEMBER BOARD OF TRUSTEES COMPRISED OF PERSONS WHO RESIDE OR MAINTAIN THEIR PRINCIPAL PLACE OF BUSINESS WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL. ENLOE MEDICAL IS A NON-MEMBER CORPORATION UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW. NEW MEMBERS OF THE BOARD ARE ELECTED BY ITS EXISTING MEMBERS IN ACCORDANCE WITH PROCEDURES SET FORTH IN THE BYLAWS OF THE ORGANIZATION. THE BYLAWS SPECIFY THAT TWO BOARD MEMBERS MUST BE PHYSICIANS AND THAT THE MEDICAL STAFF CHAIRMAN AND THE MEDICAL STAFF CHAIRMAN-ELECT SHALL SERVE AS BOARD MEMBERS EX OFFICIO WITH A VOTE. THE CHIEF EXECUTIVE OFFICER SERVES ON THE BOARD EX OFFICIO WITH A VOTE AND THE CHAIRMAN OF THE ENLOE HEALTH FOUNDATION SERVES ON THE BOARD EX OFFICIO, WITHOUT A VOTE. THE ELECTED MEMBERS OF THE BOARD SERVE STAGGERED TERMS OF THREE YEARS, FOR A MAXIMUM PERIOD OF THREE TERMS (OR NINE YEARS) PER MEMBER.</Description>
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      <Form990PartVIISectionA>
        <NamePerson>DANNY N ABIFADEL</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>184665</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10746</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEFFREY J ANDO</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>171854</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6264</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANNIE K HATCHER</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>181078</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16539</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL A MOHR</NamePerson>
        <Title>PHYSICIAN ASSISTANT</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>171069</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13398</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL P NEUMEISTER</NamePerson>
        <Title>CEO (FORMER)</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>261888</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBORAH A YANCER</NamePerson>
        <Title>CEO (FORMER)</Title>
        <Former>X</Former>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6960</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>3678314</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>134663</TotalOtherCompensation>
      <NumberIndividualsGT100K>318</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
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        <NameOfContractor>
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          <AddressUS>
            <AddressLine1>11330 OLIVE BLVD</AddressLine1>
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            <State>MO</State>
            <ZIPCode>63114</ZIPCode>
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        <DescriptionOfServices>HOSPITAL CONSTR.</DescriptionOfServices>
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      <ContractorCompensation>
        <NameOfContractor>
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        <AddressOfContractor>
          <AddressUS>
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            <State>CA</State>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MORRISON MANAGEMENT SPECIALISTS</NamePerson>
        </NameOfContractor>
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          <AddressUS>
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            <State>GA</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD SERVICE MGMT</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CROTHALL HEALTHCARE INC</NamePerson>
        </NameOfContractor>
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          <AddressUS>
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            <State>PA</State>
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        </AddressOfContractor>
        <DescriptionOfServices>ENVIRONMENTAL SERVC</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CHICO EMERGENCY PHYSICIANS MEDICAL</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <State>CA</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>EMERGENCY MEDICINE</DescriptionOfServices>
        <Compensation>4997852</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>78</NumberOfContractorsGT100K>
      <RelatedOrganizations>461061</RelatedOrganizations>
      <GovernmentGrants>901190</GovernmentGrants>
      <TotalContributions>1362251</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Service Revenue</Description>
        <BusinessCode>621300</BusinessCode>
        <TotalRevenueColumn>348630557</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>348630557</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>348630557</TotalProgramServiceRevenue>
      <InvestmentIncome>
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        <ExclusionAmount>2866832</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>1020634</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>866476</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>154158</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>154158</TotalRevenueColumn>
        <ExclusionAmount>154158</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>615786</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>299736</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>316050</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>316050</TotalRevenueColumn>
        <ExclusionAmount>316050</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Joint Venture Income</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1780660</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1780660</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Management Services to CPPSSC</Description>
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        <TotalRevenueColumn>80232</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>80232</UnrelatedBusinessRevenue>
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      <OtherRevenueMisc>
        <Description>Other Operating Revenue</Description>
        <BusinessCode>900099</BusinessCode>
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        <RelatedOrExemptFunctionIncome>1349157</RelatedOrExemptFunctionIncome>
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      <MiscellaneousRevenue>
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        <UnrelatedBusinessRevenue>1000</UnrelatedBusinessRevenue>
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      <TotalRevenue>
        <TotalRevenueColumn>356540897</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>351760374</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>81232</UnrelatedBusinessRevenue>
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      <GrantsToDomesticOrgs>
        <Total>120569</Total>
        <ProgramServices>120569</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>2918970</Total>
        <ProgramServices>2453539</ProgramServices>
        <ManagementAndGeneral>465431</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>83184</Total>
        <ProgramServices>69920</ProgramServices>
        <ManagementAndGeneral>13264</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>119224562</Total>
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        <Fundraising>0</Fundraising>
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      <PensionPlanContributions>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>255129</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>242855</Total>
        <ManagementAndGeneral>242855</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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      <Advertising>
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        <ProgramServices>2080407</ProgramServices>
        <ManagementAndGeneral>860303</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
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        <ProgramServices>19460</ProgramServices>
        <ManagementAndGeneral>3518369</ManagementAndGeneral>
      </Occupancy>
      <Travel>
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        <ProgramServices>209706</ProgramServices>
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      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
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        <ProgramServices>3810092</ProgramServices>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
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      <OtherExpenses>
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      </OtherExpenses>
      <OtherExpenses>
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      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased Services</Description>
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      <AllOtherExpenses>
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      </TotalFunctionalExpenses>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalNetAssetsFundBalances>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>459360055</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
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      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
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        </ContributorAddressUS>
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      <TotalDirectLobbying />
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      <TotalExemptPurposeExpenditures />
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      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
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        <Identifier>1</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1F</ReturnReference>
        <Explanation>THE ORGANIZATION IS A MEMBER OF THE CALIFORNIA HOSPITAL ASSOCIATION (CHA) - CHA DIRECTS A PORTION OF THE DUES FOR DIRECT LOBBYING EXPENSES; AND THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) - AHA EXPENDS A PORTION OF THE DUES SPECIFIC FOR LOBBYING PURPOSES.</Explanation>
      </Form990ScheduleCPartIV>
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        <BookValue>92494967</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>170568881</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
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        <Description>Long Term Investments</Description>
        <BookValue>99291611</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Annuity Investment</Description>
        <BookValue>1753364</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>101044975</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Due from Affiliate</Description>
        <BookValue>0</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Benefit Plan Net Assets</Description>
        <BookValue>2236456</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Bond Issuance Costs</Description>
        <BookValue>12620394</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Receivables</Description>
        <BookValue>117795919</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>132652769</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to Third Party Payers</Description>
        <Amount>3696300</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Annuity Payment Liability</Description>
        <Amount>645131</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Capital Lease</Description>
        <Amount>710018</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliate</Description>
        <Amount>1861505</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>6912954</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>1</Identifier>
        <ReturnReference>Part X, Line 2</ReturnReference>
        <Explanation>Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>450.</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2929328</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2929328</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00860</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>49565851</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>16606762</NetCommunityBenefitExpense>
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      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>14087686</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>16986</NetCommunityBenefitExpense>
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      <TotalCommunityBenefits>
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      <BadDebtExpenseReported>false</BadDebtExpenseReported>
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      <MedicareSurplusOrShortfall>-34989545</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
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          <BusinessNameLine1>Chico Endoscopy</BusinessNameLine1>
        </NameOfEntity>
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        <Name>
          <BusinessNameLine1>ENLOE MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1531 ESPLANADE</AddressLine1>
          <City>CHICO</City>
          <State>CA</State>
          <ZIPCode>95926</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
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      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Amount of bad debt expense not included in calculating percentage on line 7 column(f) = $19,224,412.</CostingMethodUsed>
        <BadDebtFootnote>4a: ENLOE MEDICAL CENTER (EMC) REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FORM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. EMC PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTIONS INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, EMC BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. 4b: EMC USES A COST TO CHARGE METHODOLOGY TO REPORT THE ORGANIZATIONS BAD DEBT EXPENSE AT THE COST OF CARE. AMOUNTS CHARGED OFF AS BAD DEBT IS RECORDED AT GROSS CHARGES. A COST TO CHARGE RATIO IS APPLIED TO THE GROSS CHARGE AMOUNT WRITTEN OFF TO REPORT BAD DEBT EXPENSE AT THE COST OF PROVIDING CARE. THE ORGANIZATION DOES NOT HAVE A MEANS TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT WOULD OTHERWISE BE ELIGIBLE UNDER THE ORGANIZATIONS' CHARITY CARE POLICY. THE CHARITY CARE POLICY REQUIRES THE PATIENT GUARANTOR TO APPLY FOR CHARITY CARE. THE DETERMINANTS FOR CHARITY CARE ARE A FUNCTION OF HOUSEHOLD INCOME AND DEPENDENTS - THE APPLICANT PROCESS REQUIRES AN INCOME DECLARATION. ABSENT THE APPLICANT PROCESS FOR CHARITY CARE IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. BY DEFINITION, UNCOLLECTIBLE ACCOUNTS, ARE TYPICALLY REFLECTIVE OF AN INDIVIDUALS INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS - THE ORGANIZATION ASSUMES THAT APPROXIMATELY 80% OF THE AMOUNT REPORTED AS BAD DEBT COULD REASONABLY BE ATTIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR CHARITY CARE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>COSTING METHODOLGY UTILIZES A MODIFIED COST TO CHARGE RATIO AS APPLIED TO MEDICARE PATIENT POPULATION. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND /OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER SOURCES TO COVER THE DEFICIT.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. ENLOE MEDICAL CENTER'S COLLECTION POLICIES OUTLINE THE TYPES OF COLLECTION EFFORTS CONTRACTED COLLECTIONS AGENCIES MAY/MAY NOT TAKE TO COLLECT ON PAST-DUE ACCOUNTS. (A) IT IS RECOGNIZED THAT AS PART OF THE CHARITY CARE AND DISCOUNT PROCESS, PATIENTS MAY BREAK THEIR PROMISE TO PAY FORM TIME TO TIME. (B) IN THESE INSTANCES, PATIENTS WITH PAST DUE CHARITY CARE OBLIGATIONS MAY BE REFERRED TO COLLECTION IN THE SAME MANNER AS ANY OTHER PATIENT WITH AN UNPAID PAST - DUE ACCOUNT. (C) HOWEVER, IN NO INSTANCE WILL ANY PATIENT RECEIVING COMMUNITY SERVICE UNDER THIS POLICY BE SUBJECT TO ABUSIVE TELEPHONE COLECTIONS PRACTICES, LIENS BEING PLACED ON THEIR PRIMARY RESIDENCE, WAGE GARNISHMENTS, OR INVOLUNATARY COURT HOLD ORDERS. (D) NON-PAYMENT WILL NOT BE REPORTED TO A CREDIT REPORTING AGENCY AT ANY TIME PRIOR TO 150 DAYS FROM INITIAL BILLING.</DebtCollectionPolicy>
        <NeedsAssessment>THE HOSPITAL HAS HAD A COMMUNITY NEEDS ASSESSMENT DONE - ONE IN 2007 AND ONE IN 2010. THE HOSPITAL IS AWARE OF THE REQUIREMENTS UNDER 501R TO COMPLETE A COMMUNITY NEEDS HEALTH ASSESSMENT EVERY THREE YEARS. THE HOSPITAL HELD A MINI SUMMIT IN 2010 THAT INVITED KEY INDIVIDUALS IN THE COMMUNITY TO PARTICIPATE.</NeedsAssessment>
        <PatientEducationAssistance>THE HOSPITAL PROVIDES UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL AND/OR HEALTHY FAMILIES AT THE TIME OF REGISTRATION AND NO LATER THAN AT THE TIME OF DISCHARGE. UNINSURED PATIENTS ARE PROVIDED COMMUNITY SERVICE GUIDELINES, THE APPLICATION FORM AND CONTACT NUMBER AT THE TIME OF REGISTRATION OR NO LATER THAN AT THE TIME OF DISCHARGE. BILLING NOTICES TO UNINSURED PATIENTS WILL INCLUDE CONTACT INFORMATION FOR MEDI-CAL AS WELL AS THE CONTACT NUMBER FOR THE COMMUNITY SERVICE PROGRAM. FOR ELIGIBLE PATIENTS THAT HAVE INSURANCE, CUSTOMER SERVICE PROVIDES INFORMATION ABOUT THE DISCOUNT POLICY AT THE TIME A PAYMENT PLAN IS REQUESTED OR WHEN THE PATIENT REQUESTS ASSISTANCE. THE HOSPITAL ALSO POSTS NOTICES REGARDING THE AVAILABILITY OF COMMUNITY SERVICE IN ALL PATIENT REGISTRATION AREAS, IN PATIENT HANDBOOKS, AT ITS PATIENT FINANCIAL SERVICES DEPARTMENT, AND ON ITS WEBSITE. THE NOTICES ARE POSTED IN ENGLISH AND SPANISH. THE HOSPITAL ALSO ANNUALLY PUBLISHES A STATEMENT OF CHARITY CARE ASSISTANCE IN ITS COMMUNITY BENEFITS REPORT. A TOLL-FREE TELEPHONE NUMBER IS AVAILABLE FOR PERSONS TO INQUIRE ABOUT ENLOE MEDICAL CENTER'S COMMUNITY SERVICE PROGRAM.</PatientEducationAssistance>
        <CommunityInformation>ENLOE MEDICAL CENTER IS LOCATED IN CHICO, CALIFORNIA. THE ORGANIZATION IS AN ACUTE CARE HOSPITAL THAT PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO A BROAD RANGE OF DEMOGRAPHICS IN BUTTE COUNTY. BUTTE COUNTY HAS A POPULATION OF 221,768 WHERE THE MEDIAN HOUSEHOLD INCOME IS $40,308 AS OF 2008.</CommunityInformation>
        <OtherInformation>ADDITIONAL INFORMATION REGARDING HOW THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE IN THE COMMUNITY: ENLOE MEDICAL CENTER IS GOVERNED BY VOLUNTEER COMMUNITY BOARD MEMBERS. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY TO ALL OF ITS DEPARTMENTS. THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF CALIFORNIA.</OtherInformation>
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          <AddressLine1>3536 BUTTE CAMPUS DRIVE</AddressLine1>
          <City>OROVILLE</City>
          <State>CA</State>
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        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>63644</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL FUNDING</PurposeOfGrant>
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        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
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        <NamePerson>DANNY N ABIFADEL</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>13247</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10683</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>63</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JEFFREY J ANDO</NamePerson>
        <BaseCompensationFilingOrg>165182</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>6672</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3271</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>2993</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>178118</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANNIE K HATCHER</NamePerson>
        <BaseCompensationFilingOrg>180540</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>538</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10937</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5602</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>197617</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL A MOHR</NamePerson>
        <BaseCompensationFilingOrg>170970</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>99</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10405</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2993</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>184467</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>1</Identifier>
        <ReturnReference>SCHEDULE J, PART 1, LINE 4A</ReturnReference>
        <Explanation>SEVERANCE PAY WAS RECEIVED BY THE FOLLOWING INDIVIDUALS: DEBORAH YANCER - $399,702 DANIEL NEUMEISTER - $261,888</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>2</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>ENLOE MEDICAL CENTER PROVIDES FOR AN EXECUTIVE BENEFIT PLAN. PARTICIPANTS ARE PROVIDED A FIXED PERCENTAGE OF THEIR BASE SALARY USED TO PURCHASE BASIC (HEALTH, DENTAL, VISION AND OTHER BENEFITS) AND SUPPLEMENTAL BENEFITS (DISABILITY INSURANCE, LIFE INSURANCE) AND OTHER FLEXIBLE BENEFIT OPTIONS WITH THE BALANCE AVAILABLE FOR A TAX DEFERRED CONTRIBUTION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS DESCRIBED IN SECTION 457 (F) OF THE INTERNAL REVENUE CODE. MIKE WILTERMOOD $18,231 CAROL LINSHEID $15,507 LAURA HENNUM $10,522</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>680164610</IssuerEIN>
        <CUSIPNumber>130795WJ2</CUSIPNumber>
        <DateIssued>2008-08-20</DateIssued>
        <IssuePrice>68915000</IssuePrice>
        <DescriptionOfPurpose>CA STATEWIDE COMMUNITIES DEVELOPME</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>680164610</IssuerEIN>
        <CUSIPNumber>130795XG7</CUSIPNumber>
        <DateIssued>2008-08-20</DateIssued>
        <IssuePrice>170244759</IssuePrice>
        <DescriptionOfPurpose>CA STATEWIDE COMMUNITIES DEVELOPME</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>69528444</TotalProceeds>
        <AmountInReserveFund>4927067</AmountInReserveFund>
        <AmountDefeased>61336041</AmountDefeased>
        <IssuanceCostsFromProceeds>1009273</IssuanceCostsFromProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>178197265</TotalProceeds>
        <AmountInReserveFund>11965507</AmountInReserveFund>
        <IssuanceCostsFromProceeds>10705387</IssuanceCostsFromProceeds>
        <CapitalExpenditures>45159733</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NATIX FUNDING CORP</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>3.6</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JENNIFER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>OLSEN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FORREST OLSON, MD</Relationship>
        <AmountOfTransaction>60589</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT - EMC</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BEVERLY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PEARCE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>STEPHEN PEARCE, MD</Relationship>
        <AmountOfTransaction>11006</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT - EMC AND AFFILIATE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JENNIFER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KASZA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>ATTILA KASZA, MD</Relationship>
        <AmountOfTransaction>11589</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT - AFFILIATE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SEE SCHEDULE O</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE O</Relationship>
        <AmountOfTransaction>1425667</AmountOfTransaction>
        <DescriptionOfTransaction>INDEPENDENT CONTRACTOR</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>1</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 9</ReturnReference>
        <Explanation>DEBORAH YANCER, FORMER CEO 3085 STRATFORD AVENUE LINCOLN, NE 68502</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>2</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PROVIDED TO THE ORGANZIATION'S GOVERNING BODY WHERE IT IS REVIEWED AND MADE AVAILABLE FOR COMMENT PRIOR TO THE FILING DATE. THE REVIEW PROCESS INCLUDES MULTIPLE LEVELS OF REVIEW INCLUDING KEY CORPORATE FINANCE DEPARTMENT PERSONNEL AND SENIOR EXECUTIVES INCLUDING THE DIRECTOR OF FINANCE AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. ADDITIONALLY, THE ORGANZIATION CONTRACTS WITH BKD, LLP A CPA AND ADVISORY FIRM FOR PREPARATION AND REVIEW OF THE FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>3</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>AT THE END OF EACH CALENDAR YEAR, THE ORGANIZATION COLLECTS NEW CONFLICT OF INTEREST SURVEYS FROM ALL BOARD OF TRUSTEE MEMBERS, SENIOR ADMINISTRATORS, AND DIRECTORS ON THE FOUNDATION BOARD. THE ORGANIZATION ALSO COLLECTS FROM A NUMBER OF OTHER STAFF AND MEDICAL MEMBERS DEPENDING UPON THEIR BUSINESS INVOLVEMENTS BOTH FOR ENLOE MEDICAL CENTER AND ENLOE HEALTH FOUNDATION AND WITHIN THE COMMUNITY. THESE DISCLOSURES ARE CONDENSED INTO REPORTS THAT ARE SHARED WITH THE BOARD, ADMINISTRATORS AND OTHERS AND OTHER AFFILIATED ORGANIZATIONS TO PREVENT VOTING BY MEMBERS WHO HAVE EITHER ACTUAL OR PERCEIVED INTERESTS IN VENTURES INVOLVED IN THE BUSINESS DECISION. THE ORGANIZATION HAS ALL THE UPDATED SURVEYS IN BY THE END OF DECEMBER AND ISSUES REPORTS IN JANUARY FOR GUIDANCE THROUGHOUT THE YEAR. IF A CONFLICT EXISTS, THE COMMITTEE MEMBER/STAFF MEMBER IS RECUSED FROM BOTH THE DECISION AND ANY DISCUSSION LEADING TO THE DECISION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>4</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE CEO'S COMPENSATION REVIEW IS COMPLETED ANNUALLY IN THE FALL BY THE EMC COMPENSATION COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>5</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15B</ReturnReference>
        <Explanation>THE EMC COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE CFO AND COO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>6</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>7</Identifier>
        <ReturnReference>Schedule L - Part IV Business Transactions Continued</ReturnReference>
        <Explanation>Name of interested person: Chico Hospitalist Group Relationship between interested person and the organization: Entity is more than 5% owned by Dr. Forrest Olson, MD, trustee and more than 5% owned by Dr. Attila Kasza, MD, trustee. Amount of transaction: $1,425,667 Description of Transaction: Independent contractor agreement Sharing of Organization's Revenues? No EMC entereed into a professional services agreement with Enloe Primary Physician Medical Group Inc., dba Chico Hospitalist Group (the Group) to obtain coverage and administrative services for a hospitalist program. The Group's services include medical services to all patients who require hospital admission and who have no attending physician or no referring physician with admitting privileges.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ENLOE HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1531 ESPLANADE</AddressLine1>
          <City>CHICO</City>
          <State>CA</State>
          <ZIPCode>95926</ZIPCode>
        </AddressUS>
        <EIN>942985552</EIN>
        <PrimaryActivities>SUPPORT EMC</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Chico MRI Partners LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1720 Esplanade</AddressLine1>
          <City>Chico</City>
          <State>CA</State>
          <ZIPCode>95926</ZIPCode>
        </AddressUS>
        <EIN>930992906</EIN>
        <PrimaryActivity>Imaging</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>-52875</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>North Valley Advanced Imaging</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1720 Esplanade</AddressLine1>
          <City>Chico</City>
          <State>CA</State>
          <ZIPCode>95926</ZIPCode>
        </AddressUS>
        <EIN>263877565</EIN>
        <PrimaryActivity>Imaging</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>1995511</ShareOfTotalIncome>
        <ShareOfEOYAssets>896884</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Chico Physician Practice Support Service</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>251 Cohasset Road Suite 120</AddressLine1>
          <City>Chico</City>
          <State>CA</State>
          <ZIPCode>95926</ZIPCode>
        </AddressUS>
        <EIN>680352993</EIN>
        <PrimaryActivity>Physician Mgmt</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>-270609</ShareOfTotalIncome>
        <ShareOfEOYAssets>274236</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHICO PHYSICIAN PRACTICE SUPPORT SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>80232</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHICO PHYSICIAN PRACTICE SUPPORT SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>46791</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHICO MRI PARTNERS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>613401</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NORTH VALLEY ADVANCED IMAGING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>1500006</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NORTH VALLEY ADVANCED IMAGING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1470000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>