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        <PersonNm>SEAN LISTON MD</PersonNm>
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        <PersonNm>JIM STEVENS</PersonNm>
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        <PersonNm>JUDY SITTON</PersonNm>
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        <PersonNm>KEVIN WOODWARD</PersonNm>
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        <PersonNm>BRADY HAYNES</PersonNm>
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        <PersonNm>SHANNON SMITH</PersonNm>
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        <PersonNm>DONNA LARSON</PersonNm>
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          <CityNm>CHICO</CityNm>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <OwnWebsiteURLTxt>SEE PART V, PAGE 8</OwnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ENLOE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY ENLOE MEDICAL CENTER THROUGH INPUT FROM COMMUNITY REPRESENTATIVES. ENLOE CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELL-BEING IN BUTTE COUNTY WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. DURING THE INTERVIEWS, PARTICIPANTS WERE ASKED TO DESCRIBE, FROM THEIR PROFESSIONAL PERSPECTIVE, THE MAJOR HEALTH ISSUES IMPACTING THE COMMUNITY AS WELL AS THE CONTRIBUTING SOCIAL DETERMINANTS OF HEALTH. PARTICIPANTS WERE ALSO ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES, AND BARRIERS RELATIVE TO THE IDENTIFIED HEALTH NEEDS ALONG WITH IDENTIFYING KNOWN RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ENLOE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: SECONDARY DATA WERE COLLECTED FROM COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTH CARE, MATERNAL AND INFANT HEALTH, LEADING CAUSES OF DEATH, DISABILITY AND DISEASE, COVID-19, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND PREVENTIVE PRACTICES.SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE DATA TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G., RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE.ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2030 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS. SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA COLLECTED. THE IDENTIFIED SIGNIFICANT NEEDS INCLUDED:- ACCESS TO HEALTH CARE (PRIMARY CARE, SPECIALTY CARE, DENTAL CARE) - CHRONIC DISEASES (ALZHEIMER'S DISEASE, ASTHMA, CANCER, DIABETES, HEART DISEASE, LIVER DISEASE, LUNG DISEASE, STROKE) - COVID-19 - ECONOMIC INSECURITY - ENVIRONMENTAL CONDITIONS (AIR AND WATER QUALITY, POLLUTION) - FOOD INSECURITY - HOUSING AND HOMELESSNESS - MENTAL HEALTH - OVERWEIGHT AND OBESITY (HEALTHY EATING AND PHYSICAL ACTIVITY) - PREVENTIVE PRACTICES (VACCINES AND SCREENINGS) - SUBSTANCE USE - UNINTENTIONAL INJURIES (ACCIDENTS, FALLS, POISONING)THE IDENTIFIED SIGNIFICANT COMMUNITY NEEDS WERE PRIORITIZED WITH INPUT FROM THE COMMUNITY. INTERVIEWS WITH COMMUNITY STAKEHOLDERS WERE USED TO GATHER INPUT ON THE SIGNIFICANT NEEDS. THE FOLLOWING CRITERIA WERE USED TO PRIORITIZE THE SIGNIFICANT NEEDS:- THE PERCEIVED SEVERITY OF A HEALTH OR COMMUNITY ISSUE AS IT AFFECTS THE HEALTH AND LIVES OF THOSE IN THE COMMUNITY. - IMPROVING OR WORSENING OF AN ISSUE IN THE COMMUNITY. - AVAILABILITY OF RESOURCES TO ADDRESS THE NEED. - THE LEVEL OF IMPORTANCE THE HOSPITAL SHOULD PLACE ON ADDRESSING THE ISSUE.COMMUNITY STAKEHOLDERS IDENTIFIED COMMUNITY RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT COMMUNITY NEEDS.SINCE ENLOE MEDICAL CENTER CANNOT ADDRESS ALL THE HEALTH NEEDS IN THE COUNTY, WE WILL CONCENTRATE ON THOSE THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, ENLOE WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA BUT WILL CONTINUE TO ADDRESS THEM THROUGH PREVENTIVE PRACTICES AND COMMUNITY COLLABORATION. THE NEEDS NOT BEING LED BY ENLOE MEDICAL CENTER INCLUDE: - ECONOMIC SECURITY - ENVIRONMENTAL CONDITIONS - FOOD INSECURITY - HOUSING AND HOMELESSNESS - OBESITY - UNINTENTIONAL INJURIES ADDITIONALLY, WHILE COVID-19 WAS NOT SELECTED AS A PRIORITY HEALTH NEED THE MEDICAL CENTER WILL DIRECTLY ADDRESS IN THE IMPLEMENTATION STRATEGY, IT WILL CONTINUE TO BE ADDRESSED THROUGH PREVENTIVE PRACTICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ENLOE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: COMMUNITY SERVICE WILL BE PROVIDED TO UNINSURED PATIENTS ON A SLIDING SCALE BASIS, USING THE CURRENT PUBLISHED FEDERAL POVERTY LEVELS (FPL) AS GUIDELINES. COMMUNITY SERVICE DISCOUNTS WILL BE GRANTED USING THE FOLLOWING CRITERIA:- IF FAMILY INCOME IS LESS THAN 150 PERCENT FPL: FREE CARE- IF FAMILY INCOME IS 151 PERCENT TO 300 PERCENT FPL: CO-PAYMENT OF $100 PER ELIGIBLE ACCOUNT, NOT TO EXCEED $250 PER CALENDAR MONTH. MAXIMUM $250 PER MONTH EXCLUDES EMERGENCY AND CARDIOLOGY PHYSICIAN AND/OR HOSPITAL-BASED PHYSICIAN SERVICE ACCOUNTS.- IF FAMILY INCOME IS 301 PERCENT TO 400 PERCENT FPL: 100 PERCENT OF MEDICARE FEE SCHEDULE.OTHER FACTORS CONSIDERED BUT ARE NOT LIMITED TO: INCOME LEVEL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNINSURED DISCOUNT ELIGIBILITY, RESIDENCY, MEDICAID/MEDICARE ELIGIBILITY AND STATE REGULATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.ENLOE.ORG/ABOUT-US/COMMUNITY-BENEFIT-REPORT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINE 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.ENLOE.ORG/ABOUT-US/COMMUNITY-BENEFIT-REPORT</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - ENLOE BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>560 COHASSET ROAD</AddressLine1Txt>
            <CityNm>CHICO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95926</ZIPCd>
          </USAddress>
          <FacilityTxt>BEHAVIORAL HEALTH FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - ENLOE OUTPATIENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>888 LAKESIDE VILLAGE COMMONS</AddressLine1Txt>
            <CityNm>CHICO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95926</ZIPCd>
          </USAddress>
          <FacilityTxt>PROMPT CARE, OUTPATIENT SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - ENLOE REGIONAL CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>265 COHASSET ROAD</AddressLine1Txt>
            <CityNm>CHICO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95926</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - ENLOE REHABILITATION CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>340 W EAST AVENUE</AddressLine1Txt>
            <CityNm>CHICO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95926</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY UTILIZED FOR FINANCIAL ASSISTANCE WAS A MODIFIED COST TO CHARGE RATIO. THE COSTING METHODOLOGY FOR ALL OTHER BENEFIT PROGRAMS WAS BASED ON ACTUAL COST FOR ALL PATIENT SEGMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,917,117.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>EMC USES A COST TO CHARGE METHODOLOGY TO REPORT THE ORGANIZATION'S 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS DETERMINED USING THE DIFFERENCE BETWEEN THE STANDARD RATES (AFTER NEGOTIATED DISCOUNTED RATES HAVE BEEN APPLIED) AND THE AMOUNTS ACTUALLY COLLECTED. 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' COMMUNITY SERVICE AND DISCOUNT POLICY (THE "POLICY"/"COMMUNITY BENEFIT"). THE POLICY REQUIRES THE PATIENT GUARANTOR TO APPLY FOR COMMUNITY BENEFIT CARE. THE DETERMINANTS FOR COMMUNITY BENEFIT CARE ARE A FUNCTION OF HOUSEHOLD INCOME AND DEPENDENTS - THE APPLICANT PROCESS REQUIRES AN INCOME DECLARATION. ABSENT THE APPLICANT PROCESS FOR COMMUNITY BENEFIT 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 INDIVIDUAL'S INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS - THE ORGANIZATION ASSUMES THAT APPROXIMATELY 80% OF THE AMOUNT REPORTED AS BAD DEBT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR CHARITY CARE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE REFER TO AUDIT FINANCIAL STATEMENT NOTE 1- PATIENT ACCOUNTS RECEIVABLE ON PAGE 12/45.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY UTILIZED WAS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 FROM 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 COLLECTIONS PRACTICES, LIENS BEING PLACED ON THEIR PRIMARY RESIDENCE, WAGE GARNISHMENTS, OR INVOLUNTARY 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY NEEDS: EMC PERFORMS A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. THE PRIMARY PURPOSE OF CONDUCTING THE CHNA IS TO OBJECTIVELY LOOK AT THE CURRENT HEALTH NEEDS OF A COMMUNITY, AS WELL AS THE EXISTING RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS, THEN PRIORITIZE THE UNMET HEALTH NEEDS AND CREATE AN ACTION PLAN TO ADDRESS THEM IN THE COMING YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION: EMC PROVIDES UNINSURED PATIENTS AND FAMILIES WITH ASSISTANCE IN ACCESSING FINANCIAL ASSISTANCE THROUGH EMC'S PATIENT FINANCIAL SERVICES DEPARTMENT. THE DEPARTMENT EMPLOYS SPECIALTY TRAINED FINANCIAL COUNSELORS THAT ASSIST PATIENTS WITH THE APPLICANT PROCESS FOR FEDERAL AND STATE PROGRAMS, INCLUDING THE STATE'S MEDICAID PROGRAM - MEDI-CAL; THE COUNTY MEDICAL SERVICES PROGRAM - A PROGRAM THAT PROVIDES HEALTH COVERAGE FOR LOW-INCOME, INDIGENT ADULTS; AND THE STATE'S HEALTHY FAMILIES PROGRAM - A LOW COST INSURANCE PROGRAM FOR CHILDREN AND TEENS, PROVIDING HEALTH, DENTAL AND VISION COVERAGE TO CHILDREN WHO DO NOT HAVE INSURANCE AND DO NOT QUALIFY FOR MEDI-CAL. THE FINANCIAL COUNSELORS ALSO ASSIST PATIENT FAMILIES WITH THE BENEFITS OR FINANCIAL ASSISTANCE AVAILABLE THROUGH EMC'S COMMUNITY SERVICE AND DISCOUNT POLICY. THE INFORMATION ON THE ELIGIBILITY FOR ASSISTANCE IS PROVIDED AT THE TIME OF REGISTRATION AND NO LATER THAN AT THE TIME OF DISCHARGE. BILLING NOTICES TO UNINSURED PATIENTS INCLUDE CONTACT INFORMATION FOR MEDI-CAL AND THE FINANCIAL COUNSELORS SUPPORTING THE COMMUNITY SERVICE AND DISCOUNT POLICY AND APPLICANT PROCESS. EMC ALSO POSTS NOTICES REGARDING THE AVAILABILITY OF THE COMMUNITY SERVICE AND DISCOUNT POLICY IN ALL PATIENT REGISTRATION AREAS, IN PATIENT HANDBOOKS AND PUBLICATIONS, AT THE FINANCIAL COUNSELOR OFFICE AND ON EMC'S WEBSITE. THE NOTICES ARE AVAILABLE IN THE LANGUAGES REPRESENTED BY ITS PATIENT POPULATION. A TOLL-FREE TELEPHONE NUMBER IS AVAILABLE TO ASSIST PERSONS WITH THE PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION: EMC IS A COMMUNITY-OWNED, NOT-FOR-PROFIT, 298-BED SYSTEM, LOCATED IN CHICO, CALIFORNIA - NORTHERN CALIFORNIA; AND LOCATED APPROXIMATELY 90 MILES NORTH OF SACRAMENTO. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO NEARLY 400,000 RESIDENTS OF A SIX-COUNTY REGION OF NORTHERN CALIFORNIA. CHICO IS HOME TO APPROXIMATELY 112,000 PEOPLE; INCLUDING ROUGHLY 17,000 STUDENTS ATTENDING CALIFORNIA STATE UNIVERSITY, CHICO. EMC IS THE LARGEST MEDICAL CENTER IN THE REGION AND IS ONLY ONE OF TWO LEVEL II TRAUMA CENTERS BETWEEN SACRAMENTO AND THE OREGON BORDER. THE SIZE AS WELL AS THE EXTREME DIVERSITY OF THE SOCIO-ECONOMICS, DEMOGRAPHICS AND GEOGRAPHY WITHIN OUR SERVICE AREA REQUIRES THAT WE OFFER FULL CONTINUUM OF HEALTH SERVICES RANGING FROM PREVENTATIVE EDUCATION AND OUTPATIENT SERVICES TO ACUTE CARE, BEHAVIORAL HEALTH, INPATIENT REHABILITATION AND HOME HEALTH AND HOSPICE SERVICES. SERVING A SIX-COUNTY REGION IN NORTHERN CALIFORNIA, WE PROVIDE QUALITY, COMPASSIONATE, COST-EFFECTIVE CARE TO THE PATIENT POPULATION IT SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH: EMC'S GOVERNING BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE SERVICE AREA OF EMC. EMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS. THE STRATEGIC PRIORITIES OF EMC INCLUDE EMPLOYEE ENGAGEMENT, QUALITY AND PATIENT EXPERIENCE, PHYSICIAN-HOSPITAL ALIGNMENT AND FINANCIAL STEWARDSHIP. EMC'S STRATEGIC PLAN INCLUDES THE CONTINUING EFFORT TO IMPROVE THE QUALITY OF PATIENT CARE BY STRIVING TO MEET THE FUTURE HEALTH CARE NEEDS OF THE COMMUNITY AND MEETING THE STATE'S SEISMIC REQUIREMENTS. EMC COMPLETED AN EXPANSION PROJECT IN 2013 WHICH INCLUDED THE CONSTRUCTION OF A FIVE-STORY, 191,000 SQUARE FOOT PATIENT TOWER AS WELL AS NEW A SURGERY CENTER, TRAUMA CENTER, EXPANDED EMERGENCY CENTER AND PARKING STRUCTURE. EMC CONTINUES TO INVEST IN NEEDED MEDICAL TECHNOLOGY, MEDICAL EQUIPMENT AND INFORMATION SYSTEMS, ITS PEOPLE AND PHYSICIANS. PROGRAM PRIORITIES OF EMC ARE BALANCED WITH AVAILABLE RESOURCES PROVIDED FOR CURRENT OPERATIONS WHILE INSURING THE LONG-TERM FINANCIAL HEALTH OF EMC.</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>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BUTTE-GLENN COMMUNITY COLLEGE DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3536 BUTTE CAMPUS DRIVE</AddressLine1Txt>
          <CityNm>OROVILLE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95965</ZIPCd>
        </USAddress>
        <RecipientEIN>941637174</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>65588</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>(RN) PROGRAMS HEALTH COMMUNITY FORUM PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHICO STATE ENTERPRISES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25 MAIN STREET SUITE 203</AddressLine1Txt>
          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95928</ZIPCd>
        </USAddress>
        <RecipientEIN>680386518</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>38600</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS AND GIRLS CLUBS OF THE NORTH VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 WALL STREET</AddressLine1Txt>
          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95928</ZIPCd>
        </USAddress>
        <RecipientEIN>680294846</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>YOUTH &amp; FAMILY SUPPORT PARTNERSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATALYST DOMESTIC VIOLENCE SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 4184</AddressLine1Txt>
          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95927</ZIPCd>
        </USAddress>
        <RecipientEIN>942587378</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT LOCAL SURVIVORS OF ABUSE &amp; SEXUAL ASSAULT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ENLOE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1531 ESPLANADE</AddressLine1Txt>
          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95926</ZIPCd>
        </USAddress>
        <RecipientEIN>942985552</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>120000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FUNDS ARE: (1) GIVEN DIRECTLY TO OTHER NONPROFIT ORGANIZATIONS AS UNRESTRICTED DONATIONS, OR (2) TO COVER EXPENSES THAT MEET THE FUND'S RESTRICTED PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIKE WILTERMOOD</PersonNm>
        <TitleTxt>CEO, TRUSTEE, EX-OFFICIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>830562</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>62526</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26471</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>939359</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCIA N GALL</PersonNm>
        <TitleTxt>VP - MEDICAL AFFAIRS (THRU 03/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>474086</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>56110</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25771</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>575767</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN WOODWARD</PersonNm>
        <TitleTxt>CFO, VP OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>517297</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>27193</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10111</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>574401</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRADY HAYNES</PersonNm>
        <TitleTxt>COO (THRU 09/23)</TitleTxt>
        <BaseCompensationFilingOrgAmt>295503</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>142445</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12761</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30031</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>480740</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA CALDERON</PersonNm>
        <TitleTxt>APP LIAISON</TitleTxt>
        <BaseCompensationFilingOrgAmt>330840</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>236</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19272</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>39964</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>390312</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHANNON SMITH</PersonNm>
        <TitleTxt>VP - HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>312989</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23487</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16374</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31315</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>384165</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE MARTIN</PersonNm>
        <TitleTxt>VP - AMBULATORY OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>296802</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23927</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17182</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36914</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>374825</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONNA LARSON</PersonNm>
        <TitleTxt>VP OF PATIENT CARE SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>304702</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>26828</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16510</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5891</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>353931</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOLENE FRANCIS-VP PHILANTHROPY</PersonNm>
        <TitleTxt>&amp; COMMUNICATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>284972</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>26508</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14545</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21597</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>347622</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CORY DAVENPORT</PersonNm>
        <TitleTxt>PA - CARDIAC SURGERY</TitleTxt>
        <BaseCompensationFilingOrgAmt>292513</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>199</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15645</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31315</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>339672</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY MARTINEK</PersonNm>
        <TitleTxt>PA - CARDIAC SURGERY</TitleTxt>
        <BaseCompensationFilingOrgAmt>248252</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>458</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15076</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36914</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>300700</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER MARKING</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, PHARMACY</TitleTxt>
        <BaseCompensationFilingOrgAmt>248789</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>560</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12773</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36914</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>299036</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALBERTO ROLON</PersonNm>
        <TitleTxt>CHIEF PERFUSIONIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>241384</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>191</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14205</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28434</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>284214</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN MAIORANO MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>155511</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6202</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9228</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>170941</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4A: A SEPARATION AGREEMENT WAS ENTERED INTO BY ENLOE MEDICAL CENTER ("EMC") AND CERTAIN EMPLOYEE(S). DURING A DEFINED PERIOD WITHIN THE TERMINATION AGREEMENT, EMPLOYEE(S) AGREED TO PROVIDE CONSULTING SERVICES TO EMC IN EXCHANGE FOR SEVERANCE PAYMENT, PAYABLE IN EQUAL QUARTERLY INSTALLMENTS. THE TERMS ARE SUBJECT TO CONFIDENTIALITY CLAUSES. DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS IN 2023: BRADY HAYNES - $106,330 PART I, LINE 4B: MIKE WILTERMOOD PARTICIPATED IN A 457(F) RETIREMENT PLAN. NO CONTRIBUTIONS OR DISTRIBUTIONS WERE MADE DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2023. SELECT EXECUTIVES AGREED TO PARTICIPATE IN CAP-EX IN PLACE OF A TRADITIONAL SERP. SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION. SPLIT-DOLLAR LIFE INSURANCE PARTICIPANTS ARE MARCIA N. GALL, MIKE WILTERMOOD AND BRADY HAYNES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>680164610</BondIssuerEIN>
        <CUSIPNum>13080SM84</CUSIPNum>
        <BondIssuedDt>2022-11-09</BondIssuedDt>
        <IssuePriceAmt>218570506</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND EQUIPPING OF FACILITIES</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>205826388</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>2831209</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>2995179</CreditEnhancementAmt>
        <OtherSpentProceedsAmt>6153891</OtherSpentProceedsAmt>
        <UnspentAmt>193846109</UnspentAmt>
        <RefundingTaxExemptBondsInd>0</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>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K SUPPLENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II, LINE 3: THERE WAS A DISCOUNT COST OF $12,826,388.35 TO GET US FROM THE BOND PAR VALUE OF $218,570,000 TO THE NET PROCEEDS OF $205,826,388.35.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>MIKE WILTERMOOD</PersonNm>
        <RelationshipWithOrgTxt>OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-INTEREST LOAN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>3976279</OriginalPrincipalAmt>
        <BalanceDueAmt>4166164</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>CONNIE ROWE</PersonNm>
        <RelationshipWithOrgTxt>FORMER KEY EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-INTEREST LOAN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1270634</OriginalPrincipalAmt>
        <BalanceDueAmt>1331349</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>MARCIA N GALL</PersonNm>
        <RelationshipWithOrgTxt>KEY EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-INTEREST LOAN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1613079</OriginalPrincipalAmt>
        <BalanceDueAmt>1690157</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>CAROL LINSCHEID</PersonNm>
        <RelationshipWithOrgTxt>FORMER KEY EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-INTEREST LOAN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1437631</OriginalPrincipalAmt>
        <BalanceDueAmt>1506290</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>BRADY HAYNES</PersonNm>
        <RelationshipWithOrgTxt>OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-INTEREST LOAN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1104306</OriginalPrincipalAmt>
        <BalanceDueAmt>1120194</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>9814154</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>K HOMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>116366</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>B HOMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>37366</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>J MCKAY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF FORMER TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>88278</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>K MCKAY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF FORMER TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>208799</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>K FRANCIS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>51441</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>C FOLAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>72059</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>T HARRIS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>112983</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>B MARTIN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>71626</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>T ROGERS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>136919</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, (C) PURPOSE OF LOAN:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ENTERED INTO COLLATERAL ASSIGNMENT SPLIT DOLLAR AGREEMENTS WITH THE PERSONS LISTED ON SCHEDULE L, PART II UNDER TREAS. REG. SECTION 1.7872-15(E)(5)(II). THE ORGANIZATION HAS INVESTED AMOUNTS LISTED IN COLUMN (E) INTO THE PLANS AND IS ENTITLED TO RECEIVE A RETURN OF THESE FUNDS, PLUS AN INTEREST RATE UPON THE DEATH OF THE NAMED PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MAY, BY RESOLUTION, AUTHORIZE ONE (1) OR MORE OF THIS CORPORATION'S OFFICERS TO EXERCISE THE CORPORATION'S VOTE ON ANY MATTER TO COME BEFORE THE MEMBERSHIP OR SHAREHOLDERS OF ANY SUBSIDIARY ORGANIZATION, AND IN THE ABSENCE OF ANY SUCH RESOLUTION, THE PRESIDENT/CEO, OR ANOTHER OFFICER AS DESIGNATED BY THE PRESIDENT/CEO, SHALL BE SUCH AUTHORIZED OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS WERE AMENDED DURING THE CURRENT YEAR, SIGNIFICANT CHANGES MADE INCLUDE THE FOLLOWING: ARTICLE III, SECTION 3: - ADDED LANGUAGE THAT ALLOWS THE BOARD TO SET THE EXACT NUMBER OF TRUSTEES BY RESOLUTION. - REMOVED THE CATEGORY OF ELECTED PHYSICIAN TRUSTEE AS VOTING POSITIONS OF THE BOARD. - CHANGED THE POSITION OF CHAIR OF THE BOARD OF THE ENLOE HEALTH FOUNDATION FROM A NON-VOTING POSITION TO A VOTING POSITION. - EXPANDED THE TERM FOR A TRUSTEE THAT SERVED AS CHAIR IN THE LAST YEAR OF THEIR THIRD CONSECUTIVE TERM MAY BE ELECTED TO ONE OR MORE SUCCESSIVE ONE-YEAR TERMS. - ADDED A PROVISION THAT IF AN ELECTED TRUSTEE HAS SERVED THREE CONSECUTIVE TERMS AND THERE IS NO CANDIDATE WITH THE DESIRED QUALIFICATIONS AVAILABLE FOR ELECTION TO REPLACE SAID TRUSTEE, THE BOARD MAY ELECT THE TRUSTEE TO ONE OR MORE SUCCESSIVE ONE-YEAR TERMS. ARTICLE IV, SECTION 4: - CREATED THE OFFICER POSITION OF PAST CHAIR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINAL FORM 990 IS PROVIDED TO EMC'S GOVERNING BODY WHERE IT IS REVIEWED AND MADE AVAILABLE FOR COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. 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 ORGANIZATION CONTRACTS WITH MOSS ADAMS, LLP, A CPA FIRM, FOR PREPARATION AND REVIEW OF THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENLOE MEDICAL CENTER (EMC) IS COMMITTED TO PREVENTING ANY PARTICIPANT OF EMC FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF EMC. EMC MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY THAT REQUIRES ANY INTERESTED PERSON TO SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO THE COMPLIANCE OFFICER. EMC DEFINES AN INTERESTED PERSON AS ANY DIRECTOR, TRUSTEE, PRINCIPAL OFFICER, CONTRACTED PHYSICIAN OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS THAT HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, OR OUTSIDE INTEREST OR ACTIVE INTEREST. A FINANCIAL INTEREST IS BASED ON IF THE PERSON, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR IMMEDIATE FAMILY HAS AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH EMC HAS A TRANSACTION OR ARRANGEMENT, OR A COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE ORGANIZATION HAS A TRANSACTION OR ARRANGEMENT, OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH EMC IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. EACH BOARD MEMBER, OFFICER, MEMBER OF A BOARD COMMITTEE (COMMITTEE) AND CONTRACT PHYSICIAN IS REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST ANNUAL STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS (I) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, (II) HAS READ AND UNDERSTANDS THE POLICY, (III) AGREES TO COMPLY WITH THE POLICY, AND (IV) HAS DISCLOSED ALL REAL AND POTENTIAL CONFLICTS. THESE STATEMENTS ARE SUBMITTED BY THE CHIEF COMPLIANCE OFFICER TO THE BOARD ON AN ANNUAL BASIS. THE MINUTES OF THE BOARD CONTAIN ALL APPROPRIATE DOCUMENTATION OF PERSONS WITH ACTUAL OR PERCEIVED CONFLICT OF INTEREST. ANY PERSON DEEMED TO BE AN INTERESTED PERSON IS RECUSED FROM DISCUSSION OR PARTICIPATION IN THE DECISION PROCESS FOR ANY CONTEMPLATED TRANSACTION OR ARRANGEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON IS REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY FINANCIAL OR OTHER INTEREST TO THE CHAIRMAN OF THE BOARD OF COMMITTEE. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, INVESTIGATION AND ANY DISCUSSION WITH THE INTERESTED PERSON, THE CHAIRMAN OR RESPECTIVE COMMITTEE WILL UNDERTAKE SUCH STEPS AS NECESSARY TO DECIDE IF A CONFLICT OF INTEREST EXISTS. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY ARE SUBJECT TO THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING DISMISSAL, AT THE BOARD'S DISCRETION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ENLOE MEDICAL CENTER (EMC) IS COMMITTED TO ENSURING THAT ALL EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, FAIR AND EQUITABLE, SUPPORTING THE MISSION AND VALUES OF EMC, AS WELL AS IN COMPLIANCE WITH APPROPRIATE REGULATORY GUIDELINES. RESPONSIBILITY FOR DUE DILIGENCE AND THE DEVELOPMENT OF RECOMMENDATIONS REGARDING EXECUTIVE COMPENSATION RESIDES WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE IS COMPRISED OF INDIVIDUALS INDEPENDENT OF THE MANAGEMENT OF EMC. THE KEY PRINCIPLES TO OUR COMPENSATION PHILOSOPHY ARE TO PROVIDE A REASONABLE MARKET WAGE, MAINTAIN COMPETITIVE AND INTERNALLY EQUITABLE PAY AND PROVIDE MARKET COMPETITIVE BENEFITS. EXECUTIVE COMPENSATION IS BASED ON NATIONAL AND REGIONALLY RECOGNIZED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE COMPLETES A PERIODIC MARKET-BASED ANALYSIS. THE COMPENSATION COMMITTEE ESTABLISHES AND REVIEWS COMPENSATION PACKAGE FOR ONLY THE CEO POSITION. ALL OTHER COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS HANDLED THROUGH THE CEO AND HR WORKFLOW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>EMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 174,825,233. MANAGEMENT AND GENERAL EXPENSES 54,332,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 229,157,619. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 227,394. MANAGEMENT AND GENERAL EXPENSES 527,433. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 754,827. MEDICAL FEES: PROGRAM SERVICE EXPENSES 176,297. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,297.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN DEFINED BENEFIT PENSION PLANS 255,341. CHANGE IN VALUE OF GIFT ANNUITY FUNDS -383. EMPLOYEE RETENTION TAX CREDIT 5,978,473.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BUTTE COUNTY EMERGENCY MEDICAL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>333 HUSS DRIVE SUITE 100</AddressLine1Txt>
          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95928</ZIPCd>
        </USAddress>
        <EIN>455110584</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <TotalIncomeAmt>-13313</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-27</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ENLOE MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ENLOE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1531 ESPLANADE</AddressLine1Txt>
          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95926</ZIPCd>
        </USAddress>
        <EIN>942985552</EIN>
        <PrimaryActivitiesTxt>SUPPORT EMC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <AddressLine1Txt>333 HUSS DRIVE SUITE 100</AddressLine1Txt>
          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95928</ZIPCd>
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        <EIN>455110584</EIN>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <ShareOfTotalIncomeAmt>-13313</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>-27</ShareOfEOYAssetsAmt>
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          <BusinessNameLine1Txt>CHICO PHYSICIAN PRACTICE SUPPORT SERVICE</BusinessNameLine1Txt>
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          <CityNm>CHICO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95926</ZIPCd>
        </USAddress>
        <EIN>680352993</EIN>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>GIFT ANNUITY TRUSTS (1)</BusinessNameLine1Txt>
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          <AddressLine1Txt>1531 ESPLANADE</AddressLine1Txt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95926</ZIPCd>
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        <PrimaryActivitiesTxt>GIFT ANNUITY TRUSTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ENLOE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</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>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ENLOE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>3571452</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE/ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ENLOE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>120000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE/ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ENLOE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>733376</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE/ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>