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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Health Needs Assessment (CHNA) is the primary method of assessing the needs of the Organization's community. The CHNA is intended to be a resource for the Organization to continue developing and maintaining activities and programs that can help improve the health and well-being of the community. Casa Colina must complete comprehensive data collection and analysis to identify and address key community health priorities. With the help of these assessments, we can better identify, plan for, and respond to evolving community healthcare needs and act as a more responsible and productive member of our local healthcare network.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - Casa Colina Hospital and Centers for Healthcare. Information and opinions were gathered directly from persons who represent the broad interests and perspectives of the community served by the hospital. Collection methods included telephone and paper interviews as well as on line surveys targeted towards patients and community stakeholders. In addition to reviewing the secondary data available, the CHNA team collected primary data through 14 interviews and 331 community surveys in an effort to identify the key issues that most impact the health of the communities served by Casa Colina Hospital. The interviews and surveys engaged a spectrum of local health experts, community leaders, and residents. Secondary data were collected from a wide range of local, county, and state sources to present indicators on demographics, mortality, morbidity, health behaviors, clinical care, social and economic factors, and physical environment.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - Casa Colina Hospital and Centers for Healthcare. The Community Benefit Reports with the CHNA as attachment is submitted to the California Department of Healthcare Access and Information (HCAI), which was formerly the Office of Statewide Health Planning and Development (OSHPD) and all submissions are published on the HCAI website.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - Casa Colina Hospital and Centers for Healthcare. Refer to the community benefits report and needs assessment which details activities and goals based on the needs identified in the CHNA. The report also discusses the specialized nature of the hospital and the patients that are served and how they do and do not overlap with the identified needs.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 21</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not provide emergency medical services. The organization has a written policy and procedures for referring patients who may need emergency medical care to a nearby hospital facility which provides emergency services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has historically operated an acute care rehabilitation hospital, outpatient clinics, a children's developmental and educational center and post-medical acute services. On April 1, 2016 the organization opened a new Medical Surgical Wing, which includes three state-of-the-art surgical suites, a six-bed Intensive Care Unit, and 25 private medical/surgical beds for a total of 31 additional beds. The organization offers a wide range of procedures, such as orthopedic, neurosurgery, gastroenterology and urology.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>In evaluating the collectability of patient accounts receivable, the Company analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowances for both contractual adjustments and the provision for bad debts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>In order to calculate the estimate of bad debt expense attributable to charity care, the Company reviewed household income statistics from the 2007-2012 American Community Survey for all cities within a 10 mile radius of the hospital campus and calculated the number of household that would qualify for charity care based on a 200% of the Federal Poverty Limit threshhold. The calculated amount was not included in the community benefit summary above as the Company requires a successfully completed charity care application for an account to be included in the charity care at cost line above.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of the adverse change in the patient's ability to pay are recorded as bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - Casa Colina Hospital and Centers for Healthcare: Line 16a URL: https://www.casacolina.org/documents/Patient-Financial-Policy.pdf;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - Casa Colina Hospital and Centers for Healthcare: Line 16b URL: www.casacolina.org/FA-App;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - Casa Colina Hospital and Centers for Healthcare: Line 16c URL: www.casacolina.org/FAPSummary;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Health Needs Assessment (CHNA) is the primary method of assessing the needs of the Organization's community. The CHNA is intended to be a resource for the Organization to continue developing and maintaining activities and programs that can help improve the health and well-being of the community. Casa Colina must complete comprehensive data collection and analysis to identify and address key community health priorities. With the help of these assessments, we can better identify, plan for, and respond to evolving community healthcare needs and act as a more responsible and productive member of our local healthcare network. We understand that the health needs of our community extend far beyond specialized medical and rehabilitative interventions. As such, we are dedicated to identifying and working to decrease the prevalence of disease processes that increase the likelihood for adverse health outcomes in our underserved community, such as individuals with diabetes and cardiovascular disease. Over the past several decades, Casa Colina has continually expanded its services to develop a continuum of care that better addresses the healthcare issues facing our diverse community, including barriers to care for multiple medical conditions including obesity, senior health, amputation, and more. The Community Health Needs Assessment offers a timely, critical bird's-eye view that not only helps us identify those at risk for a medical disability-it allows us to better understand how broadly unmet healthcare needs impact overall health outcomes. It is an essential exercise toward the development and implementation of services that meet the needs of our growing, dynamic community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon arrival, each patient is provided with a patient's handbook that outlines what they can expect during their stay at Casa Colina. A portion of the handbook describes the process by which patients are authorized for treatment and the possible funding resources as follows: Prior to admission, department coordinators inform patients of funding sources and receive authorization for admissions. Throughout the patient's stay, case managers regularly keep funding sources informed about the patient's progress and future rehabilitation needs. Services provided are covered by most health insurance and Worker's Compensation plans. Some services may be eligible for Medicare or Medi-cal reimbursement. Per Casa Colina's charity care policy, the Casa Colina Foundation provides funds for uncompensated care to economically disadvantaged patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>The Casa Colina Hospital Service area population includes 34 zip codes within the Los Angeles and San Bernardino counties. In Los Angeles County, the hospital is located in Service Planning Area 3. In 2024, there were 1,660,878 people living in the Casa Colina Hospital service area. Significant needs identified included: -Access to care -Chronic disease -Disabilities -Housing and homelessness -Mental health -Overweight and obesity -Preventative practices (screenings, vaccines) -Substance abuse A complete breakdown of service area demographics, social and economic factors, and health indicators data, as well as community input on health issues, are available within the Community Health Profile and Description and the Key Findings sections of the report. As part of coalition and capacity building for community organizations pertaining to health care and the needs of persons with or at risk of disability, Casa Colina sponsors or participates in events for a range of other charitable, non-profit and educational organizations. During the current fiscal year, Casa Colina as a organization made significant contributions to organizations through direct sponsorships and events. In addition to direct support through sponsorship, and as part of its own citizenship in the non-profit community, Casa Colina makes donations available to other organizations, particularly in cases where their overall mission or particular goal is aligned with Casa Colina's mission of service to persons with or at risk of disability. Community benefit in this sense was provided in forms ranging from sponsorships to donations of equipment, financial support, technical assistance, and the use of certain equipment. Finally, Casa Colina staff members participate in many local organizations that have individuals with disproportionate unmet health care needs (DUHN)as their focus. These range from organizations that focus on Down's Syndrome, autism, spinal cord injury, brain injury, MS, Parkinson's and many other diagnostic and disability related areas. A significant amount of staff time paid for by Casa Colina was utilized for the benefit of these local organizations in the current fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>Casa Colina's focus, paraphrasing from the Mission Statement, is to provide individuals the opportunity to maximize their medical recovery and rehabilitation potential, thus promoting the health and well-being of the community and continually fulfilling Casa Colina's exempt purposes. Although most direct care services are reimbursed, there are many ways in which Casa Colina provides benefits to the community toward these ends on a subsidized or no-cost basis.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>CA</ExplanationTxt>
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          <BusinessNameLine1Txt>San Antonio Regional Hospital Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>999 San Bernardino Rd</AddressLine1Txt>
          <CityNm>Upland</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91786</ZIPCd>
        </USAddress>
        <RecipientEIN>330042666</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6300</CashGrantAmt>
        <PurposeOfGrantTxt>Support Community Charitable</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Triumph Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>27811 Avenue Hopkins</AddressLine1Txt>
          <CityNm>Valencia</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91355</ZIPCd>
        </USAddress>
        <RecipientEIN>263295161</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Support Community Charitable</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Upland Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>215 N Second Ave</AddressLine1Txt>
          <CityNm>Upland</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91786</ZIPCd>
        </USAddress>
        <RecipientEIN>951400799</RecipientEIN>
        <IRCSectionDesc>501(c)(6)</IRCSectionDesc>
        <CashGrantAmt>7740</CashGrantAmt>
        <PurposeOfGrantTxt>Support Community Charitable</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UCLA Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 Stein Plaza</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90095</ZIPCd>
        </USAddress>
        <RecipientEIN>952250801</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>104167</CashGrantAmt>
        <PurposeOfGrantTxt>Support Community Charitable</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>USC Care Medical Group Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1510 San Pablo St</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90033</ZIPCd>
        </USAddress>
        <RecipientEIN>954540991</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>162000</CashGrantAmt>
        <PurposeOfGrantTxt>Support Community Charitable</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Charity assistance to low income</GrantTypeTxt>
        <RecipientCnt>35</RecipientCnt>
        <CashGrantAmt>53741</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization evaluates requests for financial assistance in accordance with the written charity care policy. Patients may be eligible for charity care if family income is below certain thresholds relative to the Federal Poverty Level. The Organization's monitoring of funds utilized for charity care includes approval of patient's charity care applications by several individuals within the organization to ensure funds are properly allocated and awarded. Other organizations are evaluated prior to and subsequent to the grant to determine if they are aligned with the Organization's mission and values. We maintain relationships with community partners to monitor the use of funds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kelly Linden</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>625331</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>212500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>56135</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4125</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>23686</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>921777</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Morony</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>392578</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>623696</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephanie Kaplan</PersonNm>
        <TitleTxt>Executive Director - TLC &amp; Rehabilitation Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>252998</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>76000</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22335</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>384015</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rommel Baronia</PersonNm>
        <TitleTxt>Charge Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>342775</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>16470</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>21566</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>390599</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kathy Hwang</PersonNm>
        <TitleTxt>Charge Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>238803</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>21231</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8626</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14004</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rodolpho De Jesus</PersonNm>
        <TitleTxt>Director - Patient Services and Case Management</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Katie Hughes</PersonNm>
        <TitleTxt>Chief Nursing Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>214475</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>35806</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>280596</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Antoinette Van Schijndel</PersonNm>
        <TitleTxt>Director - Surgical Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>223645</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1440</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>246359</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization relied on a related organization's methods to establish the top management official's compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Calif Hlth Facil Fin Auth</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521643828</BondIssuerEIN>
        <BondIssuedDt>2016-09-30</BondIssuedDt>
        <IssuePriceAmt>36400000</IssuePriceAmt>
        <PurposeDesc>See Schedule K, Part VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>6280000</RetiredAmt>
        <TotalProceedsAmt>36400000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>228909</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>36400000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0</PrivateBusConcerningUBIPct>
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        <ChangeInUseBondFinancedPropPct>0</ChangeInUseBondFinancedPropPct>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <TermOfHedgePct>0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <TermOfGICPct>0</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) Bond Issue A</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the issue was to refinance certain existing indebtedness incurred by Casa Colina, Inc., the organization's parent entity. The refunded indebtedness was previously used to pay certain costs of issuance, reimburse certain capital projects and to pay off the bank line of credit applicable to previous capital project costs.</ExplanationTxt>
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    </IRS990ScheduleK>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Casa Colina Hospital and Centers for Healthcare's mission is to optimize medical recovery and rehabilitation outcomes for all patients in a safe environment that respects their dignity, diversity, and individuality. To achieve these objectives Casa Colina manages its resources in terms of staff, services and quality care both effectively and efficiently. In order to maintain financial strength Casa Colina continues to strategically reposition itself at the forefront of the post-acute continuum by becoming the excellence of excellence in the provision of services to persons who can benefit from such care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 1096 was filed by Casa Colina, Inc., FEIN 95-3655256, a related organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of employees listed in line 2a represents workers employed by Casa Colina, Inc., a related organization, on behalf of Casa Colina Hospital and Centers for Healthcare. Form W-3 was filed by Casa Colina, Inc. FEIN 95-3655256.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Casa Colina Inc. is the sole member of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the filing organization is Casa Colina, Inc. The sole member shall elect the board of directors unless otherwise authorized by the bylaws. Currently, the bylaws authorize certain identified members of the board of directors within the filing organization and related organizations. Actions may be taken by the statutory member on behalf of the filing organization without a meeting if authorized by the board of directors of the statutory member. Authorization is required to be memorialized in writing and signed by an authorized officer of the member and filed with the secretary of the filing organization. The member may increase or decrease the number of board members. The member has the final approval of any changes to the bylaws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 was reviewed by an independent accounting firm for accuracy and completeness. A paper copy of the Form 990 is made available for review by the Board of Directors prior to filing with the Internal Revenue Service. Each member of the Board of Directors is encouraged to review the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The Governance Committe of the Board reviews disclosure forms on an annual basis. In addition, the ratio of interested versus disinterested directors is closely monitored. Interested directors are not allowed to hold office or serve on the audit committee. Finally, a protocol has been established that prevents the conversion of a current disinterested director to an interested director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization relied on a related organization's methods to establish the top management official's compensation. The related organization, Casa Colina Inc., used the following methods to establish compensation for the CEO: The board maintains a compensation committee that conducted an independent compensation consultation and a compensation study. Once approved by the Board of Directors the CEO is then offered a written employment contract.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statement information is made available to the public for inspection via the Electronic Municipal Market Access website. In addition, audited financial information is provided to the public for the purpose of grant awards upon request as necessary. The organization's governing documents and conflict of interest policy are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Rent from affiliate - Total Revenue: 52200, Related or Exempt Function Revenue: 52200, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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