Form 81 (Official Form 1)- (Rev.

1 2008 USBC, Central District of California

UNITED STATES BANKRUPTCY COURT
CENTRAL DISTRICT OF CALIFORNIA
Name of Debtor (if individual, enter Last. First, Middle):
Downey Regional Medical Center-Hospital, Inc.
All Other Names used by the Debtor in the last 8 years
(include married, maiden, and trade names):
Last four digits of Soc. Sec. or Individual-Taxpayer I. D. (ITIN) No./Complete EIN
(if more than one, state all): 95-1903935
Street Address of Debtor (No. & Street, City, and State):
11500 Brookshire Avenue
Downey, CA
ZIP CODE 90241
County of Residence or of the Principal Place of Business:
Los Angeles
Mailing Address of Debtor (if different from street address):
ZIP CODE
Name of Joint Debtor (Spouse) (Last, First, Middle):
All Other Names used by the Joint Debtor in the last 8 years
(include married, maiden, and trade names):
Last four digits of Soc. Sec. or Individual-Taxpayer I. D. (ITIN) No./Complete EIN
(if more than one, state all):
Street Address of Joint Debtor (No. & Street. City, and State):
ZIP CODE
County of Residence or of the Principal Place of Business:
Mailing Address of Joint Debtor (if different from street address):
ZIP CODE
Location of Principal Assets of Business Debtor (if different from street address above):
Type of Debtor (Form of Organization)
(Check one box.)
D Individual (includes Joint Debtors)
See Exhibit D on page 2 of this
form

Corporation (includes LLC and LLP)
Partnership
Other {if debtor is not one of the
above entities, check this box and
state type of entity below)
Nature of Business
(Check one box.)
[8J Health Care Business
D Single Asset Real Estate as defined in
11 u.s.c. 101 (518)

Stockbroker
Commodity Broker
Clearing Bank
other
Tax-Exempt Entity
Check one box, if applicable)
[8J Debtor is a tax-exempt organization
under Trtle 26 of the United States Code
the Internal Revenue Code.
Filing Fee {Check one box)
[8J Full Filing Fee attached
D Filing Fee to be paid in installments (Applicable to individuals only). Must attach
signed application for the court's consideration certifying that the debtor is unable
to pay fee except in installments. Rule 1006(b}. See Official Form 3A.
D Rling Fee waiver requested (Applicable to chapter 7 individuals only). Must attach
signed application for the court's consideration. See Official Form 38.
Statistical/Administrative Information
D
D
D
Chapter 7
Chapter9
ZIP CODE
Chapter of Bankruptcy Code Under Which
the Petition is Filed
[8J Chapter 11
D Chapter 12
D Chapter13
(Check one box)
D Chapter 15 Petition for Recognition
of a Foreign Main Proceeding
D Chapter 15 Petition for Recognition
of a Foreign Nonmain Proceeding
Nature of Debts
(Check one box.)
Debts are primarily consumer debts.
defined in 11 U.S.C. 101(8) as "incurred
by an individual primarily for a personal,
family, or house-hold purpose."
[8J Debts are primarily business
debts.
Chapter 11 Debtors:
Check one box:
D Debtor is a small business debtor as defined in 11 U.S.C. 101(51D).
[8J Debtor is not a small business debtor as defined in 11 U.S.C. 101 (51 D).
Check If:
D Debtor's aggregate noncontingent liquidated debts (excluding debts owed to insiders
or affiliates) are less than $2,190,000.
cr: this petition
D Acceptances of the plan were solicited prepetition from one or more classes of
creditors, in accordance with 11 U.S. C. 1126 b
[8J Debtor estimates that funds will be available for distribution to unsecured creditors.
THIS SPACE FOR
COURT USE ONLY
D Debtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds available
for distribution to unsecured creditors.
Estimated Number of Creditors
1- 50- 100- 200- 1,000- 5,001- 10,001 25,001- 50,001- OVER
49 99 199 999 5,000 10,000 25,000 50,000 100,000 100,000
D D D D D
[8J
D D D D
Estimated Assets
$0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,001 to $50,000,001 to $100,000,001 $500,000,001 More
$50.000 $100,000 $500,000 $1 million $10 million $50 million $100 million to $500 million to $1 billion $1 billion
D D D D D D D
[8J
D D
Estimated Liabilities
$0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,00 $50,000,001 to $100,000,001 $500,000,001 More than
$50,000 $100,000 $500,000 $1 million $10 million to $50 million $100 million to $500 million to $1 billion $1 billion
D D D D D
[8J
D D D D
American LegaiNet, Inc.
WNW.FormsWorkflow.com
Form 81 (Official Fonn 1) (Rev. 1/08) 2008 USBC, Central District of California
Voluntary Petition
Name of Debtor(s):
Downey Regional Medical Center-Hospital, Inc.
FORM 81, Page 2
(This page must be completed and filed in every case.)

Name of Debtor: Case Number: Date Filed:
District: Relationship: Judge:
Exhibit A Exhibit B
(To be completed if debtor is required to file periodic reports (e.g., forms
10K and 100) with the Securities and Exchange Commission pursuant
to Section 13 or 15(d) of the Securities Exchange Act of 1934 and is
requesting relief under chapter 11.)
(To be completed if debtor is an individual whose debts
are primarily consumer debts.)
I. the attorney for the petitioner named in the foregoing petition, declare that I have
informed the petitioner that [he or she] may proceed under chapter 7, 11. 12, or 13
of title 11. United States Code, and have explained the relief available under each
such chapter. I further certify that I have delivered to the debtor the notice required
by 11 u.s.c. 342(b). 0 Exhibit A is attached and made a part of this petition.
Exhibit C
Does the debtor own or have possession of any property that poses or
is alleged to pose a threat of imminent and identifiable harm to public
health or safety?
0 Yes. and Exhibit C is attached and made a part of this petition.
[8J No

Signature of Attorney for Debtor(s) Date
Exhibit D
(To be completed by every individual debtor. If a joint petition is filed. each spouse
must complete and attach a separate Exhibit D.)
D Exhibit D completed and signed by the debtor is attached and made a part of
this petition.
If this is a joint petition:
D Exhibit D also completed and signed by the joint debtor is attached and made
a part of this petition.
lnfonnation Regarding the Debtor - Venue
(Check any applicable box)
[8J Debtor has been domiciled or has had a residence, principal place of business. or principal assets in this District for 180 days immediately
preceding the date of this petition or for a longer part of such 180 days than in any other District.
D There is a bankruptcy case concerning debtor's affiliate. general partner, or partnership pending in this District.
D Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in this District, or has
no principal place of business or assets in the United States but is a defendant in an action or proceeding [in a federal or state court] in this
District, or the interests of the parties will be served in regard to the relief sought in this District.
Statement by a Debtor Who Resides as a Tenant of Residential Property
Check all applicable boxes.
0 Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)
(Name of landlord that obtained judgment)
(Address of landlord)
0 Debtor claims that under applicable nonbankruptcy law. there are circumstances under which the debtor would be permitted to cure the
entire monetary default that gave rise to the judgment for possession. after the judgment for possession was entered, and
D Debtor has included in this petition the deposit with the court of any rent that would become due during the 30-day period after the filing
of the petition.
D Debtor certifies that he/she has served the Landlord with this certification (11 U.S.C. 362(1 )).
American LegaiNet, Inc.
www.Forms Workflow. com
I 8ICCOI'dllnoe v.lllthe ciwPir of llle 11, lk1llad Sine Code, ll*lfted
In lhla Petition.
X
X
SIQnet\n of Debtor.
sllinllhn of Joint Debtor
89238
Bar Nurnbllr
In which 1707(bX4)(0) ..,.._, lhlll9lalln alae OtliiiiiUIIa cdleatlon
hel no after an lnqliry ltwt the lnfcmlllllon In the
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of Authortz.d lndM<llal
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of a Fcnlgn
I declltl c.n:1er penllty o# l*jlry lhlt the la11 illllon J)IOYided In lhla pellllon II true and
COI'AICf, l'lllt 1 wn h fcniQn a cMbiDr 1n a for.rQn l!llln proollldlng, n
flat I wn 1D !Iethia pellllon.
(Check only- box.)
0 I relief In aCCili'Cfara w1t1 clla!:JWr 15 o# title 11, United Staas Code.
Cerllled coplM of the documents required by 11 U.S. C. 1515- atlllched.
0 PlftiMnt ID 11 U.S.C. S 1511, I rwqueet relet In accordance wllh h c:hapllr of IIIII
11 II)IICifled In lhll peUIIon. A cetUhd capy of h order grWIIIng NICOQ.-on of the
fQrelgn main proceeclng Ia att.ched.
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(SignatuAt r;t Foreign Representative)
(Printed Name of Foreign Rlprelentatlve)
8lgneture o1 Non-Mtomey a.nllrupley Petlllon PriPinr
I dedere Wider penllty of l*jlry lhlt (1) I wn a blnlcn.lplcy pelaln fiiiiP8I'W U clllnld
In 11 U.S.C. 110; (2) I pleplled this dcc:i.rTw1t for CCIUifllllllllllan and '-prOYided
the debiDr v.111 a copy of 1111 daCunant n the n 1n1onn111on l'flqlhd unc1er
11 u.s.c. H 110(b), 110(h), and S42(b); n, (3) If rUel ar gUdllllr-. '- been
!X1**11 1D 11 U.S.C. I 110(h) a rt'laldr!U'n fM br ...,._
chargletlle ber*ruplcy pe110an 1 '- ;Han the dlblar noace of the
rt'laldr!U'n &IIICII.I1t betont J1N1*1nG any c1ccunent for fllll1l for a debiDr ar accePirG any
fMiiom lhe dli*)r,. 18qulnld In ltwt aecaan. Falm 19811111111Ched.
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Slgnllln of benkNptcy pe111on preperer ar al'llcw, prlnclpel, peraan, ar
partner whoM Social s-..tty number Ia provided above.
Names and Social Secully I'1U'I1bln ct al ather lndMduall whO PNPMid ar In
1111 cloci.lrMnt un1eaa the bankrupecy pelltlon preparer Ia not an lnl:llvlcUI.
11 I'I1Cn then one person preperacl this doCument, attiiCh llddltlonll thMta confonnlng
to the appiOpl1aa ofllclll farm b' aach person. .
A benkn1p1oy pet110n Wute to CCI/7l6r >Mth 1M (.lfCfMicm dUO. 11 end. If
Rulu of BIIMruptcy Pl'oc<tn,., tNUit In ,., Cll" Cll" both. .11
U.S.C. 110; 18 U.S.C. 1M.
CERTIFICATE
The undersigned, ktt\ (-1-,.,,fc_ , a member of the Board of Directors and authorized
I
agent of Downey Regional Medical Center-Hospital, Inc., a California non-profit, public benefit
corporation, hereby certifies as follows:
1. I am a duly qualified and elected member of the Board of Directors and, as such, I : .. ..
am familiar with the facts herein certified and I am duly authorized to certify same on behalf of
the Company.
2. Attached hereto is a true, complete and correct copy of the resolutions of the
Board of Directors of the company, duly adopted at a properly convened meeting of the Board
of Directors on August 25, 2009, by unanimous vote of the directors there present, in
accordance with the by-laws of the Company.
3. Such resolutions have not been amended, altered, annulled, rescinded or revoked
and are in full force and effect as of the date hereof. There exist no other resolutions of the
Board of Directors of the Company relating to the matters set forth in the resolutions attached
hereto.
IN WITNESS WHEREOF, the igned has executed this certificate as of this 14th
day of September, 2009.
LA: 568258vl
RESOLUTION OF THE BOARD OF DIRECTORS
OF DOWNEY REGIONAL MEDICAL CENTER-HOSPITAL, INC.
At a duly noticed regular meeting of the Board of Directors (the "Board") of Downey
Regional Medical Center-Hospital, Inc., a California nonprofit public benefit corporation (the
"Hospital"), on Tuesday, August 25, 2009 in the forenoon, a quorum being present, the Board
upon proper motions seconded and carried by unanimous vote of the members present, took the
following actions:
WHEREAS, the Board has considered the financial and operational condition and
circumstances of the Hospital, including, without limitation the assets and liabilities of the
Hospital and its historical and anticipated performance; and
WHEREAS, the Board has reviewed, considered, and received the recommendations of
the Hospital's senior management, professionals, and advisors as to the relative risks and
benefits of a proceeding under chapter 11 of title 11 of the United States Code (the "Bankruptcy
Code"); and
WHEREAS, based upon the recommendation of the Hospital's senior management,
professionals, and advisors, the Board has made an informed determination that, absent a viable
alternative, it will be in the best interests of the Hospital, its creditors, the local community, and
other interested parties to file a voluntary petition for relief under chapter 11 of the Bankruptcy
Code;
NOW, THEREFORE, BE IT RESOLVED, that the Board hereby finds, determines,
and concludes that it is desirable and in the best interests of the Hospital, its creditors, the local
community, and other interested parties that a voluntary petition be filed by the Hospital in the
United States Bankruptcy Court for the Central District of California (the "Bankruptcy Court")
seeking relief under the provisions of chapter 11 of the Bankruptcy Code (the "Voluntary
Petition"), in which the authority to operate as a debtor-in-possession will be sought, and the
filing of the Voluntary Petition is authorized hereby; and it is further
RESOLVED, that the ChiefExecutive Officer or Chief Operating Officer, the current
incumbents being Ken Strople and Rob Fuller, respectively, (each, an "Authorized Officer" and,
collectively, the "Authorized Officers") be, and hereby is, authorized, empowered, and directed,
on behalf of the Hospital, to execute and verify or certify the Voluntary Petition in the name of
the Hospital and to cause the same to be filed in the Bankruptcy Court in such form and at such
time as the Authorized Officer executing the Voluntary Petition on behalf of the Hospital shall
determine; and it is further
RESOLVED, that the Board hereby authorizes and empowers each Authorized Officer
to take such other actions at such time as he or she deems necessary, appropriate, or desirable to
cause the preparation and filing of the Voluntary Petition and any and all schedules, motions,
lists, applications, pleadings, and other papers or documents; and it is further
RESOLVED, that if a chapter 11 case is commenced, each Authorized Officer be, and
hereby is, authorized and empowered on behalf of, and in the name of, the Hospital to take such
actions as he or she deems necessary, appropriate, advisable, or desirable to pursue and
maximize the benefits of the Hospital's restructuring in chapter 11, subject to the requirements of
the Hospital Bylaws for matters requiring further Board approval, including, without limitation,
to (i) make arrangements for postpetition financing and/or use of cash collateral for the Hospital
in its chapter 11 case; (ii) pursue and consummate any sale or sales of the Hospital's assets or
any acquisition or acquisitions of assets the Authorized Officer deems necessary or appropriate;
(iii) pursue and consummate any merger, combination, or alliance the Authorized Officer deems
necessary or appropriate; and (iv) develop, negotiate, confirm, and perform under a bankruptcy
plan of reorganization or liquidation, and to negotiate, execute, and deliver on behalf of the
Hospital any and all agreements, instruments, and other documents that, in the judgment and
discretion of the Authorized Officer, are necessary, appropriate, advisable, or desirable for
such financing or use of cash collateral; pursuing and consummating such sale or
sales of the Hospital's assets or acquisition or acquisitions of assets; pursuing and consummating
such merger, combination, or alliance; or developing, negotiating, confirming, and performing
under such a bankruptcy plan of reorganization or liquidation, including, without limitation,
executing credit agreements, asset purchase agreements, plans, and other documents and granting
any guarantees, pledges, mortgages, and other security interests; and it is further
RESOLVED, that each Authorized Officer be, and hereby is, authorized to employ the
law firm of Arnold & Porter LLP as general bankruptcy counsel to the Hospital to take any and
all actions to advance the Hospital's rights, and, in connection therewith, the Authorized Officer
is hereby authorized to execute appropriate retention agreements, pay appropriate retainers prior
to and immediately upon the filing ofthe chapter 11 case, and to cause to be filed appropriate
applications for authority to retain the services of Arnold & Porter LLP; and it is further
RESOLVED, that each Authorized Officer be, and hereby is, authorized to employ
additional professionals, including, without limitation, any attorneys, financial advisors, or
consultants as the Authorized Officer deems necessary, appropriate, advisable, or desirable, to
represent and assist the Hospital in considering restructuring alternatives and carrying out its
duties under the Bankruptcy Code, and, in connection therewith, the Authorized Officer is
hereby authorized to execute appropriate retention agreements, pay appropriate retainers prior to
and immediately upon the filing of the chapter 11 case, and to cause to be filed appropriate
applications for authority to retain the services of such additional professionals; and it is further
RESOLVED, that each Authorized Officer, and such other officers of the Hospital as the
Authorized Officer may from time to time designate, be, and hereby is, authorized and
empowered, in the name of and on behalf of the Hospital, to (a) take or cause to be taken any and
all such other and further action; (b) do and perform, or cause to be done or performed, all such
acts and things; (c) negotiate, execute, and deliver, or cause to be negotiated, executed, and
delivered, all such further papers, pleadings, documents, and instruments of any type or
description; and (d) pay, or cause to be paid, any and all fees, charges, and costs of any type or
description, all of which may be, or may be deemed to be, necessary, appropriate, advisable, or
desirable to effect the purposes and intent of the foregoing resolutions, the necessity, propriety,
advisability, or desirability of which shall be conclusively evidenced by any such Authorized
2
Officer's or designated officer's taking, or causing to be taken, any such action; doing and
performing, or causing to be done or performed, any such act or thing; negotiating, executing or
delivering, or causing to be negotiated, executed and delivered, any such papers, pleadings,
documents, or instruments; or paying, or causing to be paid, any such fees, charges, or costs; and
the execution by any Authorized Officer or designated officer of any such papers, pleadings,
documents, or instruments, or the doing of them of any act or thing in connection with any of the
matters or things contemplated by, arising out of or in connection with, or otherwise relating in
any manner whatsoever to the subject of the resolutions set forth above, shall conclusively
establish their authority therefor from the Hospital and the approval and ratification of the
Hospital of any and all papers, pleadings, documents, and instruments so executed and delivered,
and any and all action so taken, done, or performed; and it is further
RESOLVED, that all ofthe acts and transactions relating to matters contemplated by the
foregoing resolutions of management and members of the Board, in the name and on behalf of
the Hospital, which acts would have been approved by the foregoing resolutions except that such
acts were taken prior to the execution of these resolutions, are hereby in all respects confirmed,
approved, and ratified.
I certify that the foregoing represents the due action taken by the Board of Directors.
3
RESOLUTION OF THE BOARD OF DIRECTORS
OF DOWNEY REGIONAL MEDICAL CENTER, INC.
At a duly noticed special meeting of the Board of Directors (the "Board") of Downey
Regional Medical Center, Inc., a California nonprofit public benefit corporation (the "DRMCI"),
on Monday, August 24, 2009 in the afternoon, a quorum being present, the Board upon proper
motions seconded and carried by unanimous vote of the members present, took the following
actions:
WHEREAS, the Board has considered the financial and operational condition and
circumstances ofthe Hospital, including, without limitation the assets and liabilities of the
Hospital and its historical and anticipated performance; and
WHEREAS, the Board has reviewed, considered, and received the recommendations of
the Hospital's senior management, professionals, and advisors as to the relative risks and
benefits of a proceeding under chapter 11 oftitle 11 of the United States Code (the "Bankruptcy
Code"); and
WHEREAS, based upon the recommendation of the Hospital's senior management,
professionals, and advisors, the Board has made an informed determination that, absent a viable
alternative, it will be in the best interests of the Hospital, its creditors, the local community, and
other interested parties to file a voluntary petition for relief under chapter 11 of the Bankruptcy
Code;
NOW, THEREFORE, BE IT RESOLVED, that the Board hereby finds, determines,
and concludes that it is desirable and in the best interests of the Hospital, its creditors, the local
community, and other interested parties that a voluntary petition be filed by the Hospital and/or
by DRMCI in the United States Bankruptcy Court for the Central District of California (the
"Bankruptcy Court") seeking relief under the provisions of chapter 11 of the Bankruptcy Code
(the "Voluntary Petition"), in which the authority to operate as a debtor-in-possession will be
sought, and the filing of the Voluntary Petition is authorized hereby; and it is further
RESOLVED, that the Chief Executive Officer or Chief Operating Officer, the current
incumbents being Ken Strople and Rob Fuller, respectively, (each, an "Authorized Officer" and,
collectively, the "Authorized Officers") be, and hereby is, authorized, empowered, and directed,
on behalf of the Hospital and/or DRMCI, to execute and verify or certify the Voluntary Petition
in the name of the Hospital and/or DRMCI and to cause the same to be filed in the Bankruptcy
Court in such form and at such time as the Authorized Officer executing the Voluntary Petition
on behalfofthe Hospital and/or DRMCI shall determine; and it is further
RESOLVED, that the Board hereby authorizes and empowers each Authorized Officer
to take such other actions at such time as he or she deems necessary, appropriate, or desirable to
cause the preparation and filing of the Voluntary Petition and any and all schedules, motions,
lists, applications, pleadings, and other papers or documents; and it is further
RESOLVED, that if a chapter 11 case is commenced, each Authorized Officer be, and
hereby is, authorized and empowered on behalf of, and in the name of, the Hospital to take such
actions as he or she deems necessary, appropriate, advisable, or desirable to pursue and
maximize the benefits of the Hospital's restructuring in chapter 11, subject to the requirements of
the Hospital Bylaws and the DRMCI bylaws for matters requiring further Board approval,
including, without limitation, to (i) make arrangements for postpetition financing and/or use of
cash collateral for the Hospital in its chapter 11 case; (ii) pursue and consummate any sale or
sales of the Hospital's assets or any acquisition or acquisitions of assets the Authorized Officer
deems necessary or appropriate; (iii) pursue and consummate any merger, combination, or
alliance the Authorized Officer deems necessary or appropriate; and (iv) develop, negotiate,
confirm, and perform under a bankruptcy plan of reorganization or liquidation, and to negotiate,
execute, and deliver on behalf of the Hospital any and all agreements, instruments, and other
documents that, in the judgment and discretion of the Authorized Officer, are necessary,
appropriate, advisable, or desirable for consummating such financing or use of cash collateral;
pursuing and consummating such sale or sales of the Hospital's assets or acquisition or
acquisitions of assets; pursuing and consummating such merger, combination, or alliance; or
developing, negotiating, confirming, and performing under such a bankruptcy plan of
reorganization or liquidation, including, without limitation, executing credit agreements, asset
purchase agreements, plans, and other documents and granting any guarantees, pledges,
mortgages, and other security interests; and it is further
RESOLVED, that each Authorized Officer be, and hereby is, authorized to employ the
law firm of Arnold & Porter LLP as general bankruptcy counsel to the Hospital to take any and
all actions to advance the Hospital's rights, and, in connection therewith, the Authorized Officer
is hereby authorized to execute appropriate retention agreements, pay appropriate retainers prior
to and immediately upon the filing of the chapter 11 case, and to cause to be filed appropriate
applications for authority to retain the services of Arnold & Porter LLP; and it is further
RESOLVED, that each Authorized Officer be, and hereby is, authorized to employ
additional professionals, including, without limitation, any attorneys, financial advisors, or
consultants as the Authorized Officer deems necessary, appropriate, advisable, or desirable, to
represent and assist the Hospital in considering restructuring alternatives and carrying out its
duties under the Bankruptcy Code, and, in connection therewith, the Authorized Officer is
hereby authorized to execute appropriate retention agreements, pay appropriate retainers prior to
and immediately upon the filing of the chapter 11 case, and to cause to be filed appropriate
applications for authority to retain the services of such additional professionals; and it is further
RESOLVED, that each Authorized Officer, and such other officers ofthe Hospital
and/or DRMCI as the Authorized Officer may from time to time designate, be, and hereby is,
authorized and empowered, in the name of and on behalfofthe Hospital and/or DRMCI, to (a)
take or cause to be taken any and all such other and further action; (b) do and perform, or cause
to be done or performed, all such acts and things; (c) negotiate, execute, and deliver, or cause to
be negotiated, executed, and delivered, all such further papers, pleadings, documents, and
instruments of any type or description; and (d) pay, or cause to be paid, any and all fees, charges,
and costs of any type or description, all of which may be, or may be deemed to be, necessary,
appropriate, advisable, or desirable to effect the purposes and intent of the foregoing resolutions,
2
the necessity, propriety, advisability, or desirability of which shall be conclusively evidenced by
any such Authorized Officer's or designated officer's taking, or causing to be taken, any such
action; doing and performing, or causing to be done or performed, any such act or thing;
negotiating, executing or delivering, or causing to be negotiated, executed and delivered, any
such papers, pleadings, documents, or instruments; or paying, or causing to be paid, any such
fees, charges, or costs; and the execution by any Authorized Officer or designated officer of any
such papers, pleadings, documents, or instruments, or the doing of them of any act or thing in
connection with any of the matters or things contemplated by, arising out of or in connection
with, or otherwise relating in any manner whatsoever to the subject of the resolutions set forth
above, shall conclusively establish their authority therefor from the Hospital and/or DRMCI and
the approval and ratification of the Hospital of any and all papers, pleadings, documents, and
instruments so executed and delivered, and any and all action so taken, done, or performed; and
it is further
RESOLVED, that all of the acts and transactions relating to matters contemplated by the
foregoing resolutions of management and members of the Board, and the actions taken by the
Hospital Board, in the name and on behalf of the Hospital and/or DRMCI, which acts would
have been approved by the foregoing resolutions except that such acts were taken prior to the
execution of these resolutions, are hereby in all respects confirmed, approved, and ratified.
I certify that the foregoing represents the due action taken by the Board of Directors.
~ c : f ~
Secretary ofthe Board of Directors
3
Prty Name, Address and Telephone Number (CA State Bar No. " FOR COURT USE ONLY
Applicable)
Ll$a Hill Fenning (SBN 89238)
H$rry Garner (SBN 254942)
A!RNOLD & PORTER LLP
71,7 South Figueroa Street, 44th Floor
Los Angeles, California 90017
Tel: 213.243.4000 Fax: 213.243.4199
Email: Lisa.Fennlng@aporter.com
Harry.Garner@aporter.com
Attorneys for Debtor
UNITED STATES BANKRUPTCY COURT
CENTRAL DISTRICT OF CALIFORNIA
In ire: CHAPTER 11
DOWNEY REGIONAL MEDICAL CENTERHOSPIT AL, INC.
CASE NUMBER
a California non-profit, public benefit corporation,
Debtor.
(No Hearing Required)
Corporate Ownership Statement Pursuant to
FRBP 1007(a)(1) and 7007.1, and LBR 1007-4
..
- -
PI.Jrsant to FRBP 1007(a)(1) 8/'KJ 7007.1, and LBR 1007-4, any ccrporaiJon, other than unit, that is a debtor in a voluntsry
case or a party to an adversary proceeding or a contssted matter shall file this statement Identifying 811 Its parent caporaiJonB and lisiJng
My publicly hekJ CXJt7)8fly, aher than unit. that dieciJy or irdBclly own 10016 or ITlOf8 of any ci8SS of the eqully
or stale that there 81'8 no entities to report This Corporate ONnenJhlp Statement must be fled with the inltJal pleading fled by a
entity in a case or sdversfry proceeding. A supplemenlaJ statement must promplly be flied upon any charf,Je In c/rctJmsl:at1C$s
that this Corporate Ownership Statement inaccurate.
I, Robert E. Fuller, the undersigned in the above-ciptloned case, hereby declare under penalty of perjury under the laws of
the States of America that the following is true and correct:
[C.,_ck the approprlatxt boxes and, If applicable, provide the required lnfonnatlon.]
1. I have personal knowledge of the matters set forth In this Statement because:
I am the president or other officer or an authorized agent of the debtor corporation
0 I am a party to an adversary proceeding
0 I am a party to a contested matter
0 I am the attorney for the debtor corporation
2. a. 0 The following entitles, other than the debtor or a governmental unit, directly or Indirectly own 10% or more
of any class of the corporation's(s') equity interests:
b There are no entities that directly or Indirectly own 10% or more of any class of the corporation's equity interest.
. benefit corporation. Downey Regional Medical Center, Inc., Is Debtor's ::
September14,2009 ,
Of AttOm8Y or rant oati .
Robert E. Fuller
Pilinted Name Of Attorney or Declarant
This fonn Is optiOnal. It has been approved for use by the United Slates Bankruptcy Court for the Central District of california.
. F 1007-4
Inre
UNITEDSTATESBANKRUPTCYCOURT
CENTRAL DISTRICT OF CALIFORNIA
LOS ANGELES DMSION .
Case No.:
DOWNEY REGIONAL MEDICAL CENTER-
HOSPITAL, INC., a California non-profit,
public benefit corporation,
Chapter 11
DECLARATION UNDER PENALTY OF
PERJURY CONCERNING LIST OF
CREDITORS HOLDING 20 LARGEST
UNSECURED CLAIMS
Debtor.
Tax I.D. 95-1903935
The debtor and debtor in possession ("Debtor'') in the above-captioned case hereby
certifies under penalty of perjury that the List of Creditors Holding 20 Largest Unsecured
Claims, submitted herewith, is complete and to the best of Debtor's knowledge correct and
consistent with Debtor's books and records.
The infonnation contained herein is based upon a review of Debtor's books and records.
However, no comprehensive legal and/or factual investigations with regard to possible defenses
to any claims set forth in the List of Creditors Holding 20 Largest Unsecured Claims have been
completed. Therefore, the listing does not and should not be deemed to constitute; (1) a waiver
of any defense to any listed claims; (2) an acknowledgement of the allowability of any list
claims; and/or (3) a waiver of any other right or legal position of the Debtor.
I declare under penalty of perjury that the foregoing is true and correct.
Dated: September 14, 2009. DOWNEY REGIONAL MEDICAL CENTER-HOSPITAL, INC.

Chief Operating Officer and Executive Vice President
UNITED STATES BANKRUPTCY COURT
CENTRAL DISTRICT OF CALIFORNIA
Form 4. LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Form B4 (Official Form 4) - (12/07)
Case No. (If known) Debtor
Downey Regional Medical Center-Hospital, Inc.
Following is a list of the debtor's creditors holding the 20 largest unsecured claims. The list is prepared in accordance with Fed. R.
Bankr. P. 1007(d) for filing in this chapter 11 [or chapter 9] case. The list does not include (1) persons who come within the definition of
insider set forth in 11 U.S.C. 101, or (2) secured creditors unless the value of the collateral is such that the unsecured deficiency places
the creditor among the holders of the 20 largest unsecured claims. If a minor child is one of the creditors holding the 20 largest unsecured
claims, state the child's initials and the name and address of the child's parent or guardian, such as A.B., a minor child, by John Doe,
guardian. Do not disclose the childs name. See 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m).
Name of creditor and
complete mailing address,
including zip code.
Name, telephone number and
complete mailing address,
including zip code, of employee,
agent, or department of creditor
familiar with claim who may be
contacted
Nature of claim
(trade debt, bank
loan, government
contract, etc.)
AMOUNT OF
CLAIM (if secured
also state value of
security)
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
$4,500,000.00 MONIES LENT AND RECEIVED UNITED PACIFICARE
5757 PLAZA DR.
MS CA124-0116
CYPRESS, CA 90630
UNITED PACIFICARE
ATTN: ROSE ANNE DIES
5757 PLAZA DR.
MS CA124-0116
CYPRESS, CA 90630
TEL: 800-357-0978
FAX: 888-360-0755
1
$4,000,000.00 X RISK POOL DISPUTE APPLECARE MEDICAL GROUP
SUITE 280
PO BOX 6014
ARTESIA, CA 90702
APPLECARE MEDICAL GROUP
ATTN: ANNE KELTNER
SUITE 280
PO BOX 6014
ARTESIA, CA 90702
TEL: 714-443-4500
FAX: 714-443-4540
2
$3,852,514.00 X TRADE PAYABLE SIEMENS MEDICAL SOLUTIONS USA, INC.
51 VALLEY STREAM PARKWAY
MALVERN, PA 19355
SIEMENS MEDICAL SOLUTIONS USA, INC.
ATTN: SCOTT GORDON
51 VALLEY STREAM PARKWAY
MALVERN, PA 19355
TEL: 866-866-4775
FAX: 610-219-3124
3
$2,500,000.00 X RISK POOL DISPUTE ALLIANCE PHYS MEDICAL GROUP
4909 LAKEWOOD BLVD., SUITE 200
LAKEWOOD, CA 90712
ALLIANCE PHYS MEDICAL GROUP
ATTN: GIL RENDER MD
4909 LAKEWOOD BLVD., SUITE 200
LAKEWOOD, CA 90712
TEL: 562-220-1011
FAX: 562-663-1464
4
Page 1 of 5
(Continuation Sheet)
Form 4. LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Form B4 (Official Form 4) - (12/07)
Case No. (If known) Debtor
Downey Regional Medical Center-Hospital, Inc.
Name of creditor and
complete mailing address,
including zip code.
Name, telephone number and
complete mailing address,
including zip code, of employee,
agent, or department of creditor
familiar with claim who may be
contacted
Nature of claim
(trade debt, bank
loan, government
contract, etc.)
AMOUNT OF
CLAIM (if secured
also state value of
security)
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
$1,338,950.00 ARCHITECTURAL SERVICES STEPHEN WEN & ASSOCIATES
ARCHITECTS
48 EAST HOLLY STREET
PASADENA, CA 91103
STEPHEN WEN & ASSOCIATES ARCHITECTS
ATTN: STEPHEN WEN
48 EAST HOLLY STREET
PASADENA, CA 91103
TEL: 626-793-9805
FAX: 626-793-9807
5
$1,000,000.00 MONIES LENT AND RECEIVED HEALTHNET
FILE # 56527
LOS ANGELES, CA 90074
HEALTHNET
ATTN: LINDA V. TIANO, ESQ.
FILE # 56527
LOS ANGELES, CA 90074
TEL: 818-878-6000
FAX: 818-676-7503
6
$1,000,000.00 X RISK POOL DISPUTE PIONEER MEDICAL GROUP
17777 CENTER COURT DRIVE
CERRITOS, CA 90703
PIONEER MEDICAL GROUP
ATTN: JOHN KIRK
17777 CENTER COURT DRIVE
CERRITOS, CA 90703
TEL: 562-229-0902
FAX: 562-229-0942
7
$927,000.00 X OUT-OF-NETWORK SERVICES TENET HEALTH CARE
13737 NOEL DRIVE
DALLAS, TX 75240
TENET HEALTH CARE
ATTN: BIGGS C. PORTER, CFO
13737 NOEL DRIVE
DALLAS, TX 75240
TEL: 469-893-2200
FAX: 469-893-8600
8
$830,000.00 X CHEMO SERVICES THE ONCOLOGY INSTITUTE
101 E. BEVERLY BLVD. #200
MONTEBELLO, CA 90640
THE ONCOLOGY INSTITUTE
ATTN: RICHY AGAJANIAN, M.D.
101 E. BEVERLY BLVD. #200
MONTEBELLO, CA 90640
TEL: 323-726-7535
FAX: 323-726-2544
9
Page 2 of 5
(Continuation Sheet)
Form 4. LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Form B4 (Official Form 4) - (12/07)
Case No. (If known) Debtor
Downey Regional Medical Center-Hospital, Inc.
Name of creditor and
complete mailing address,
including zip code.
Name, telephone number and
complete mailing address,
including zip code, of employee,
agent, or department of creditor
familiar with claim who may be
contacted
Nature of claim
(trade debt, bank
loan, government
contract, etc.)
AMOUNT OF
CLAIM (if secured
also state value of
security)
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
$770,000.00 TRADE DEBT STRYKER MEDICAL
3800 E. CENTRE AVE.
PORTAGE, MI 49002
STRYKER MEDICAL
ATTN: CURT R. HARTMAN, VP, CFO
3800 E. CENTRE AVE.
PORTAGE, MI 49002
TEL: 269-329-2100
FAX: 269-329-2213
10
$646,000.00 TRADE PAYABLE CYMETRIX CORPORATION
2875 MICHELLE DRIVE, SUITE 250
IRVINE, CA 92606
CYMETRIX CORPORATION
ATTN: JASON YARDLEY
2875 MICHELLE DRIVE, SUITE 250
IRVINE, CA 92606
TEL: 714-361-6800
FAX: 714-361-6780
11
$639,764.05 TRADE PAYABLE CARDINAL HEALTH PHARMACY
FILE # 56412
LOS ANGELES, CA 90074
CARDINAL HEALTH PHARMACY
ATTN: JEFFERY W. HENDERSON, CFO
FILE # 56412
LOS ANGELES, CA 90074
TEL: 614-757-5000
FAX: 614-652-7587
12
$615,000.00 X OUT-OF-NETWORK SERVICES ST. FRANCIS MEDICAL CENTER
3630 E. IMPERIAL HWY
LYNWOOD, CA 90262-2636
ST. FRANCIS MEDICAL CENTER
ATTN: JERRY KOZAI
3630 E. IMPERIAL HWY
LYNWOOD, CA 90262-2636
TEL: 310-900-7301
FAX: 310-900-7390
13
$601,048.00 TRADE PAYABLE PIONEER LABORATORIES, INC.
DEPT 77190
DETROIT, MI 48277-0190
PIONEER LABORATORIES, INC.
DEPT 77190
DETROIT, MI 48277-0190
TEL: 906-226-9909
FAX: 906-226-9932
14
Page 3 of 5
(Continuation Sheet)
Form 4. LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Form B4 (Official Form 4) - (12/07)
Case No. (If known) Debtor
Downey Regional Medical Center-Hospital, Inc.
Name of creditor and
complete mailing address,
including zip code.
Name, telephone number and
complete mailing address,
including zip code, of employee,
agent, or department of creditor
familiar with claim who may be
contacted
Nature of claim
(trade debt, bank
loan, government
contract, etc.)
AMOUNT OF
CLAIM (if secured
also state value of
security)
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
$600,000.00 X OUT-OF-NETWORK SERVICES PRIME HEALTHCARE MANAGEMENT
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
PRIME HEALTHCARE MANAGEMENT
ATTN: CHARLENE HOSKIN
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
TEL: 760-241-8000
FAX: 909-464-8929
15
$574,864.40 TRADE PAYABLE MEDTRONIC USA INC.
4642 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
MEDTRONIC USA INC.
ATTN: GARY L. ELLIS, CFO
4642 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
TEL: 763-514-4000
FAX: 763-514-4879
16
$329,000.00 TRADE PAYABLE BIOMET ORTHOPEDICS
75 REMITTANCE DRIVE, SUITE 3283
CHICAGO, IL 60675-3283
BIOMET ORTHOPEDICS
ATTN: JEFFREY R. BINDER, CEO
75 REMITTANCE DRIVE, SUITE 3283
CHICAGO, IL 60675-3283
TEL: 574-267-6639
FAX: 574-267-8131
17
$318,000.00 X OUT-OF-NETWORK SERVICES UCI MEDICAL CENTER
101 CITY DRIVE SOUTH
ORANGE, CA 92868
UCI MEDICAL CENTER
ATTN: RALPH V. CLAYMAN, MD
101 CITY DRIVE SOUTH
ORANGE, CA 92868
TEL: 714-456-7890
FAX: 949-824-2676
18
$285,000.00 TRADE DEBT ST. JUDE MEDICAL S C INC.
807 LAS CIMAS PKWY, SUITE 400
AUSTIN, TX 78746
ST. JUDE MEDICAL S C INC.
ATTN: JOHN C. HEINMILLER, CFO
807 LAS CIMAS PKWY, SUITE 400
AUSTIN, TX 78746
TEL: 651-483-2000
FAX: 651-482-8318
19
Page 4 of 5
(Continuation Sheet)
Form 4. LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Form B4 (Official Form 4) - (12/07)
Case No. (If known) Debtor
Downey Regional Medical Center-Hospital, Inc.
Name of creditor and
complete mailing address,
including zip code.
Name, telephone number and
complete mailing address,
including zip code, of employee,
agent, or department of creditor
familiar with claim who may be
contacted
Nature of claim
(trade debt, bank
loan, government
contract, etc.)
AMOUNT OF
CLAIM (if secured
also state value of
security)
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
$273,153.58 TRADE PAYABLE WEBMEDX INC.
5901 PEACHTREE DUNWOODY RD NE,
STE. C450
ATLANTA, GA 30328-5382
WEBMEDX INC.
ATTN: LANCE FUSACCHIA, CFO
5901 PEACHTREE DUNWOODY RD NE, STE.
C450
ATLANTA, GA 30328-5382
TEL: 770-522-4881
FAX: 770-522-4889
20
Page 5 of 5
Inre
UNITEDSTATESBANKRUPTCYCOURT
CENTRAL DISTRICT OF CAtiiFORNIA
LOS ANGELES DMSION
Case No.:
DOWNEY REGIONAL MEDICAL CENTER-
HOSPITAL, INC., a California non-profit,
public benefit corporation,
Chapter 11
DECLARATION UNDER PENALTY OF
PERJURY REGARDING LIST OF
EQUITY SECURITY HOLDERS Debtor.
Tax I.D. 95-1903935
I, Robert E. Fuller, am Chief Operating Officer and Executive Vice President of Downey
Regional Medical Center-Hospital, Inc., a California non-profit, public benefit corporation
("Debtor .. ), the debtor in this case, and attest that, due to the non-profit, public benefit corporate
status of Debtor, there are no equity security holders.
I declare under penalty of perjury that the foregoing is true and correct.
Dated: September 14,2009. DOWNEY REGIONAL MEDICAL CENTER-HOSPITAL, INC.
B y ~ e ; ~ ~
Chief Operating Officer and Executive Vice President
I Party Telephone Nurnber (CA sTate Bar No.
Applicable)
___, ---- ------------------,
COURT USE ONLY
1
I LISA HILL FENNING (SBN 89238)
i HARRY GARNER (SBN 254942)
' Arnold & Porter LLP
777 South Figueroa Street, 44th Floor
Los Angeles, California 90017-5844
Telephone: 213.243.4000
Facsimile: 213.243.4199 i
Email:
_ _ __ _
j
DOWNEY REGIONAL MEDICAL CENTER-HOSPITAL, INC.
a California non-profit, public benefit corporation,
Debtor.
:CHAPTER 11
CASE NUMBER
VENUE DISCLOSURE FORM
FOR CORPORATIONS FILING CHAPTER 11
(Required by General Order 9 7-02)
*Attach additional sheets as necessary and indicate so in each section*
1. Specify the address of the principal office of the Debtor currently on file with the California Secretary of State (from
Form SO 100, S0200, or S0300):
11500 Brookshire Avenue, Downey CA, 90241-4990
I
2. Specify the address of the principal office of the Debtor listed on the Debtor's most recent federal tax return:
11500 Brookshire Avenue, Downey CA, 90241-4990
3. Disclose the current business address(es) for all corporate officers:
11500 Brookshire Avenue, Downey CA, 90241-4990
4. Disclose the current business address(es) where the Debtor's books and records are located:
11500 Brookshire Avenue, Downey CA, 90241-4990
Rev. 12199 This form is required pursuant to General Order 97-02. It has been approved for use by the United States Bankruptcy Court for the Central District of California. VEN-C
Venue Disclosure Form for Corporations Filing Chapter 11 - Page 2
In re:
DOWNEY REGIONAL MEDICAL CENTER-HOSPITAL, INC.
Debtor.
CHAPTER 11
CASE NUMBER
VEN-C
5. List the address( as) where the majority of the Debtor's assets are located based on a book value determination as set
forth on the Debtor's most recent balance sheet:
11500 Brookshire Avenue, Downey CA, 90241-4990
6. Disclose any different address( es) to those listed above within six months prior to the filing of this petition a11g state
the reasons for the change In address(es):
N/A
7. State the name and address of the officer signing this Statement and the relationship of such person to the Debtor
(specify):
Robert E. Fuller, Chief Operating Officer and Executive VIce President
11500 Brookshire Avenue, Downey CA, 90241-4990
8. Total number of attached pages of supporting documentation:
None
9. I declare under penalty of p e ~ u r y under the laws of the United States of America, that the foregoing is true and correct.
Executed on September 14, 2009 at Downey, Cslifomla.
=E.Fuler
Rev. f 2199 Thla fc!m 1a required pcnuant to Ganerll Onler 97-02. hH betn IIPilf'OV8d tar uu by the United Stata Benkl\Jptcy CWtt tor the Cenltal Dlatrict of Callfcmle.
VEN-C
STATEMENT OF RELATED CASES
INFORMATION REQUIRED BY LOCAL BANKRUPTCY RULE 10152
UNITED STATES BANKRUPTCY COURT, CENTRAL DISTRICT OF CALIFORNIA
1. A petition under the Bankruptcy Ad of 1898 or the Bankruptcy Reform Ad of 1978 has previously been filed by or against
the debtor, his/her spouse, an affiliate of the debtor, any copartnership or joint venture of which debtor is or formerly was
a general or limited partner, or member, or any corporation of which the debtor is a director, officer, or person in control,
as follows: (Set forth the complete number and tiUe of each such of prior proceeding, date filed, nature thereof, the
8ankruptcy Judge and court to whom assigned, whether stHI pending and, if not. the disposition thereof. ff none, so
"dicate. Also, list any real property included in Schedule A that was filed with any such prior proceeding(s).)
applicable ..
2. @1 petitioner is a partnership or joint venture) A petition under the Bankruptcy Act of 1898 or the Bankruptcy Reform Act
qf 1978 has previously been filed by or against the debtor or an affiliate of the debtor, or a general partner in the debtor,
relative of the general partner, general partner of, or person in control of the debtor, partnership in which the debtor is
a general partner, general partner of the debtor, or person In control of the debtor as follows: (Set forth the complete
11umber and title of each such prior proceeding, date filed, nature of the proceeding, the Bankruptcy Judge and court to
Wflom assigned, whether still pending and, If not, the disposition thereof. If none, so indicate. Also, list any real property
in Schedule A that was filed with any such prior proceeding(s).)
Not applicable.
3. is a corporation) A petition under the Bankruptcy Act of 1698 or the Bankruptcy Reform Act of 1978 has
PrttVIously been filed by or against the debtor, or any of its affiliates or subsidiaries, a director of the debtor, an officer of
tflle debtor, a person In control of the debtor, a partnership In which the debtor is general partner, a general partner of the
a relative of the general partner, director, officer, or person in control of the debtor, or any persons, firms or
C()l'p()rations owning 20% or more of its voting stock as follows: (Set forth the complete number and title of each such prior
proceeding, date filed, nature of proceeding, the Bankruptcy Judge and court to whom assigned, whether still pending, and
if, not, the disposition thereof. If none, so indicate. Also, list any real property included in Schedule A that was filed with
any such prior proceeding(s).)
f':!ot applicable.
4. (If petitioner Is an individual) A petition under the Bankruptcy Reform Ad of 1978, including amendments thereof, has been
filed by or against the debtor within the last 180 days: (Set forth the complete number and title of each such prior
ptoceeding, date filed, nature of proceeding, the Bankruptcy Judge and court to whom assigned. whether still pending, allld
If :not, the disposition thereof. If none, so indicate. Also, list any real property included In Schedule A that was filed with
any such prtor proceeding( e).)
Npt applicable.
I under penalty of perjury, that the foregoing is true and
at Downev .. California.
De
Downey Regional Medical Center-Hospital, Inc.
By Robert E. Fuller, Chief Operating Officer and
Dated 09/14/2009 ----------
Joint Debtor

Tills form is mandatory by Order of the United States Bankruptcy Court for the Central District of Csilfomla. .
F 1015-2.1
I American LAigtiNet Inc. I
www.F.....,.Worldlow.oom
UNITED STATES BANKRUPI'CY COURT
CENTRAL DISTRICT OF CALIFORNIA
LOS ANGELES DMSION
. -.
Inre
DOWNEY REGIONAL MEDICAL CENTER-
HOSPITAL, INC., a California non-profit,
public benefit corporation,
Debtor.
Tax I.D. 95-1903935
Case No.:
Chapter 11
DECLARATION UNDER PENALTY OF
PERJURY REGARDING CREDITOR
MATRIX
The debtor and debtor in possession ("Debtor") in this chapter 11 case filed a petition in
this Court on the date hereof for relief under title 11 of the United States Code. The Debtor
hereby certifies that the Creditor Matrix submitted to the Court, pursuant to Local Rule 1007-
1(a) of the Local Bankruptcy Rules of the Central District of California, formatted in the manner
prescribed on the Court's website, containing the list of creditors of the Debtor, is complete and
to the best of the Debtor's knowledge correct and consistent with the Debtor's books and
records. The Creditor Matrix contains the Debtor's list of known creditors and known potential
creditors of which the Debtor is currently aware and will be supplemented to the extent
' additional creditors are identified.
The information contained herein is based upon a review of Debtor's books and records.
However, no comprehensive legal and/or factual investigations with regard to possible defenses
to any claims set forth in the Creditor Matrix been completed. Therefore, the listing does not
and should not be deemed toconstitute; (1) an acknowledgment of the accuracy ofthe identity
of any interest holder; (2) a waiver of any defense to any listed claims; (3) an acknowledgement
of the allowability of any listed claims; and/or ( 4) a waiver of any other right or legal position of
the Debtor.
I declare under penalty of perjury that the foregoing is true and correct.
. ,_ ..
Dated: September 14, 2009. DOWNEY REGIONAL MEDICAL CENTER-HOSPITAL, INC.
B ~ i ! S ~
Chief Operating Officer and Executive Vice President
LA: 568179v I