In the year 1958, James Hill became Hayworth's fifth and final husband (1958 - 1961), following businessman Edward Judson, Orson Welles, Aly Khan and crooner Dick Haymes. The marriage lasted the statutory two year period. Afterwards, the couple remained good friends. According to Hill's autobiography, they had met twice in their lives before they were married, once in Mexico they first met as teenagers, when Hill thought Hayworth a prostitute. Later they met in Los Angeles, when she mistook him for a cleaning man.

In Hill's 1983 book: "Rita Hayworth: A Memoir," he indicated that their marriage (her fifth and final, his only) fell apart because he forced Hayworth to continue making movies when she wanted both of them to retire from the Hollywood hubbub, enabling her to paint and him to write.

Because Hill never wanted Rita to stop making movies, he put her in one of her last major films, "Separate Tables" (1958). She almost worked until the end of her life. In February 1987, she lapsed into a coma; she died at age 68 from complications associated with Alzheimer's disease. President Ronald Reagan, who had been one of Rita's contemporaries in Hollywood, said: "Rita Hayworth was one of our country's most beloved stars. Glamorous and talented, she gave us many wonderful moments on stage and screen and delighted audiences from the time she was a young (quizzical looking) girl."

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