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      <Form990PartVIISectionAGrp>
        <PersonNm>Quentin Nichols</PersonNm>
        <TitleTxt>Lead Res.Therapist</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>301198</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21422</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Moshe Yadoo</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>246561</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64666</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Audrey Berman-Davidowitz</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>218319</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>65787</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Litto Thomas</PersonNm>
        <TitleTxt>Lead Res.Therapist</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>214244</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20670</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen Brent Wells</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Coniglio</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cindy S Johnson</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Samuel R Karetsky</PersonNm>
        <TitleTxt>Secretary/Treas</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Roth</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1566019</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3526121</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>755985</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>182</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>D &amp; J SERVICE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1200 ZERAGA AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10462</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRANSPORTATION SERVICE</ServicesDesc>
        <CompensationAmt>3774354</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LS GENERAL RESTORATION CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>41 4TH STREET</AddressLine1Txt>
            <CityNm>BROOKLYN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11231</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTING</ServicesDesc>
        <CompensationAmt>439335</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WHITE GLOVE PLACEMENT INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>89 BARTLETT STREET</AddressLine1Txt>
            <CityNm>BROOKLYN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>334378</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LANDOW AND LANDOW ARCHITECTS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>228 E 45TH STREET</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTURAL FIRM</ServicesDesc>
        <CompensationAmt>268925</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ULTRCARE OF MANHATTAN LTD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>800 2ND AVENUE ROOM 905</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>221264</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1472760</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>2256288</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1582180</AllOtherContributionsAmt>
      <TotalContributionsAmt>5311228</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Community Programs</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>60941</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>60941</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Facility Based Prog. &amp; Se</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>20254817</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20254817</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Inpatient Services</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>102400791</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>102400791</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>122716549</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1542564</TotalRevenueColumnAmt>
        <ExclusionAmt>1542564</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>76055</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>76055</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>76055</TotalRevenueColumnAmt>
        <ExclusionAmt>76055</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4651196</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>134583</TotalRevenueColumnAmt>
        <ExclusionAmt>134583</ExclusionAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
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      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
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        <Desc>Meal Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>333900</TotalRevenueColumnAmt>
        <ExclusionAmt>333900</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Medical Record Income</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>1480</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>405845</TotalRevenueColumnAmt>
        <ExclusionAmt>405845</ExclusionAmt>
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        <ExclusionAmt>2494427</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>380743</TotalAmt>
        <ProgramServicesAmt>380743</ProgramServicesAmt>
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        <ProgramServicesAmt>14263000</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>350310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129476</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>205649</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>53543</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>835</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>37455</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>48444</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>6278447</ProgramServicesAmt>
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        <ProgramServicesAmt>50119</ProgramServicesAmt>
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        <Desc>NYS Assessment Expense</Desc>
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        <ProgramServicesAmt>7179872</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>976735</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>402895</ProgramServicesAmt>
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        <ProgramServicesAmt>110055780</ProgramServicesAmt>
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        <EOYAmt>83799887</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>34736251</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>178661371</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>9705693</EOYAmt>
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        <EOYAmt>61909043</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>26421676</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>112385910</BOYAmt>
        <EOYAmt>115328784</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>55762850</BOYAmt>
        <EOYAmt>61766188</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1191217</BOYAmt>
        <EOYAmt>1566399</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>56954067</BOYAmt>
        <EOYAmt>63332587</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>169339977</BOYAmt>
        <EOYAmt>178661371</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>6393735</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-15215</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="24020490" softwareVersionNum="2024v5.2">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="24020490" softwareVersionNum="2024v5.2">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="24020490" softwareVersionNum="2024v5.2">
      <Form4720FiledSection4955TaxInd>false</Form4720FiledSection4955TaxInd>
      <CorrectionMadeInd>false</CorrectionMadeInd>
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>83111</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>83111</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1i - Other Activities Description</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Marys Hospital for Children does not undertake any direct lobbying itself. St. Marys Hospital for Children engages law firms to lobby on its behalf regarding Medicaid rate setting and other regulatory and legislative issues. The amount reported on St. Mary's Hospital for Children's form 990 represents its allocable share of the costs incurred by SMH Administrative Services Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV - Additional Information</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <LandGrp>
        <OtherCostOrOtherBasisAmt>730256</OtherCostOrOtherBasisAmt>
        <BookValueAmt>730256</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>139757940</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>64492983</DepreciationAmt>
        <BookValueAmt>75264957</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1254041</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1117561</DepreciationAmt>
        <BookValueAmt>136480</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>40509208</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>35379928</DepreciationAmt>
        <BookValueAmt>5129280</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>34363437</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>31824523</DepreciationAmt>
        <BookValueAmt>2538914</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>83799887</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Due From Extraordinary Pediatrics</Desc>
        <BookValueAmt>2356517</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due From St. Marys Case Management</Desc>
        <BookValueAmt>2923359</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due From St. Marys Extraordinary Homeca</Desc>
        <BookValueAmt>9436951</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due From St. Marys Foundation for Child</Desc>
        <BookValueAmt>19528786</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right to use Asset</Desc>
        <BookValueAmt>490638</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>34736251</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Asset Retirement Obligations.</Desc>
        <Amt>290000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to St. Marys Administrative Services</Desc>
        <Amt>3432813</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to St. Marys Community Care</Desc>
        <Amt>7563</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Third Party Payors</Desc>
        <Amt>22200662</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liability</Desc>
        <Amt>490638</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>26421676</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more-likely-than-not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged.SMH is exempt from federal income tax under IRC section 501(c)(3), though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excluded by the Code. SMH has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which there was nexus; and to identify and evaluate other matters that may be considered tax positions. SMH has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.</ExplanationTxt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adam Waxer</PersonNm>
        <TitleTxt>General Counsel</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>310000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>31000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>21878</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>23250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>41975</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>428103</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adrian Gibbs</PersonNm>
        <TitleTxt>Lead Res.Therapist</TitleTxt>
        <BaseCompensationFilingOrgAmt>186343</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>70626</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4911</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>42615</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>325995</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Audrey Berman-Davidowitz</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>212733</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>538</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5048</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28719</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37068</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>284106</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bency Massinello</PersonNm>
        <TitleTxt>VP of Inpatient Nursing</TitleTxt>
        <BaseCompensationFilingOrgAmt>275293</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>27460</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4475</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31659</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>41856</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>380743</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carla Cangemi</PersonNm>
        <TitleTxt>VP/CMO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>450000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>45000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>8385</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>15525</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>37468</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>556378</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Edwin F Simpser MD</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>667692</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>90000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>178124</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>46575</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>37468</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1019859</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Litto Thomas</PersonNm>
        <TitleTxt>Lead Res.Therapist</TitleTxt>
        <BaseCompensationFilingOrgAmt>198144</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16100</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4344</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16326</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>234914</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Moshe Yadoo</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>239982</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6579</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27598</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37068</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>311227</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patricia Hackenjos</PersonNm>
        <TitleTxt>VP Of HR</TitleTxt>
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        <BonusRelatedOrganizationsAmt>28100</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>16928</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>32315</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>41884</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>400227</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Quentin Nichols</PersonNm>
        <TitleTxt>Lead Res.Therapist</TitleTxt>
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        <BonusFilingOrganizationAmount>25450</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>66879</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5096</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16326</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>322620</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sean Lally</PersonNm>
        <TitleTxt>EVP Foundation</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>400000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>40000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>24872</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>25875</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>37531</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>528278</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steven Polinsky</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>278000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>27800</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>12987</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>17321</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>37362</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>373470</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William L Mead</PersonNm>
        <TitleTxt>COO/CFO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>515000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>51500</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>47855</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>25875</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>41975</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>682205</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7: Non-Fixed payments not listed above</FormAndLineReferenceDesc>
        <ExplanationTxt>Various individuals reported on Schedule J received discretionary bonuses in the current calendar year. These bonuses are determined by management based on the individuals having met certain objective performance based criteria.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Edwin F Simpser MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>President</RelationshipDescriptionTxt>
        <TransactionAmt>2793536</TransactionAmt>
        <TransactionDesc>See Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>EXTRAORDINARY PEDIATRICS ("EP") IS A NEW YORK PROFESSIONAL SERVICES CORPORATION PROVIDING OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND SPEECH-LANGUAGE PATHOLOGY SERVICES, AS WELL AS OTHER THERAPEUTIC MODALITIES AND PEDIATRIC MEDICAL SERVICES ON BEHALF OF ST. MARY'S HOSPITAL FOR CHILDREN. IN HIS CAPACITY AS CHIEF EXECUTIVE OFFICER AND A DULY LICENSED NEW YORK PHYSICIAN, DR. SIMPSER SERVES AS THE SOLE SHAREHOLDER OF EP.THE AMOUNT REPORTED REFLECTS THE TOTAL INCOME EP GENERATED IN THE CURRENT CALENDER YEAR.</ExplanationTxt>
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    </IRS990ScheduleL>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S SOLE MEMBER IS ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. (SMHSC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S BYLAWS SPECIFICALLY RESERVE THE POWER TO APPOINT AND REMOVE ITS BOARD MEMBERS TO SMHSC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S BYLAWS SPECIFICALLY RESERVE THE FOLLOWING POWERS TO SMHSC: *MERGERS, *SALES OR DISSOLUTIONS, *AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND OR BYLAWS, *OPERATING AND CAPITAL BUDGETS, *UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000, *UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000, *A STRATEGIC PLAN AND HIRING AND FIRING OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S FORM 990 IS REVIEWED BY AN EXTERNAL ACCOUNTING FIRM PRIOR TO SUBMISSION TO THE FULL AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. ONCE THE CHANGES FROM BOTH THE ACCOUNTING FIRM AND AUDIT AND COMPLIANCE COMMITTEE'S REVIEW ARE IMPLEMENTED, A FINAL DRAFT OF THE 990 IS POSTED TO THE BOARD OF DIRECTORS' WEBSITE FOR ACCESS BY ALL BOARD MEMBERS PRIOR TO THE SUBMISSION OF THE 990 TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE A YEAR, EACH BOARD MEMBER, OFFICER OR KEY EMPLOYEE OF THE ORGANIZATION COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE, STATEMENT AND ACKNOWLEDGEMENT WHICH CONFIRMS THAT EACH INDIVIDUAL HAS DISCLOSED ANY POTENTIAL CONFLICT OF INTEREST; HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ, UNDERSTANDS, AND AGREES TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. DURING THE COURSE OF THE YEAR, EACH BOARD MEMBER, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO PROMPTLY ADVISE THE CHIEF EXECUTIVE OFFICER OR HIS/HER DESIGNEE, OF ANY CHANGES TO THE INFORMATION PROVIDED IN THAT INDIVIDUAL'S LAST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE.THE CHIEF EXECUTIVE OFFICER, OR HIS/HER DESIGNEE, REVIEWS ALL COMPLETED QUESTIONNAIRES AND ALL SUBSEQUENT ADVICE OF CHANGES, TAKING SUCH ACTION AS IS DEEMED APPROPRIATE TO ADDRESS AND ELIMINATE POTENTIAL CONFLICTS OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES.ALL DISCLOSURES OF INTERESTS IN COMPLETED QUESTIONNAIRES OR SUBSEQUENT ADVICE, UNLESS CLEARLY IRRELEVANT OR IMMATERIAL, SHALL BE COMPILED AND REPORTED BY MANAGEMENT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, TOGETHER, IN EACH CASE, WITH THE RESPONSE OR RECOMMENDATION OF MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE SHALL DETERMINE WHETHER THE REPORTED RESOLUTION OF ISSUES RAISED BY THE DISCLOSURES IS SATISFACTORY AND, IF NOT SHALL TAKE SUCH FURTHER ACTION AS IT DEEMS APPROPRIATE. EACH BOARD MEMBER, AND ANY OFFICER OR KEY EMPLOYEE REPRESENTING A PROPOSED TRANSACTION OR OTHER MATTER TO THE BOARD SHALL DISCLOSE PROMPTLY AND IN GOOD FAITH TO THE BOARD SUCH INDIVIDUAL'S INTEREST IN A PROPOSED TRANSACTION OR OTHER MATTER TO BE CONSIDERED BY THE BOARD. THE INDIVIDUAL MAY NOT PARTICIPATE IN ANY WAY IN THE BOARD'S DELIBERATIONS CONCERNING MATTERS IN WHICH HE/SHE HAS DISCLOSED AN INTEREST.FOLLOWING ANY SUCH DISCLOSURE, AND AFTER SUCH DUE DILIGENCE AND SUCH DEVELOPMENT AND CONSIDERATION OF OTHER ALTERNATIVES, IF ANY, AS THE BOARD SHALL DEEM APPROPRIATE, THE BOARD MAY, IN ITS DISCRETION, AUTHORIZE OR APPROVE THE PROPOSED TRANSACTION OR ACTIONS AS AT LEAST AS FAIR AND REASONABLE TO THE ORGANIZATION AS WOULD OTHERWISE BE OBTAINABLE BY THE ORGANIZATION. SUCH ACTIONS SHALL BE BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH INTERESTED PERSON OR PERSONS AND SUCH PERSON OR PERSONS MAY NOT PARTICIPATE IN, DETERMINING THE PRESENCE OF A QUORUM AT THE MEETING.ANY DISCLOSURE, NON-PARTICIPATION, AND BOARD ACTION TAKEN IN ACCORDANCE WITH THIS POLICY SHALL BE CLEARLY RECORDED IN THE MINUTES OF THE MEETING AT WHICH THE MATTER IS ADDRESSED AND RESOLVED.UPON REASONABLE BELIEF THAT A BOARD MEMBER, OFFICER OR KEY EMPLOYEE FAILED TO COMPLY WITH THE POLICIES AND DIRECTIVES SET FORTH IN ITS DISCLOSURE POLICY, THE BOARD OR THE AUDIT AND COMPLIANCE COMMITTEE SHALL INFORM THE INDIVIDUAL OF THE BASIS OF THE BELIEF AND PROVIDE AN OPPORTUNITY TO EXPLAIN THE NONCOMPLIANCE. IF AFTER HEARING THE INDIVIDUAL'S RESPONSE AND MAKING FURTHER APPROPRIATE INVESTIGATIONS, THE BOARD OR AUDIT COMPLIANCE COMMITTEE DETERMINES THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO COMPLY WITH SUCH POLICIES AND DIRECTIVES, IT SHALL TAKE OR RECOMMEND APPROPRIATE CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES FOR THE HOSPITALS EXECUTIVE TEAM ARE PAID BY A RELATED ORGANIZATION, SMH ADMINISTRATIVE SERVICES. THE POLICIES FOR DETERMINING COMPENSATION ARE AS FOLLOWS: ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, THE SOLE MEMBER OF THE ORGANIZATION, REVIEWS MARKET PAY PRACTICES FOR SENIOR EXECUTIVES IN ORGANIZATIONS OF COMPARABLE SIZE AND TYPE. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE EXECUTIVE REVIEW/COMPENSATION COMMITTEE AND USED AS A FACTOR IN DETERMINING SALARY ADJUSTMENTS RELATIVE TO MARKET COMPETITIVENESS AND JOB PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OTHER EXECUTIVES IS MANAGED IN A SIMILAR MANNER, WITH THE HUMAN RESOURCES DEPARTMENT IN CONSULTATION WITH THE CEO, USING PERIODIC SURVEYS OF THE LOCAL MARKET TO ENSURE THAT COMPENSATION IS COMPETITIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL MAKES ITS ORGANIZING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>KIDNEEDSCOM INC</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>EXTRAORDINARY PEDIATRICS PC</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
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      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>