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      <LandGrp>
        <OtherCostOrOtherBasisAmt>993897</OtherCostOrOtherBasisAmt>
        <BookValueAmt>993897</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>506709159</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>401739193</DepreciationAmt>
        <BookValueAmt>104969966</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>15439188</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8211340</DepreciationAmt>
        <BookValueAmt>7227848</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>256664155</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>228148311</DepreciationAmt>
        <BookValueAmt>28515844</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>20399678</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3658516</DepreciationAmt>
        <BookValueAmt>16741162</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>158448717</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>OTHER SECURITIES</Desc>
        <BookValueAmt>55295166</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>55295166</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS HELD FOR DEFERRED</Desc>
        <BookValueAmt>20462142</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>4167106</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS LIMITED AS TO USE</Desc>
        <BookValueAmt>10128776</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>1323469</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERY RECEIVABLE</Desc>
        <BookValueAmt>175000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>18582020</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Estimated amounts due from third-parties</Desc>
        <BookValueAmt>24473378</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from related organizations</Desc>
        <BookValueAmt>3169089</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Net pension asset</Desc>
        <BookValueAmt>12647852</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>95128832</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal Income Taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTIES</Desc>
        <Amt>190330253</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>1922164</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SELF INSURANCE RESERVE</Desc>
        <Amt>200000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATIONS</Desc>
        <Amt>38245065</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION PAYABLE</Desc>
        <Amt>20462142</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>19060078</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CLAIMS LIABILITY</Desc>
        <Amt>175000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NYS SAFETY NET DIRECT PAYMENT ADVANCE</Desc>
        <Amt>0</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Pension benefits cost</Desc>
        <Amt>258000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>270652702</TotalLiabilityAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>0</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>0</TotalRevenuePerForm990Amt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>0</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>0</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 ASC 740 FOOTNOTE</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FUNDS ARE USED TO SUPPORT HEALTH CARE SERVICES AND TO PROVIDE FELLOWSHIPS TO FURTHER CLINICAL AND SCIENTIFIC INVESTIGATION IN THE FIELD OF MEDICINE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="24020961" softwareVersionNum="2024v5.1">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>17813718</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3955467</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>13858251</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01359</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>468497466</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>454374574</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>14122892</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01385</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>486311184</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>458330041</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>27981143</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02745</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2543101</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2543101</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00249</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>198409750</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>71601271</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>126808479</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12439</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>52148493</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>27432903</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>24715590</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02425</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>725991</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>725991</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00071</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>253827335</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>99034174</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>154793161</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15185</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>740138519</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>557364215</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>182774304</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.17930</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>130327279</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>16407613</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>39701255</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>35550217</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>4151038</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BRONXCARE HEALTH SYSTEM-FULTON</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10456</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BRONXCARE.ORG/ABOUT-US/</WebsiteAddressTxt>
        <StateLicenseNum>7000001H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BRONXCARE HEALTH SYSTEM-CONCOURSE</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1650 GRAND CONCOURSE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10457</ZIPCd>
        </USAddress>
        <StateLicenseNum>7000001H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BRONXCARE HEALTH SYSTEM-FULTON</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.BRONXCARE.ORG/ABOUT-US/</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.BRONXCARE.ORG/ABOUT-US/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.0</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.BRONXCARE.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.BRONXCARE.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.BRONXCARE.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BRONXCARE HEALTH SYSTEM-CONCOURSE</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.BRONXCARE.ORG/ABOUT-US/</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.BRONXCARE.ORG/ABOUT-US/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.0</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.BRONXCARE.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.BRONXCARE.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.BRONXCARE.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Yes</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BRONXCARE HEALTH SYSTEM-FULTON. See Part VI</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BronxCare Health System. Concourse</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BRONXCARE HEALTH SYSTEM-FULTON. See Part VI</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Yes</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BRONXCARE HEALTH SYSTEM-FULTON HEALTH. See Part VI</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BRONXCARE HEALTH SYSTEM. Fulton</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BRONXCARE HEALTH SYSTEM-FULTON. See Part VI</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>30</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE ADULT MEDICAL PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE BREAST CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CENTER FOR GYNECOLOGIC CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CENTER FOR ORTHOPAEDICS SPEC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CLINICALCOSMETIC DERMATOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE GASTROINTESTINAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE PULMONARYASTHMA SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE RADIOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>199 MT EDEN PARKWAY</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CARDIOLOGY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 GRAND CONCOURSE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE EAR NOSE AND THROAT PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 GRAND CONCOURSE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE EYE CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 GRAND CONCOURSE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE ORTHOPAEDIC PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 GRAND CONCOURSE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE PEDIATRIC PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 GRAND CONCOURSE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE WOMEN'S HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 GRAND CONCOURSE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CENTER FOR COMPREHENSIVE CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 SELWYN AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 SELWYN AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE ONCOLOGY OUTPATIENT PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 SELWYN AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1775 GRAND CONCOURSE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10453</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE FULTON FAMILY MEDICINE PRACTIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE ADDICTIONS DETOXIFICATION PROG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1285 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10457</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE ADDICTIONS REHABILITATION PROG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1285 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CHEMICAL DEPENDENCY OUTPATIENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1285 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE LIFE RECOVERY COMMUNITY RESIDE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1285 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE BEHAVIORAL HEALTH CARE COORDIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CHILD STUDY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE COMPREHENSIVE PSYCHIATRIC EMER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1265 FRANKLIN AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE OPIOID TREATMENT PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE PSYCHIATRIC ADULT OUTPATIENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRONXCARE CENTER FOR COMPREHENSIVE PAIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10456</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>BRONXCARE HEALTH SYSTEM-CONCOURSE: BRONXCARE HEALTH SYSTEM-FULTON HEALTH CARE NEEDS OF PATIENTS ARE EVALUATED TO IDENTIFY TRENDS RELATED TO HEALTH PRIORITIES. THESE TRENDS ARE THEN ADDRESSED BY MANAGEMENT BRONXCARE ALSO OBTAINS VALUABLE INFORMATION ON QUALITY OUTCOMES AND HOW WELL NEEDS ARE BEING MET THROUGH FEEDBACK FROM PATIENTS, STAFF, AND COMMUNITY ORGANIZATIONS. HOSPITAL NEWSLETTER AND WEBSITE (WWW.BRONXCARE.ORG): THE NEWSLETTER IS DISTRIBUTED THROUGHOUT THE BRONX COMMUNITY AND PROMINENTLY DISPLAYED IN THE HOSPITAL'S LOBBY AREAS AND OUTPATIENT PRACTICE LOCATIONS. BRONXCARE'S WEBSITE, IN DESKTOP AND MOBILE FORMAT (WHICH IS BILINGUAL), OFFERS CONSUMERS IMPORTANT INFORMATION REGARDING PROGRAMS AND SERVICES. BRONXCARE HAS ALSO UTILIZED PUBLIC SERVICE ANNOUNCEMENTS ON RADIO STATIONS AND IN WIDELY CIRCULATED NEWSPAPERS, AS WELL AS THROUGH SPECIAL BROCHURES, BANNERS, AND EXTERIOR BUS SIDES, AND FLYERS TO INFORM THE PUBLIC REGARDING ITS PROGRAMS, SERVICES, AND INITIATIVES. THE MAJORITY OF BRONXCARE'S STAFF RESIDE IN ITS SERVICE AREA. INFORMATION REGARDING THE SYSTEM IS ALSO EASILY SPREAD THROUGH WORD OF MOUTH. THESE COMMUNICATION CHANNELS ALLOW FOR COMMUNITY INPUT REGARDING HEALTH ISSUES AND NEEDS. 2. MEETINGS/INTERVIEWS: DURING INTERVIEWS AND ONGOING DISCUSSIONS WITH COMMUNITY LEADERS, KEY HEALTH ISSUES ARE IDENTIFIED, AS WELL AS THE SERVICES RELATED TO THEM. SEVERAL THEMES EMERGED FROM PREVIOUS SESSIONS, INCLUDING THE IMPORTANCE OF MAINTAINING AND ENHANCING ACCESSIBLE SERVICES, AND CULTURALLY AND LINGUISTICALLY APPROPRIATE PROGRAMS TO HELP REDUCE HEALTH DISPARITIES IN THE LATINO, AFRICAN AMERICAN, AND OTHER COMMUNITIES. THE NEED TO ADDRESS COVID-19, HEART DISEASE, CANCER, HYPERTENSION, DIABETES, OBESITY, ASTHMA, MENTAL HEALTH, AND SUBSTANCE ABUSE, AMONG OTHER CHRONIC DISEASES, CONTINUES TO BE A TOP PRIORITY PREVENTIVE CARE, AND ONGOING OUTREACH INITIATIVES, IN ADDITION TO EDUCATION PROGRAMS ARE ALSO UTILIZED TO MAXIMIZE COMMUNITY BENEFIT. 3. INPUT FROM STAKEHOLDERS: THE INPUT OF STAKEHOLDERS WAS OBTAINED THROUGH ONGOING SURVEYS AND DISCUSSIONS WITH BRONX RESIDENTS, AND COMMUNITY BASED ORGANIZATIONSAS WELL AS PATIENTS AND THEIR FAMILIES REGARDING HEALTH STATUS AND HEALTH NEEDS. SURVEY RESPONDENTS, INCLUDING COMMUNITY BASED ORGANIZATIONS, SENIOR CENTERS, AND OTHER HEALTH CARE PROVIDERS, ARE ALSO ACTIVE PARTICIPANTS.. AS A RESULT OF THIS INPUT FROM COMMUNITY PARTNERS, AND OTHERS, BRONXCARE DEVELOPED ITS COMMUNITY SERVICE PLAN AND NEEDS ASSESSMENT. 4. BRONXCARE'S DEPARTMENT OF DEVELOPMENT AND EXTERNAL AFFAIRS CONTINUES TO MEET REGULARLY WITH INTERESTED COMMUNITY, CHURCH, CIVIC, CONSUMER, AND BUSINESS GROUPS (INCLUDING LOCAL COMMUNITY BOARDS 3 AND 4) TO ENHANCE THE HOSPITAL'S ONGOING RELATIONSHIPS WITH THE COMMUNITY. ITS EFFORTS ARE ALSO DIRECTED TO HELPING INDIVIDUALS AND GROUPS (HEALTH ORGANIZATIONS, CHURCHES, SCHOOLS, LOCAL MERCHANTS) IMPROVE THEIR UNDERSTANDING OF THE GOALS AND OBJECTIONS SET FORTH IN BRONXCARE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED IN BRONXCARE HEALTH SYSTEM'S 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. PRIORITY AREA: PREVENT CHRONIC DISEASES - FOCUS AREA: PREVENTIVE CARE AND MANAGEMENT - GOAL 1: IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH ASTHMA, PREDIABETES AND DIABETES, CARDIOVASCULAR DISEASE, CANCER, AND OTHER CHRONIC DISEASES. - GOAL 2: INCREASE EARLY DETECTION OF ASTHMA, PREDIABETES AND DIABETES, CARDIOVASCULAR DISEASE, CANCER, AND OTHER CHRONIC DISEASES. - GOAL 3: INCREASE SCREENINGS FOR INDIVIDUALS WITH ASTHMA, PREDIABETES AND DIABETES, CARDIOVASCULAR DISEASE, CANCER, AND OTHER CHRONIC DISEASES. 2. PRIORITY AREA: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS - FOCUS AREA: PREVENT MENTAL AND SUBSTANCE ABUSE DISORDERS - GOAL 1: ADDRESS OPIOID CRISIS WITH THE AIM OF REDUCING OVERDOSES. - GOAL 2: ADDRESS HIGH INCIDENCE OF SUICIDE AND EXPAND ZERO SUICIDE GRANT PROGRAM TO REDUCE THIS MOST SERIOUS PROBLEM. - GOAL 3: CONTINUE TO ADDRESS THE SERIOUS MENTAL HEALTH ISSUES AND ACHIEVE EMOTIONAL WELLNESS IN THE BRONX COMMUNITY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF OTHER FACTORS USED IN DETERMINING FAP ELIGIBILITY: IN ADDITION TO THE FPG BCHS ALSO USES INCOME LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS AND UNDER INSURANCE STATUS TO DETERMINE ELGIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED HEALTH SERVICES INCLUDES VARIOUS MENTAL HEALTH CLINICS, EMERGENCY ROOM, PSYCHIATRY EMERGENCY ROOM, PSYCHIATRY INPATIENT AND NEONATAL ICU TOTAL COSTS FOR THE SUBSIDIZED SERVICES WERE $52,148,493 AND NET COMMUNITY BENEFIT OF THOSE SERVICES WAS DETERMINED TO BE $24,715,590.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>0</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED USING HOSPITAL FINANCIAL AND CHARGE DATA FROM INTERNAL SOURCES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS CHARGED IF THE RECEIVABLE IS DETERMINED TO BE UNCOLLECTIBLE BASED ON PERIODIC REVIEW BY MANAGEMENT. FACTORS USED TO DETERMINE WHETHER AN ALLOWANCE SHOULD BE RECORDED INCLUDE AGE OF THE RECEIVABLE AND A REVIEW OF PAYMENTS SUBSEQUENT TO YEAR END. BAD DEBTS ARE WRITTEN OFF AT GROSS CHARGES. COST IS DERIVED BY CONVERTING CHARGES USING INPATIENT AND OUTPATIENT RCC'S. IN ACCORDANCE WITH US GAAP, THE BAD DEBT EXPENSE IS REFERRED TO AS "IMPLICIT PRICE CONCESSION" IN FOOTNOTE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE ON THE ORGANIZATION'S FINANCIAL STATEMENTS THAT MENTIONS BAD DEBT EXPENSE CAN BE FOUND ON FOOTNOTE 2 ON PAGE 20 OF THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COSTING METHODOLOGY BRONXCARE HEALTH SYSTEM'S USED A COST TO CHARGE RATIO TO DETERMINE THE MEDICARE AMOUNTS IN PART III.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF BRONXCARE HEALTH SYSTEM TO MAKE EVERY EFFORT TO COLLECT ALL OPEN ACCOUNT TRIAL BALANCE AMOUNTS FROM SELF-PAYING PATIENTS AND/OR THIRD-PARTY PAYERS. AS PART OF THE PATIENT'S ADMISSION PROCESS, A FINANCIAL INVESTIGATOR REVIEWS EACH ADMISSION AND INTERVIEWS PATIENT, AS NECESSARY, TO VERIFY FINANCIAL COVERAGE. THIS IS DONE IN CONJUNCTION WITH ADMITTING TO ALSO NOTIFY INSURANCE CARRIERS AS REQUIRED. IF A PATIENT HAS NO HEALTH INSURANCE, HE IS EVALUATED FOR POSSIBLE GOVERNMENTAL ENTITLEMENT ELIGIBILITY AND IS ASSISTED IN OBTAINING A BENEFIT IF QUALIFIED. FINANCIAL INVESTIGATIONS IS CHARGED WITH THIS FUNCTION AND SUPPLIES THE INFORMATION TO PATIENT FINANCIAL SERVICES THROUGH AN ELECTRONIC FILE TRANSFER. HOSPITAL POLICY REQUIRES THAT A MINIMUM 274 DAYS ELAPSE BEFORE ANY EFFORT IS MADE TO WRITE OFF AN ACCOUNT OR ASSIGN IT TO COLLECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BRONXCARE HEALTH SYSTEM-FULTON: Line 16a URL: WWW.BRONXCARE.ORG; - BRONXCARE HEALTH SYSTEM-CONCOURSE: Line 16a URL: WWW.BRONXCARE.ORG;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BRONXCARE HEALTH SYSTEM-FULTON: Line 16b URL: WWW.BRONXCARE.ORG; - BRONXCARE HEALTH SYSTEM-CONCOURSE: Line 16b URL: WWW.BRONXCARE.ORG;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BRONXCARE HEALTH SYSTEM-FULTON: Line 16c URL: WWW.BRONXCARE.ORG; - BRONXCARE HEALTH SYSTEM-CONCOURSE: Line 16c URL: WWW.BRONXCARE.ORG;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>BRONXCARE HEALTH SYSTEM ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BRONXCARE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, WITH UPDATES PROVIDED BETWEEN ASSESSMENTS. THE HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS BUSINESS AND STRATEGIC PLANNING PROCESS. BRONXCARE RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. ITS COMMUNITY BENEFIT INCLUDES QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS, BASED ON AGE AND ETHNICITY; SOCIOECONOMIC DATA, INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES, PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES AND OUTCOMES. BRONXCARE ALSO WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS AND PUBLIC OFFICIALS IN ITS SERVICE AREA, AS WELL AS FEDERAL, STATE AND LOCAL GOVERNMENT AUTHORITIES AND HEALTH ORGANIZATIONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>BRONXCARE POSTS ON ITS WEBSITE THE CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF OUR FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. BRONXCARE HEALTH SYSTEM PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDEDIN PATIENT BILLS. PATIENTS ARE INFORMED OF THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATIONS FOR SUCH PROGRAMS, WHERE APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION - BRONXCARE'S COMMUNITY IS DEFINED BOTH BY MISSION AND GEOGRAPHY. IT IS CONSIDERED THE POOREST IN THE NATION WITH HIGH DISEASE INCIDENCE RATES. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL'S IMMEDIATE CONTIGUOUS AREAS, AS WELL AS BY THE BROADER SURROUNDING COUNTIES/REGIONS WHERE THE MAJORITY OF DISCHARGED PATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES BRONXCARE OFFERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH - BRONXCARE OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BRONXCARE ALSO PROVIDES URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BRONXCARE'S NUMEROUS OTHER SPECIALTY SERVICES INCLUDING DISEASE MANAGEMENT,SPECIALTY PRACTICES, DEVELOPMENTAL THERAPY, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES, AMONG OTHER PROGRAMS ARE RESPONDING TO THE NEEDS OF THE COMMUNITY. BRONXCARE ALSO HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BRONXCARE. BRONXCARE'S BOARD IS COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT ITS MISSION. IN ADDITION, BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BRONXCARE AND ITS AFFILIATES IN TERMS OF FULFILLING ITS COMMUNITY SERVICE MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDERSERVED. BRONXCARE ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS INCLUDING ITS RESIDENCY PROGRAMS IN AFFILIATION WITH ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI AND OTHER TRAINING PROGRAMS. BRONXCARE ALSO PARTICIPATES IN MEDICAID, MEDICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, AS WELL AS IS THE RECIPIANT OF NUMEROUS COMMUNITY ORIENTED GRANTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>BRONXCARE IS THE LARGEST VOLUNTARY, NOT-FOR-PROFIT HEALTH AND TEACHING HOSPITAL SYSTEM SERVING THE SOUTH AND CENTRAL BRONX. IT IS ALSO AMONG THE LARGEST PROVIDERS OF OUTPATIENT SERVICES IN NEW YORK CITY. ITS ER IS ONE OF THE LARGEST IN THE NATION WITH MORE THAN 127,000 VISTS. IN 2023, BRONXCARE RECEIVED FULL ACCREDITATION FROM THE JOINT COMMISSION, THE LEADING ACCREDITING AUTHORITY FOR HOSPITALS IN THE NATION. ITS MEDICAL SCHOOL AFFILIATION WITH THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI AND CLINICAL COLLABORATION WITH THE MOUNT SINAI HEALTH SYSTEM, AS WELL AS 16 ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS, ARE STRONG INDICATORS OF EXCELLENCE. BRONXCARE'S OUTPATIENT PRACTICES ARE ALSO CERTIFIED AS A LEVEL THREE PATIENT-CENTERED MEDICAL HOME (THE HIGHEST DESIGNATION) BY THE NATIONAL CENTER FOR QUALITY ASSURANCE. AS AN ENGINE FOR POSITIVE CHANGE, BRONXCARE HAS INFUSED MORE THAN $400 MILLION INTO THE BRONX ECONOMY, INCLUDING A NEW PEDIATRIC SPECIALTY CENTER AND OPHTHALMOLOGY PRACTICE, AMONG NUMEROUS OTHER CAPITAL PROJECTS. A NEW 33-BED MEDICAL-SURGICAL UNIT AT THE CONCOURSE HOSPITAL DIVISION AND 20-BED ADULT PSYCHIATRIC UNIT AT THE FULTON HOSPITAL DIVISION WILL INCREASE INPATIENT CAPACITY TO 912 BEDS, FURTHER REINFORCING BRONXCARE'S ABILITY TO ADDRESS THE SIGNIFICANT NEEDS OF THE BRONX COMMUNITY. BRONXCARE IS ALSO MODERNIZING ITS INPATIENT MATERNITY AND LABOR AND DELIVERY UNITS, AS WELL AS ITS WOMEN'S HEALTH CENTER AND NEUROLOGY SUITE, TO IMPROVE THE PATIENT EXPERIENCE. ADDITIONALLY, BRONXCARE'S DR. MARTIN LUTHER KING, JR. HEALTH CENTER PRACTICE AT 174TH STREET WILL BE OPENING. THE IMPORTANCE OF FULFILLING BRONXCARE'S ESSENTIAL COMMUNITY ROLE IS EVIDENT THROUGHOUT THE BRONX. ITS STAFF REGULARLY PROVIDES FREE CHECKUPS, SCREENINGS, AND NUTRITIONAL COUNSELING AT SCHOOLS, NURSING HOMES, SENIOR CITIZEN CENTERS, CHURCHES, AND OTHER ORGANIZATIONS. A DIASPORA PRACTICE IS ALSO RESPONDING TO THE HEALTH AND SOCIAL SERVICE NEEDS OF THE GROWING AFRICAN COMMUNITY. IN THE EDUCATIONAL AREA, BRONXCARE'S INNOVATIVE APPRENTICESHIP PROGRAM, A COLLABORATIVE EFFORT WITH THE 1199SEIU LABOR UNION AND OTHER KEY ORGANIZATIONS, IS WIDELY RECOGNIZED FOR ITS SUCCESS IN TRAINING HEALTH CARE WORKERS. BRONXCARE'S MOBILE HEALTH UNITS ARE ALSO BRINGING PHYSICIANS AND MEDICAL SERVICES DIRECTLY INTO THE COMMUNITY. AT BRONXCARE, STRONG AND PRODUCTIVE PARTNERSHIPS WILL BE MAINTAINED AND ENHANCED WITH COMMUNITY ORGANIZATIONS, RELIGIOUS INSTITUTIONS, LABOR UNIONS, GOVERNMENTAL AGENCIES, COMMUNITY BOARDS, AND HEALTH CARE PROVIDERS, AMONG NUMEROUS OTHER GROUPS. THE EMPHASIS WILL BE ON CONSISTENTLY STRIVING TO ACHIEVE POSITIVE HEALTH OUTCOMES FOR THE BRONX COMMUNITY. BRONXCARE, IS ESPECIALLY PROUD OF ITS SUCCESSFUL EFFORTS TO MEET THE NEEDS OF OUR COMMUNITY. ITS MANY CENTERS OF EXCELLENCE, AS WELL AS EXPERT AND EXPERIENCED TEAM, ARE DELIVERING THE HIGHEST QUALITY OF COMPREHENSIVE, COMPASSIONATE, AND ACCESSIBLE SERVICES BY LEADING THE WAY IN CARING FOR THE BRONX AND FULFILLING ITS VISION FOR THE FUTURE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>NY</ExplanationTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>552</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>6361</DeferredCompensationFlngOrgAmt>
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        <PersonNm>DR MAGDY MIKHAIL</PersonNm>
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        <PersonNm>DR RAMESH BABU</PersonNm>
        <TitleTxt>ASSOCIATE DIR, NEUROSURGERY</TitleTxt>
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        <PersonNm>DR ROBERT FAVELUKES</PersonNm>
        <TitleTxt>CHAIRMAN-EMERGENCY DEPARTMENT</TitleTxt>
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        <PersonNm>DR ALAADDIN SHARHA</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR IRA KIRSCHENBAUM</PersonNm>
        <TitleTxt>CHAIRMAN-ORTHOPEDICS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>200000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>27080</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>29198</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>971864</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>MR. VICTOR G. DEMARCO AND MR. ROBERT SANCHO PARTICIPATE IN A 457(F) PLAN. THERE WERE NO CONTRIBUTIONS TO THE PLAN DURING 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>MR. MIGUEL A. FUENTES, JR. RECEIVED $766,143 REPRESENTING AN ANNUAL BONUS AWARDED BY THE BOARD IN RECOGNITION OF THE SIGNIFICANT CONTRIBUTIONS MADE BY MR. FUENTES. THIS BONUS IS BASED ON HIS SUCCESS IN ACHIEVING SPECIFIC TARGETS RELATED TO THE HOSPITAL'S OPERATIONS INCLUDING CONTROL OF GROWTH IN PAYROLL AND MEDICAL QUALITY PERFORMANCE. MR. VICTOR G. DEMARCO, MR. HIRAM TORRES, MR. JON HUGHES, MR. ROBERT SANCHO, MS. PATRICIA CAHILL, AND MS. ERICA DUSSELRORP WERE AWARDED BONUSES BY THE PRESIDENT AND CEO FOR ACHIEVEMENT OF GOALS SET FORTH IN THE BEGINNING OF THE YEAR. PHYSICIAN BONUSES ARE DETERMINED BY THE DEPARTMENT CHAIRMAN BASED UPON THE INDIVIDUAL'S CONTRIBUTION TO THE DEPARTMENT.</ExplanationTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>Anthony Dimartino</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>FAMILY MEMBER OF RITA DIMARTINO, BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>103000</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Eboni Lowe</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF BARBARA LOWE, BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>154077</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <DrugsAndMedicalSuppliesGrp>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1733553</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Drugs and medical supplies - Number of contributions</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BRONXCARE HEALTH SYSTEM'S MISSION IS TO DELIVER THE HIGHEST QUALITY ACCESSIBLE CARE IN RESPONDING TO THE NEEDS OF THE COMMUNITY, WHILE ASSURING AN ENVIRONMENT WHERE PATIENT SAFETY AND SATISFACTION ARE A PRIORITY. THIS MISSION EMBRACES A SAFETY CULTURE THAT IS REPORTING, LEARNING, FAIR AND JUST, AS WELL AS BUILDING A HEALTH CARE NETWORK THAT IS CONTINUOUSLY STRIVING FOR HEALTH EQUITY AND EXCELLENCE IN CARE. AT BRONXCARE, WE ANTICIPATE AND RESPOND TO CHANGES IN ORDER TO REINFORCE OUR ESSENTIAL LEADERSHIP ROLE IN THE PROVISION OF QUALITY, COMPREHENSIVE AND EQUITABLE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IRS FORM 990 IS REVIEWED BY MANAGEMENT AND THEN IS DISTRIBUTED TO MEMBERS OF THE HOSPITAL'S FINANCE, AUDIT AND INVESTMENT COMMITTEE (FAIC) WHICH IS A STANDING COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS. AT A MEETING OF FAIC THE ENTIRE IRS FORM 990 IS PRESENTED AND REVIEWED IN DETAIL PRIOR TO THE SUBMISSION TO THE IRS. SUBSEQUENT TO THE FAIC MEETING AND BEFORE THE IRS FORM 990 IS FINALIZED, A COMPLETE COPY OF THIS FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE GOVERNING BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PERSONS ARE COVERED UNDER THE POLICY. THE INTERNAL AUDITOR REVIEWS CONFLICT OF INTEREST STATEMENTS AND INVESTIGATES POTENTIAL CONFLICTS. LEGAL OPINIONS ARE SOUGHT WHEN NECESSARY. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS IN RELATED TRANSACTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>BRONXCARE HAS A PROCESS FOR DETERMINING COMPENSATION OF OFFICERS. ALL ELEMENTS OF COMPENSATION AND BENEFITS PROVIDED TO EACH OFFICER ARE REVIEWED AND APPROVED IN ADVANCE BY THE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF TRUSTEES, AND THIS REVIEW AND APPROVAL PROCESS IS CONDUCTED IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL INCOME TAX LAW. THE COMMITTEE CONSISTS OF THREE INDEPENDENT MEMBERS OF THE BOARD. THEY RECEIVE AND RELY ON APPROPRIATE COMPARABILITY DATA GATHERED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS, AND THEY PREPARE A CONTEMPORANEOUS AND THOROUGH WRITTEN RECORD OF THEIR DELIBERATIONS AND DECISIONS. THIS REBUTTABLE PRESUMPTION PROCESS IS CONDUCTED ANNUALLY WITH RESPECT TO ALL ELEMENTS OF EACH OFFICER'S COMPENSATION AND BENEFITS. THE LAST TIME THIS WAS DONE WAS IN 2024. THE COMMITTEE REVIEWS AND APPROVES IN ADVANCE THE INCENTIVE COMPENSATION GOALS FOR THE PRESIDENT AND CEO AND ANY OTHER OFFICER, AND ASSURES THAT TOTAL CASH COMPENSATION, INCLUDING THE INCENTIVE COMPENSATION, IS REASONABLE. THE COMMITTEE HAS EXPRESSLY DETERMINED THAT THE TOTAL COMPENSATION AND BENEFITS PROVIDED TO EACH OFFICER ARE REASONABLE, BASED ON THE REVIEW OF THE MARKET DATA PRESENTED BY THE INDEPENDENT COMPENSATION CONSULTANT AND ON THE REVIEW OF ALL OTHER RELEVANT FACTS AND CIRCUMSTANCES. All were reviewed in 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>See 15a Narrative</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>ONLY FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE SERVICES - Total Expense: 21974635, Program Service Expense: 14063766, Management and General Expenses: 7910869, Fundraising Expenses: ; Medical Services - Total Expense: 9453119, Program Service Expense: 6049996, Management and General Expenses: 3403123, Fundraising Expenses: ; BILLING EXPENSES - Total Expense: 6992400, Program Service Expense: 4475136, Management and General Expenses: 2517264, Fundraising Expenses: ; Dietary - Total Expense: 9435271, Program Service Expense: 6038573, Management and General Expenses: 3396698, Fundraising Expenses: ; AMBULANCE SERVICES - Total Expense: 6535656, Program Service Expense: 4182820, Management and General Expenses: 2352836, Fundraising Expenses: ; CODING - Total Expense: 1859252, Program Service Expense: 1189921, Management and General Expenses: 669331, Fundraising Expenses: ; EMPLOYEE TRAINING/RECRUITMENT - Total Expense: 164478, Program Service Expense: 105266, Management and General Expenses: 59212, Fundraising Expenses: ; TUITION REIMBURSEMENT - Total Expense: 1684989, Program Service Expense: 1078393, Management and General Expenses: 606596, Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: XXX-XX-XXXX, Program Service Expense: 67650452, Management and General Expenses: 34663887, Fundraising Expenses: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension Adjustment - 47650054; Other components of net periodic pension and benefit costs - -9635822; Total - 38014232;</ExplanationTxt>
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          <BusinessNameLine1Txt>BLHC PPS LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
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          <BusinessNameLine1Txt>1660 MORRIS AVENUE LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
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          <ZIPCd>10456</ZIPCd>
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        <EIN>874670113</EIN>
        <PrimaryActivitiesTxt>REAL EST. DEV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>MARTIN LUTHER KING JR HEALTH CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>1265 FRANKLIN AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>133183084</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <AddressLine1Txt>936 WOODYCREST AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <AddressLine1Txt>1276 FULTON AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10456</ZIPCd>
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        <PrimaryActivitiesTxt>REDEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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</Return>
