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      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN T MILLS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES F PRESTON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <PersonNm>JOSEPH PUFAHL</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAY P QUARTARARO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD SCHOTT</PersonNm>
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        <PersonNm>PAUL J CONNOR III</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT RAGONA</PersonNm>
        <TitleTxt>VP FINANCE &amp; CFO</TitleTxt>
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        <PersonNm>JARID PACHTER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DELIA PISPISA</PersonNm>
        <TitleTxt>VP OF NURSING</TitleTxt>
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        <PersonNm>WILLIAM J MESSNER</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN APICELLO</PersonNm>
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        <PersonNm>JOEL LAZARUS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND KRUPSKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL SCOTTO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Theresa Glass</PersonNm>
        <TitleTxt>VP Clinical Services</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK DUMONT</PersonNm>
        <TitleTxt>HUMAN RESOURCES DIRECTOR</TitleTxt>
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          <PersonNm>CARDINAL HEALTH</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5303 Collections Center Drive</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Paragon Emergency Medicine</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 284</AddressLine1Txt>
            <CityNm>WADING RIVER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>OWENS AND MINOR</PersonNm>
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          <USAddress>
            <AddressLine1Txt>1950 N Stemmons Fwy STE 5010</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Island Builders</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>950 Johnson Avenue</AddressLine1Txt>
            <CityNm>RONKONKOMA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11779</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>East End Physician Services PC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 1341</AddressLine1Txt>
            <CityNm>SOUTHOLD</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11971</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <GovernmentGrantsAmt>36000</GovernmentGrantsAmt>
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      <TotalContributionsAmt>1339685</TotalContributionsAmt>
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        <Desc>NET PATIENT SERVICES</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>41141531</TotalRevenueColumnAmt>
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      <TotalProgramServiceRevenueAmt>41141531</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>109354</TotalRevenueColumnAmt>
        <ExclusionAmt>109354</ExclusionAmt>
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      <GrossRentsGrp>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>43483</TotalRevenueColumnAmt>
        <ExclusionAmt>43483</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <GainOrLossGrp>
        <SecuritiesAmt>87442</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
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      <FundraisingDirectExpensesAmt>148269</FundraisingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>118000</TotalRevenueColumnAmt>
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        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ProgramServicesAmt>155458</ProgramServicesAmt>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>28975</FundraisingAmt>
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        <ProgramServicesAmt>56763</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5046</ManagementAndGeneralAmt>
        <FundraisingAmt>1261</FundraisingAmt>
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        <ProgramServicesAmt>323684</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28772</ManagementAndGeneralAmt>
        <FundraisingAmt>7193</FundraisingAmt>
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        <ProgramServicesAmt>42892</ProgramServicesAmt>
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        <FundraisingAmt>953</FundraisingAmt>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>814384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72390</ManagementAndGeneralAmt>
        <FundraisingAmt>18097</FundraisingAmt>
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        <ProgramServicesAmt>612364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54432</ManagementAndGeneralAmt>
        <FundraisingAmt>13608</FundraisingAmt>
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        <ProgramServicesAmt>4594508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>408401</ManagementAndGeneralAmt>
        <FundraisingAmt>102100</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2207714</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1459897</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>828405</TotalAmt>
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        <FundraisingAmt>34635</FundraisingAmt>
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        <ProgramServicesAmt>46841281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3800704</ManagementAndGeneralAmt>
        <FundraisingAmt>959415</FundraisingAmt>
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        <EOYAmt>656528</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1903852</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>826805</EOYAmt>
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        <EOYAmt>642339</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>38938947</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>13593587</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3351600</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>13738457</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2400000</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>3010240</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>28897973</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>421593</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>29319566</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-5255169</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>63215</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>146301</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
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        <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>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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        <InvestmentEarningsOrLossesAmt>87140</InvestmentEarningsOrLossesAmt>
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        <BookValueAmt>419756</BookValueAmt>
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        <BookValueAmt>6332173</BookValueAmt>
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      <LeaseholdImprovementsGrp />
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      <OtherLandBuildingsGrp />
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM STONY BROOK</Desc>
        <BookValueAmt>71008</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>72089</BookValueAmt>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
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        <Amt>737803</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION LIABILITY</Desc>
        <Amt>147437</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED MALPRACTICE RECOVERIES</Desc>
        <Amt>2125000</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE AN ASSET BASE, AND ALLOW EARNINGS TO FUND GROWTH AND DEVELOPMENT OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER ASC 740-10, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES", AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. (THE "REPORTING ORGANIZATION") DOES NOT BELIEVE THEY HAVE TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE REPORTING ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEAR ENDED DECEMBER 31, 2016, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS. MANAGEMENT BELIEVES THAT THE REPORTING ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <Event2Nm>GOLF OUTING</Event2Nm>
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        <FAPAvailableOnWebsiteURLTxt>www.elih.org</FAPAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>www.elih.org</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of the assessment process, ELIH engages in periodic surveys, meets with advisory boards and collaborative committees and conducts a Community Health Needs Assessment (CHNA) in cooperation with Suffolk County Department of Health Services and the Nassau Suffolk Hospital Council members. ELIH continues its annual process with community partners and advisory boards to assess active programs and gaps identified through both solicited and unsolicited feedback. Notifications and requests to participate are mailed to over 200 clubs and organizations, including faith-based organizations as well as open invitations by email. Ongoing meetings and relationships through the following partnerships provide valuable perspectives and real-time evaluations of community healthcare needs. Within this collaboration, partnerships are forged, service gaps are indentified, and community outreach needs and programming efforts are coordinated. ELIH community partners and community-based organizations include: C.A.S.T. Community Action Southold Town Congregation Tifereth Israel Temple Cutchogue Homemakers Cutchogue-New Suffolk Library Cutchogue Presbyterian Church Earthrite Textile Recycling, Inc. Eastern Suffolk BOCES Floyd Memorial Library, Greenport The Guidance Center Services, Inc. Greenport and Southold Rotary Clubs Holy Trinity Episcopal Church, Greenport HUGS of America Island Gift of Life Foundation Long Island Blood Services Long Island Health Collaborative Mattituck Chamber of Commerce Mattituck Community Fund Mattituck Library Mattituck-Cutchogue School District Mattituck, Cutchogue, Southold, Greenport, East Marion, Orient and Shelter Island Emergency Medical Squads and Fire Departments Mattituck Presbyterian Church Maurer Foundation Mollie Biggane Foundation Mattituck Lyons Club Mental Health Association Suffolk New York Organ Donor Network North Fork Breast Coalition North Fork Chamber of Commerce North Fork Promotion Council North Fork Suicide Prevention Coalition Orient Congregational Church Peconic Retreat Peconic Landing The Retreat RSVP of Suffolk County San Simeon SNF Shelter Island Library Shelter Island School District Shelter Island Senior Services Southold First Presbyterian Church Southold School District Southold Town Senior Services Southold Mothers Club Southold-Mattituck-Greenport High School Business Advisory St. Agnes Roman Catholic Church St. Peters Lutheran Church Stony Brook Medicine Suffolk County Office for the Aging United Way of Long Island Utopia (Home Care) Winthrop University Hospital Physicians</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Lines 6A AND 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2013, hospitals and both County Departments of Health on Long Island convened to work collaboratively on the community health needs assessment. Over time, this syndicate grew into an expansive membership of academic partners, community-based organizations, physicians and other community leaders who hold a vested interest in improving community health and supporting the NYS Department of Health Prevention Agenda. Designated "The Long Island Health Collaborative," this multi-disciplinary entity has been meeting monthly to work collectively toward improving health outcomes for Long Islanders. In 2015, the Long Island Health Collaborative was awarded the New York State Department of Health Population Health Improvement Program (PHIP) grant by the New York State Department of Health. The PHIP is a data-driven entity, pledged to pursue the New York State of Healths Prevention Agenda, making the program a natural driver for the Community Health Needs Assessment cycle.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2016 findings from a community-wide survey conducted by Eastern Long Island Hospital (ELIH) in collaboration with Long Island Health Collaborative (LIHC) resulted in chronic disease health concerns in the following areas: - Drug and Alcohol Abuse - Cancer - Heart Disease and Stroke - Womens Health and Wellness - Obesity/Weight-loss Issues The goal of the assessment is to improve the health of the community as reflected in Eastern Long Island Hospitals mission and vision. ELIH will use and analyze the results of the health needs assessment for strategic decision-making purposes with the intention of addressing the most pressing health issues and current trends in the communities it serves. CHRONIC HEALTH GOAL #1 - Drug and Alcohol Abuse - Reduce prevalence and increase community awareness. OBJECTIVES: Increase access to preventive care through screening, education and the integration of Primary Care Services and Behavioral Health. ELIH Focus: Drug and Alcohol Abuse prevention and education - Screening Brief Intervention and Referral for Treatment (SBIRT). This program has been defined by SAMHSA as a comprehensive, integrated, public health approach to the delivery of early intervention for individuals with risky alcohol and drug use, and the timely referral to more intensive substance abuse treatment for those who have Substance Use Disorders (SUD). Substance Use Screening is incorporated in assessments for all clinical services within Eastern Long Island Hospital. Substance Use Disorder (SUD) treatment is provided at ELIH via the continuum of Quannacut Services. ELIH is in process of revising SUD Screening to include the evidence-based screening tools required for inclusion in the Suffolk Care Collaborative SBIRT Project - Provide community-based education to prevent Substance Abuse. CHRONIC HEALTH GOAL #2 - Cancer Provide workshops to the North Fork and Shelter Island residents providing ways to change lifestyle habits, increase and provide educational materials. OBJECTIVES: Increase access to early detection screening. ELIH Focus: Womens health and wellness, complete medical program (CMP) for colorectal and mammogram screening, skin cancer screening and smoking cessation. - Melanoma Awareness and free Skin Cancer Screening. - Host "Learn to Be --- Tobacco Free" program in collaboration with the Suffolk County Department of Health. - Host Early Detection &amp; Prevention Program for Breast Health Awareness. CHRONIC HEALTH GOAL #3 - Heart Disease &amp; Stroke - Targeting the North Fork and Shelter Island for heart disease and stroke by directly addressing programs that will speak to healthier objectives for heart disease and stroke prevention. OBJECTIVES: Increase programs throughout the area. ELIH Focus: Stroke screening and healthy heart seminars. - Host "Learn to Be --- Tobacco Free" program in collaboration with the Suffolk County Department of Health. - Actively participate in American Heart Association Walk-Run. - Create walk-run for the North Fork and Shelter Island communities. - Host healthy eating and heart disease prevention programs. CHRONIC HEALTH GOAL #4 - Womens Health &amp; Wellness - Help women of all ages achieve better physical, emotional, social, and spiritual health by encouraging healthy practices. OBJECTIVES: Increase access to early detection screening and healthy living habits. ELIH Focus: Womens health and wellness, complete medical program (CMP) for colorectal and mammogram screening, smoking cessation, healthy eating and heart disease prevention and physical fitness. - Host "Learn to Be --- Tobacco Free" program in collaboration with the Suffolk County Department of Health. - Host Early Detection &amp; Prevention Program for Breast Health Awareness - Host healthy eating and heart disease prevention programs Women and Heart Disease Campaign in February - Continue to operate ELIH Gym for ongoing weight reduction and fitness classes for North Fork and Shelter Island residents. CHRONIC HEALTH GOAL #5 - Obesity/Weight-loss Reduce incidence of obesity and related co-morbidities. OBJECTIVES: Provide tools and knowledge to positively impact food choices and activity levels. ELIH Focus: Promote weight reduction strategies through nutritional counseling and fitness coaching strategies. - Promotion and participation in the WALK Long Island Campaign through distribution of promotional materials at community events and through social media. - Continue to operate ELIH Gym for ongoing weight reduction and fitness classes for North Fork and Shelter Island residents, with special emphasis on Seniors; develop fitness class for seniors. - Coordinate Senior Wellness Education Series for Seniors &amp; Caregivers. - Balance, Exercise &amp; Aging Seminar The Community Health Needs Assessment and Implementation Plan is available on the Hospital's website at www.elih.org.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE, http://www.elih.org/SERVICES/COMMUNITYRESOURCES/ServicePlan/tabid/210/ Default.aspx. ADDITIONAL INFORMATION IN CONNECTION WITH SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CAN BE OBTAINED IN THE COMMUNITY BENEFIT REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL USED COST OF CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. IN GENERAL, THE HOSPITAL ATTEMPTS TO BILL ALL PATIENTS UNTIL A DETERMINATION CAN BE MADE THAT THE PATIENT IS UNABLE TO PAY. THEREFORE, DISTINGUISHING BETWEEN CHARITY CARE AND OTHER UNCOMPENSATED CARE IS NOT PERFORMED. FOR THE YEAR ENDED DECEMBER 31, 2016, TOTAL UNCOMPENSATED CARE, MEASURED AT CHARGES, WAS APPROXIMATELY $204,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS SHOWN IN THE AUDITED FINANCIAL STATEMENTS. THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE (4)(F) ON PAGES 11 AND 12 AND FOOTNOTE 7 ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL AND AFFILIATE. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF CARE TO THE MEDICARE POPULATION IN THE HOSPITAL'S COMMUNITY EXCEEDS THE REIMBURSEMENT DUE TO SHORTFALLS IN MEDICARE METHODOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSISTENT WITH MEDICARE REGULATIONS, COLLECTION POLICIES ARE UNIVERSALLY APPLIED TO BALANCES RELATED TO PATIENT RESPONSIBILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT:</FormAndLineReferenceDesc>
        <ExplanationTxt>EASTERN LONG ISLAND HOSPITAL HAS AN EXTENSIVE PROGRAM OF COMMUNITY OUTREACH. INPUT ON THE COMMUNITY SERVICE PLAN IS RECEIVED FROM BOTH INTERNAL AND EXTERNAL SOURCES. NEEDS ARE ASSESSED ON AN ANNUAL BASIS BY THE BOARD OF TRUSTEES, HOSPITAL MANAGEMENT AND STAFF, VOLUNTEERS, AND LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATION AND GOVERNMENTAL AGENCIES. IN ADDITION TO OUTREACH EFFORTS, THE HOSPITAL -- THROUGH ITS GERIATRIC ASSESSMENT PROGRAM -- CONDUCTED A COMMUNITY NEEDS SURVEY IN ORDER TO IDENTIFY THOSE SERVICES THAT THE COMMUNITY BELIEVED WOULD FOSTER INDEPENDENT LIVING FOR THE ELDERLY RESIDENTS OF THE SERVICE AREA. SURVEYS WERE SENT TO RESIDENTS OF PECONIC LANDING, MEMBERS OF SENIOR CITIZEN CENTERS, RECIPIENTS OF "MEALS ON WHEELSPARTICIPANTS IN CONGREGATE DINING PROGRAMS AND PROVIDED IN DOCTOR'S OFFICE'S, OTHER ALLIED PROFESSIONAL OFFICES AND THE HOSPITAL'S LOBBY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:</FormAndLineReferenceDesc>
        <ExplanationTxt>EASTERN LONG ISLAND HOSPITAL POSTS SUMMARY OF ITS CHARITY CARE POLICIES IN ALL POINT OF CONTACT AREAS AND PROVIDES ASSISTANCE IN SECURING ENTITLEMENTS THROUGH AN INFORMED AND PROACTIVE PATIENT STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 - COMMUNITY INFORMATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>EASTERN LONG ISLAND HOSPITAL HAS TWO DISTINCT SERVICE AREAS: ONE FOR THEIR MEDICAL SURGICAL SERVICES AND ONE FOR THEIR BEHAVIORAL HEALTH SERVICES. THE HOSPITAL'S MEDICAL SURGICAL SERVICE AREA EXTENDS EAST TO WEST FROM ORIENT TO MATTITUCK. THE POPULATION SERVED BY THE HOSPITAL IS SIGNIFICANTLY OLDER ON AVERAGE THAN SUFFOLK COUNTY, NEW YORK STATE AND NATIONALLY. MORE THAN THIRTY-NINE (39) PERCENT OF THE RESIDENTS IN THE SERVICE AREA ARE FIFTY-FIVE (55) AND OLDER WITH MORE THAN ONE IN FOUR RESIDENTS OVER THE AGE OF SIXTY-FIVE (65). THE HOSPITAL HAS DEVELOPED PROGRAMS THAT ARE SPECIFICALLY GEARED TOWARDS MEETING THE HEALTH CARE NEEDS OF THIS OLDER POPULATION, INCLUDING THE HOSPITAL'S GERIATRIC CENTER OF EXCELLENCE. THE PROGRAM WAS OPENED AT EASTERN LONG ISLAND HOSPITAL TO PROVIDE A TEAM APPROACH TO PROFESSIONAL CARE FOR THE GROWING ELDERLY POPULATION OF THE NORTH FORK AND SHELTER ISLAND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE BOARD RESIDE IN THE COMMUNITY. THE HOSPITAL OFFERS MEDICAL PRIVILEGES TO QUALIFIED MEDICAL STAFF AND ACTIVELY SOLICITS PHYSICIANS TO JOIN THE COMMUNITY WHEN THERE IS AN UNFULFILLED NEED.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMOND KRUPSKI</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>148430</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10368</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25486</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>184284</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL SCOTTO</PersonNm>
        <TitleTxt>MIS DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>148172</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10595</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37883</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>196650</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Theresa Glass</PersonNm>
        <TitleTxt>VP Clinical Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>141432</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9891</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37845</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189168</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANK DUMONT</PersonNm>
        <TitleTxt>HUMAN RESOURCES DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>135240</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2751</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9540</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37954</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>185485</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SUFFOLK COUNTY INDUSTRIAL DEVELOPMENT AGENCY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>112584714</BondIssuerEIN>
        <CUSIPNum>864768NTR</CUSIPNum>
        <BondIssuedDt>2007-06-27</BondIssuedDt>
        <IssuePriceAmt>17760000</IssuePriceAmt>
        <PurposeDesc>IMPROVEMENTS OF HOSPITAL FACILITY</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>17760000</TotalProceedsAmt>
        <InReserveFundAmt>1187569</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>11793210</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>765422</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>5939581</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE FINANCE TEAM OF THE HOSPITAL, WHICH INCLUDES THE CEO, CFO AND CONTROLLER. ALSO, THE RETURNS ARE DISTRIBUTED TO THE MEMBERS OF THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. ANY CHANGES ARE IMPLEMENTED PRIOR TO FILING THE FINAL VERSION OF THE ANNUAL FORM 990. FORM 990, PART VI, SECTION B, LINE 12C: H.R. POLICIES ARE REVIEWED ANNUALLY BY THE AUDIT COMMITTEE AND DISCUSSED AT THE QUARTERLY MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A:</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT HUMAN RESOURCES COMMITTEE CONSISTING OF INDEPENDENT BOARD MEMBERS MEET TO REVIEW AND DISCUSS THE CEO'S COMPENSATION PACKAGE. THE PROCESS INCLUDES A REVIEW OF THE CEO'S PERFORMANCE AND A COMPARISON OF THE CEO'S ROLE AND COMPENSATION TO OUR SISTER HOSPITALS (CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER &amp; SOUTHAMPTON HOSPITAL) AS WELL AS OTHER HOSPITALS IN SIMILAR GEOGRAPHIC LOCATIONS. THEY ALSO COMPARE IT WITH PUBLISHED STANDARDS OF OTHER HOSPITALS. IN ADDITION THEY REACH OUT TO OTHER INDEPENDENT ORGANIZATIONS SUCH AS THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) TO COMPILE THIS DATA. AFTER THE HUMAN RESOURCES COMMITTEE COMPLETES THEIR DELIBERATION THEY MEET WITH THE FULL BOARD OF THE HOSPITAL TO DISCUSS THEIR FINDINGS AND MAKE SUGGESTIONS BEFORE THE FULL BOARD VOTES TO APPROVE THE COMPENSATION PACKAGE. THE DELIBERATION AND DECISION OF THE BOARD IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS IS SIMILAR TO 15A ABOVE AND INCLUDES AN ANNUAL EVALUATION CONDUCTED BY THE CEO AND PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD WHO APPROVE THE COMPENSATION PACKAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY.....$146,301.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EASTERN LONG ISLAND HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>201 MANOR PLACE</AddressLine1Txt>
          <CityNm>GREENPORT</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11944</ZIPCd>
        </USAddress>
        <EIN>203851050</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 TYPE 1</PublicCharityStatusTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EAST END PHYSICIAN SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>201 MANOR PLACE</AddressLine1Txt>
          <CityNm>GREENPORT</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11944</ZIPCd>
        </USAddress>
        <EIN>460852920</EIN>
        <PrimaryActivitiesTxt>PRIMARY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORPORATION</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>713100</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>159500</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EAST END PHYSICIAN SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1426498</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>