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        <BusinessNameLine1>ERNST &amp; YOUNG US LLP</BusinessNameLine1>
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        <City>INDIANAPOLIS</City>
        <State>IN</State>
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        <BusinessNameLine1>New York Downtown Hospital</BusinessNameLine1>
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      <InCareOfNm>% MARK LARMORE</InCareOfNm>
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        <State>NY</State>
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        <PersonNm>MARK LARMORE</PersonNm>
        <PhoneNum>2122974356</PhoneNum>
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          <AddressLine1>170 WILLIAMS STREET</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10038</ZIPCode>
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        <PersonNm>Frances G Laserson</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Neil Moskowitz</PersonNm>
        <TitleTxt>Trustee - thru 5/2013</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Philip Seskin</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Squeri</PersonNm>
        <TitleTxt>Trustee - thru 5/2013</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Douglas A Skolnick</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald J Strauss</PersonNm>
        <TitleTxt>Trustee - thru 5/2013</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John A Ward III</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stanley Zinberg MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Forese MD</PersonNm>
        <TitleTxt>Trustee/ceo</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Wayne M Osten</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gary J Zuar</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gerald Ginsberg MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Alfano</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Friedman MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jerry Castoria</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Fosina</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Gagliardi md</PersonNm>
        <TitleTxt>Chief medical officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>bernadette khan</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Smith MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eli Bryk md</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah Sonenblick MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Forest Manheimer MD</PersonNm>
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        <PersonNm>Geoffrey Webber</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Atul Sharma MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alexander Slotwiner MD</PersonNm>
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            <State>TX</State>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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            <State>NC</State>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Weill Medical College</PersonNm>
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          <USAddress>
            <AddressLine1>1300 York Avenue</AddressLine1>
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            <State>NY</State>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>FCIC Construction</PersonNm>
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            <City>VALLEY STREAM</City>
            <State>NY</State>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Swanke Hayden Connell Architects</PersonNm>
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          <USAddress>
            <AddressLine1>295 Lafayette Street</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
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        <BusinessCd>624100</BusinessCd>
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        <BusinessCd>900099</BusinessCd>
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        <FundraisingAmt>1050</FundraisingAmt>
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        <FundraisingAmt>1467</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>3890695</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>551824</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <Desc>MEDICAL EXPENSES</Desc>
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      <OtherExpensesGrp>
        <Desc>HOSPITAL ASSOCIATION DUES</Desc>
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      <OtherExpensesGrp>
        <Desc>BOND FEES</Desc>
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      <OtherExpensesGrp>
        <Desc>ALL OTHER EXPENSES</Desc>
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      <GrantsPayableGrp>
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      <DeferredRevenueGrp>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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        <BOYAmt>74300369</BOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>170580717</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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      <TemporarilyRstrNetAssetsGrp>
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      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>6710453</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>55786386</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>226367103</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2994938</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-231518</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-52559930</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
      <ContributionControllerInd>false</ContributionControllerInd>
      <ContributionFamilyInd>false</ContributionFamilyInd>
      <Contribution35ControlledInd>false</Contribution35ControlledInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>10299</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>10299</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1F</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW YORK DOWNTOWN HOSPITAL PAID $10,299 TO GEORGE ARTZ COMMUNICATION, INC. TO LOBBY FOR GOVERNMENT FUNDING CAPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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        <AdministrativeExpensesAmt>18436</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>0</EndYearBalanceAmt>
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        <OtherExpendituresAmt>2493467</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>34760</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>16193733</EndYearBalanceAmt>
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        <ContributionsAmt>5157346</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>589577</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>5431416</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>33499</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>15519855</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <ContributionsAmt>8519973</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>783156</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>9055039</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>29164</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>15237847</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
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        <ContributionsAmt>2152811</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>857782</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3139895</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>37136</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>15018921</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp />
      <OtherLandBuildingsGrp />
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>On july 1, 2013, the new york downtown hospital merged with the New York Presbyterian Hospital and ceased operating as a seperate licensed facility. As a result of the merger, the endowment funds shown in Part V were transferred and now a part of the New York and Presbyterian Hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2822803</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>8852</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>14420092</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>11367754</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>3052338</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>new york downtown hospital</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>170 william street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10038</ZIPCode>
        </USAddress>
        <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>outpatient Clinic ambulatory surgery chronic dialysis</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>New York Downtown Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <UninsuredDiscountInd>X</UninsuredDiscountInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <StateRegulationInd>X</StateRegulationInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <ExplanationTxt>the New York Downtown hospital merged with the New York Presbyterian Hospital. All required information for schedule h part V for the reporting period (January 1, 2013 - June 30, 2013) will be disclosed on the New York and Presbyterian hospital form 990 for the period (January 1, 2013 - December 31, 2013). ON JULY 1, 2013, NEW YORK DOWNTOWN HOSPITAL CEASED OPERATING AS A SEPaRATE LICENSED FACILITY. THE INFORMATION DISCLOSED for part v, section b, Financial assistance policy (#9 - 14); Billing and collections (#15 - 18); Policy relating to emergency medical care (#19); and FAP - eligible individuals (#20 - 22) apply to the period JANUARY 1, 2013 - JUNE 30, 2013. Part V, Section B, Question 14g The measures by which the Hospital publicizes the policy to the community served by the Hospital include: Distribution of a Summary of the policy (which describes income levels used to determine eligibility, the primary service area of the Hospital, and the means of applying for assistance) to patients, posting of signs alerting patients to the availability of financial assistance, inclusion of a notice on patient bills that charity care/financial assistance is available to eligible patients, and the distribution of applications for charity care/financial aid to interested patients. care/financial assistance is available to eligible patients, and the distribution of applications for charity care/financial aid to interested patients.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H</FormAndLineReferenceDesc>
        <ExplanationTxt>ON JULY 1, 2013, NEW YORK DOWNTOWN HOSPITAL CEASED OPERATING AS A SEPaRATE LICENSED FACILITY. Part I (#1 - 6b) and Part III (#1 - 9b) required descriptions; needs assessment; patient education of eligibility; community information; and promotion of community health disclosed apply to the period JANUARY 1, 2013 - JUNE 30, 2013. PART I, LINE 3C N/A PART I, LINE 6A N/A Part I, Line 7 the New York Downtown hospital merged with the New York Presbyterian Hospital. All required information for schedule h part I, Line 7 for the reporting period (January 1, 2013 - June 30, 2013)will be disclosed on the New York and Presbyterian hospital form 990 for the period (January 1, 2013 - December 31, 2013). PART III, LINE 2 FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. ESTIMATED COST IS BASED ON THE TOTAL BAD DEBT AT THE RATIO OF PATIENT CARE COST TO CHARGES. PART III, LINE 3 Amounts represent unpaid self pay balances at the net realizable amounts that are not anticipated to be collected. PART III, LINE 4 AUDITED FINANCIAL STATEMENTS PAGE 14 - 15 PART III, LINE 8 The required method of reporting in schedule h obfuscates the full losses associated with delivery of services to medicare beneficiaries. As reported in part III, section b, line 7, medicare is calculated to result in a $3.1 million surplus; this results because medicare losses of $2.6 million would be reflected in Part I, lines 7f and 7g where losses identified with professional education and subsidized health services are calculated per the methodology mandated for completion of schedule h. furthermore, medicare managed care losses of $1.8 million are excluded altogether from all schedule H disclosures. Medicare Surplus Per Schedule H $3,052,338 Medicare Gme Net Costs ($1,213,927) Medicare net costs of Subsidized Health services ($1,389,905) Medicare Managed Care Net Costs ($1,839,093) Total Net Associated with Medicare Program ($1,390,587) "net" is defined as revenue net of costs PART III, LINE 9B NEW YORK DOWNTOWN HOSPITAL WILL NOT FORWARD ANY CLAIMS TO A COLLECTION AGENCY IF THE PATIENT COMPLETED THE FINANCIAL AID APPLICATION AND IS WAITING FOR A DETERMINATION. NYDH PROHIBITS THE FORCED SALE OR FORECLOSURE OF A PRIMARY RESIDENCE BUT PLACEMENT OF LIEN IS ALLOWED. NYDH WILL NOTIFY THE PATIENT OR RESPONSIBLE PARTY AT LEAST 30 DAYS BEFORE THE ACCOUNT IS BEING FORWARDED TO A COLLECTION AGENCY. NYDH WILL PROVIDE WRITTEN CONSENT TO A COLLECTION AGENCY BEFORE IT BEGINS LEGAL ACTION ON THE PATIENT, OR RESPONSIBLE PARTY. NYDH REQUIRES ALL ITS COLLECTION AGENCIES TO FOLLOW THE HOSPITAL'S FINANCIAL AID POLICIES AND PROCEDURES, INCLUDING HOW TO APPLY FOR FINANCIAL AID. NYDH WILL NOT COLLECT ANY MONIES FROM PATIENTS ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICES. NEEDS ASSESSMENT: NEW YORK DOWNTOWN HOSPITAL MEETS QUARTERLY WITH ITS COMMUNITY ADVISORY BOARD (CAB) TO ENCOURAGE CONSTRUCTIVE DIALOGUE WITH OTHER COMMUNITY ORGANIZATIONS. THE CAB IS COMPOSED OF HOSPITAL EXECUTIVES, REPRESENTATIVES FROM STATE AND LOCAL GOVERNMENT, HEALTH DEPARTMENT REPRESENTATIVES, COMMUNITY ORGANIZATIONS, AND LOCAL BUSINESSES. THROUGH THESE MEETINGS, THE HEALTH CARE NEEDS OF THE COMMUNITY ARE REGULARLY ASSESSED, AND FEEDBACK ON THE HOSPITAL'S PERFORMANCE IS OBTAINED AND SUBSEQUENTLY INTEGRATED INTO ITS STRATEGIC PLAN. THE HOSPITAL ALSO ENGAGES IN REGULAR AND EXTENSIVE CONVERSATIONS WITH THE ALLIANCE FOR DOWNTOWN NEW YORK, MANHATTAN COMMUNITY BOARDS ONE AND THREE, AND RESIDENT ADVISORY COUNCILS FROM LOCAL NATURALLY OCCURRING RETIREMENT COMMUNITIES (NORC) AND NEIGHBORHOOD SENIOR HOUSING DEVELOPMENTS. THE HOSPITAL ALSO MAINTAINS EXTENSIVE COLLABORATION AND ON-GOING DIALOGUE WITH LOCAL NURSING HOMES AND HOME CARE SERVICES TO ASSESS COMMUNITY HEALTHCARE NEEDS. THE HOSPITAL ANALYZES HEALTH CARE DATA FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) AND THE DEPARTMENT FOR THE AGING; DEMOGRAPHIC DATA FROM LOCAL, STATE AND FEDERAL AGENCIES; HOSPITAL-GENERATED STATISTICAL REPORTS; REPORTS GENERATED BY INTERNAL COMMITTEES, TASK FORCES AND THE HOSPITAL'S ANNUAL PLANNING PROCESS; AND POLICY REPORTS FROM THE NEW YORK CITY HEALTH CARE ADVISORY PANEL. IN COLLABORATION WITH THE VISITING NURSE SERVICE (VNSNY), THE CHARLES B. WANG COMMUNITY HEALTH CENTER, BETANCES HEALTH CENTER, THE CHINESE AMERICAN PLANNING COUNCIL, GRAND STREET SETTLEMENT, HAMILTON MADISON HOUSE, THE BROOKLYN CHINESE-AMERICAN ASSOCIATION, THE CHINESE CONSOLIDATED BENEVOLENT ASSOCIATION AND THE AMERICAN CANCER SOCIETY, THE HOSPITAL HAS IDENTIFIED THE PROVISION OF COMPREHENSIVE CANCER CARE AS A NEIGHBORHOOD HEALTH PRIORITY. THE HOSPITAL ALSO PARTICIPATES IN THE COLON HEALTH TASK FORCE. OTHER PARTICIPANTS INCLUDE: VNSNY; THE DOHMH; THE UNITED HOSPITAL FUND (UHF); MANNING PHARMACY AND SURGICAL, INC.; THE AMERICAN CANCER SOCIETY - ASIAN UNIT; AND THE CHARLES B. WANG COMMUNITY HEALTH CENTER. DATA GATHERED BY THE DOHMH AND THE UHF PROMPTED THE HOSPITAL TO ESTABLISH A PATIENT NAVIGATOR PROGRAM WITH THE ULTIMATE GOAL OF INCREASING THE CHINESE COMMUNITY COLONOSCOPY SCREENING RATE. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: IN COMPLIANCE WITH SECTION 2807-K(9-A) OF THE NEW YORK STATE PUBLIC HEALTH LAW, THE HOSPITAL EXTENDS DISCOUNT POLICIES AND INSTALLMENT PAYMENT PLANS TO NEW YORK STATE RESIDENTS WHO HAVE HEALTH INSURANCE, BUT MAY BE UNABLE TO FULLY PAY CO-PAY AND DEDUCTIBLE AMOUNTS. THE HOSPITAL ALSO MAKES DISCOUNTS AVAILABLE TO PATIENTS WITH INCOMES ABOVE 300% OF THE FEDERAL POVERTY LEVEL. THE LEVEL OF DISCOUNT FROM THE HOSPITAL'S REGULAR CHARGES DEPENDS ON A PATIENT'S INCOME - THE MORE A PATIENT'S INCOME FALLS BELOW 300% OF THE FEDERAL POVERTY LEVEL THE HIGHER THE DISCOUNT THE HOSPITAL PROVIDES. PATIENTS WITH INCOMES AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL CAN BE CHARGED NO MORE THAN THE FOLLOWING: INPATIENT HOSPITAL SERVICES: $150; AMBULATORY SURGERY: $150 PER PROCEDURE; MRI TESTING: $150 PER SESSION; ADULT EMERGENCY ROOM AND OUTPATIENT CLINIC VISITS: $15 PER VISIT; PRENATAL AND CHILDREN'S EMERGENCY ROOM AND CLINIC VISITS: NO CHARGE. THIS LAW COVERS ALL THE MEDICAL SERVICES OFFERED BY THE HOSPITAL, INCLUDING: INPATIENT SERVICES; EMERGENCY ROOM VISITS; AND OTHER OUTPATIENT VISITS, SUCH AS TO CLINICS OPERATED BY THE HOSPITAL. THE HOSPITAL HAS STAFF ON-SITE (BOTH IN THE CREDIT OFFICE AND THE OUTPATIENT DEPARTMENT) TO HELP ELIGIBLE PATIENTS ENROLL INTO STRAIGHT MEDICAID, PCAP OR FAMILY HEALTH PLUS/CHILD HEALTH PLUS. THE CHARITY CARE PROGRAM OFFERS CHARITY CARE TO ELIGIBLE PATIENTS. THIS INCLUDES ACCESS TO EMERGENCY SERVICES FOR RESIDENTS OF NEW YORK STATE, AS WELL AS TO EMERGENCY AND NON-EMERGENCY SERVICES FOR RESIDENTS OF NEW YORK CITY. THIS SERVICE IS PROVIDED THROUGH THE HOSPITAL'S MEDICAID - CHARITY CARE OFFICE. THE HOSPITAL'S PROVISION OF THESE SERVICES was PUBLICIZED THROUGH THE HOSPITAL'S INTERNET (WWW.DOWNTOWNHOSPITAL.ORG) SITE. VARIOUS EDUCATIONAL EFFORTS CONDUCTED BY THE HOSPITAL, PARTICULARLY WITHIN THE LARGE IMMIGRANT COMMUNITIES CONTAINED WITHIN OUR CATCHMENT AREA, ARE INCREASING AWARENESS OF BILLING PROCESSES AND THE AVAILABILITY OF CHARITY CARE AND GOVERNMENT ASSISTANCE PROGRAMS FOR THOSE UNABLE TO PAY FOR SERVICES. THE HOSPITAL ALSO MAKES BROCHURES AND FLYERS AVAILABLE, WHICH REVIEW THESE SERVICES. COMMUNITY INFORMATION: DOWNTOWN HOSPITAL IS THE PRIMARY HOSPITAL SERVING THE LOWER MANHATTAN COMMUNITIES OF THE FINANCIAL DISTRICT; CHINATOWN; BATTERY PARK CITY; LITTLE ITALY; TRIBECA; CITY HALL; POLICE PLAZA; THE FEDERAL, STATE AND CITY COURTHOUSE COMPLEX; AND THE RAPIDLY EXPANDING RESIDENTIAL COMMUNITY OF LOWER MANHATTAN. NEW YORK DOWNTOWN HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE AREA SOUTH OF 14TH STREET. THIS AREA, AS WELL AS THOSE IMMEDIATELY ADJACENT, DELIVERS A HIGH NUMBER OF PATIENTS TO THE HOSPITAL. THE HOSPITAL ALSO CONTINUES TO SERVE A SIGNIFICANT NUMBER OF PATIENTS FROM BROOKLYN AND QUEENS. THE SOUTH STREET SEAPORT, THE WORLD TRADE CENTER SITE AND THE STATUE OF LIBERTY ATTRACT 5 MILLION TOURISTS ANNUALLY TO THE HOSPITAL'S SERVICE AREA, SWELLING THE DOWNTOWN POPULATION BY AN AVERAGE OF ALMOST 14,000 PEOPLE A DAY. IN ADDITION, AN INCREASING NUMBER OF PATIENTS FROM SOHO, GREENWICH VILLAGE AND THE LOWER WEST SIDE ARE RELYING ON THE HOSPITAL FOR EMERGENCY, OBSTETRICAL AND SURGICAL SERVICES FOLLOWING THE CLOSING OF ST. VINCENT'S HOSPITAL. PROMOTION OF COMMUNITY HEALTH: NEARLY ALL OF THE FOLLOWING COMMUNITY OUTREACH PROGRAMS ARE PROVIDED FREE OF CHARGE AS PART OF THE HOSPITAL'S COMMITMENT TO THE PUBLIC GOOD: CORPORATE HEALTH PROGRAMS: DOWNTOWN'S FINANCIAL COMMUNITY DEPENDS DAILY ON THE HOSPITAL FOR EMERGENCY CARE, PREVENTIVE MEDICINE, AND CONVENIENT OUTPATIENT CARE. THE HOSPITAL CUSTOMIZES WORKSITE HEALTH PROMOTION PROGRAMS, SCREENINGS, AND LECTURES FOR EMPLOYEES OF DOWNTOWN COMPANIES.WORKING CLOSELY WITH ITS PARTNERS IN THE CORPORATE COMMUNITY; THE HOSPITAL HAS OPENED SEVERAL ON-SITE MEDICAL UNITS IN VARIOUS BUSINESS OFFICES, INCLUDING C</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE J AND PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J and Part Vii Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of New York Downtown Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2013 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. SCHEDULE J, PART I, LINE 4A Severance payment to Jeffrey Menkes, for the amount of $96,923 Part I, Line 4b: Participated in Supplemental Nonqualified Retirement plan: Gary Zuar : 11,354 Laura Forese : 40,455 Part I, Line 4b: Supplemental Nonqualified Retirement Plan Payment. Gary Zuar : 82,957 Laura Forese : 53,688 Wayne Osten : 174,365 SCHEDULE J, PART I, LINE 7 THE CEO MAKES A RECOMMENDATION ON THE DISCRETIONARY BONUS LEVELS FOR THE HOSPITAL'S SENIOR MANAGEMENT STAFF, ON AN ANNUAL BASIS, WHICH IS THEN REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. THE CEO'S DISCRETIONARY BONUS IS CONTRACTUAL. THE BONUS IS RECOMMENDED BY THE CHAIRMAN OF THE BOARD BASED ON THE CEO MEETING AGREED UPON GOALS AND OBJECTIVES FOR THE CALENDAR YEAR. THE FINAL DECISION IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. ALL OTHER BONUSES ARE CONTRACTUAL. HUMAN RESOURCES, ALONG WITH THE CORPORATE COMPLIANCE DEPARTMENT, ENSURE THAT ALL CONTRACTUAL MONETARY PROVISIONS ARE IN ACCORDANCE WITH FAIR MARKET VALUE. DISCRETIONARY BONUSES ARE DEPENDENT UPON THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND THE OVERALL ACCOMPLISHMENTS OF THE INDIVIDUALS RELATED TO ESTABLISHED GOALS AND OBJECTIVES. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL BONUSES TO BE PAID OUT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The asset were transferred in a full asset merger on 7/1/2013 between the new york downtown hospital and the new york presbyterian hospital. Part 1, Line 2b Anthony Gagliardi, MD became an employee of New York Presbyterian Hospital Anthony Alfano, became an employee of New York Presbyterian Hospital. Part 1, line 5: The assets were transferred in a full asset merger on 7/1/2013, as a result, the New York and Presbyterian hospital absorbed all liabilities. Part 1, line 6c: The tax exempt bonds issue, CUSIP #6499057p5 were transferred in a full asset merger, on 7/1/2013, to the New York and Presbyterian Hospital, 13-3957095.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE J AND PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>ON JULY 1, 2013, NEW YORK DOWNTOWN HOSPITAL CEASED OPERATING AS A SEPaRATE LICENSED FACILITY. The new york downtown hospital policies contained in schedule o apply to the period january 1, 2013 - june 30, 2013. Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of New York Downtown Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2013 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. Other Program Service Revenue FORM 990, PART III, LINE 4D TOTAL FACULTY PRACTICE REVENUE $ 6,024,647 - PROVIDE EMERGENT AND OFFICE MEDICAL SERVICES TO APPROXIMATELY 50,000 PATIENTS PER YEAR IN LOWER MANHATTAN. PROMOTE THE AVAILABILITY OF HIGH QUALITY PROFESSIONAL MEDICAL SERVICES FOR THE PATIENTS OF NEW YORK DOWNTOWN HOSPITAL, A TEACHING HOSPITAL. PROVIDE MEDICAL CARE TO ALL SICK AND INJURED WHO MAY COME TO THE FACILITY FOR DIAGNOSIS, TREATMENT AND CARE WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR THE ABILITY TO PAY FOR SERVICES AND PARTICULARLY TO PROVIDE SUCH MEDICAL CARE TO ALL PERSONS; ALSO EMERGENCY SERVICES $ 1,356,340 &amp; ALL OTHER REVENUE $147,472. Members Part VI, Section A, Line 6 &amp; 7a The New York Downtown Hospital (the "Organization") is a membership corporation, whose members are appointed by New York-Presbyterian Healthcare System, Inc. ("System Inc"). System, Inc. is a tax-exempt organization whose members are appointed by New York- Presbyterian Foundation, Inc., which is also a tax-exempt organization. The members of the Organization elect the Organization's board of trustees. DESCRIPTION OF THE PROCESS TO REVIEW FORM 990 FORM 990, PART VI, LINE 11 THE REVIEW PROCESS FOR THIS ENTITY HAS CHANGED DUE TO THE MERGER OF NEW YORK DOWNTOWN HOSPITAL AND NEW YORK PRESBYTERIAN HOSPITAL ON JULY 1, 2013. THE BOARD AS SHOWN ON PART VII Ceased to exist as did this entity. FINANCE COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990 ACCESSING VARIOUS RESOURCES INCLUDING LEGAL, HUMAN RESOURCES, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. New York Presbyterian Hospitals SENIOR FINANCE EXECUTIVES COMPLETE A REVIEW OF THE RETURN IN CONJUNCTION WITH ERNST &amp; YOUNG U.S. LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE CHAIRMAN OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD of the new york presbyterian hospital. THE CHAIRMAN OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE CONDUCTed A DETAILED REVIEW. UPON COMPLETION OF THE AUDIT CHAIRMAN'S REVIEW AND APPROVAL, THE new york downtown hospital will file the final 990. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C Below is the conflict of interest policy used by the New York Downtown Hospital. The new york downtown hospital merged with the new york presbyterian hospital on 7/1/2013. As a result any conflicts determined to be reported will be shown on the New York and Presbyterian 990 for the period 1/1/2013 - 12/31/2013. ON AN ANNUAL BASIS, ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AND THE RESPONSES ARE REVIEWED AND ANALYZED IN THE CONTEXT OF A CONFLICT OF INTEREST POLICY THAT IS CONSISTENT WITH IRS GUIDANCE BY NEW YORK DOWNTOWN HOSPITAL'S CHIEF COMPLIANCE OFFICER. IF A CONFLICT OR POTENTIAL CONFLICT IS IDENTIFIED, FURTHER FACTUAL INQUIRY IS MADE, INCLUDING AN INTERVIEW. ALL OF THE INFORMATION COLLECTED IS THEN PRESENTED TO THE EXECUTIVE COMPLIANCE COMMITTEE AND/OR THE AUDIT AND COMPLIANCE COMMITTEE REGARDING THE ACTION REQUIRED TO BE TAKEN. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED EMPLOYEE WILL BE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON OR INFLUENCING THE VOTE ON ANY MATTERS MADE RELATIVE TO THE IDENTIFIED CONFLICT. Compensation Discription FORM 990, PART VI, LINES 15A &amp; 15B NEW YORK DOWNTOWN HOSPITAL USED THE FOLLOWING SOURCES TO EVALUATE APPROPRIATE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT/EXECUTIVE EMPLOYEES: CONTACTING OTHER HUMAN RESOURCE DEPARTMENTS FROM OTHER HOSPITALS to COMPARe COMPENSATION AND BENEFITS FOR COMPARABLE POSITIONS, PUBLISHED DATA SOURCES SUCH AS American healthcare human resource association's SURVEY AND THE GUIDESTAR NONPROFIT COMPENSATION REPORT, AND CONTRACTING OUTSIDE CONSULTING FIRMs SUCH AS LAWRENCE ASSOCIATES AND CAMMACK LARHETTE CONSULTING TO COMPLETE a MARKET SURVEY. THE MARKET DATA IS REVIEWED ALONG WITH THE EXISTING INTERNAL COMPENSATION of SIMILAR SITUATED EMPLOYEES TO DETERMINE THE EXECUTIVE COMPENSATION FOR A PARTICULAR POSITION. THE PEOPLE who undergo EXECUTIVE COMPENSATION REVIEWS ARE SVPS, CEO AND ALL EMPLOYED PHYSICIANS. THE REVIEW HAPPENS ON INITIAL EMPLOYMENT AND THEN UPON RENEWAL OF ANY EMPLOYMENT AGREEMENT. AVAIL OF GOV DOCS,CONFLICT OF INTEREST POLICY,&amp;FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AND ALL VENDORS UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN ACCRUED PENSION &amp; POSTRETIREMENT BENEFITS TO BE RECOGNIZED IN FUTURE PERIODS: $ 1,315,753 Change due to the merger of the New York Downtown Hospital and the New York Presbyterian Hospital: $ (53,875,683) Total Part XI, Line 9: $(52,559,930)</ExplanationTxt>
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          <BusinessNameLine1>NYP FDN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Royal Charter Properties East Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>525 East 68th St Box 156</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </USAddress>
        <EIN>133158496</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NYP FND</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Royal Chater Properties West Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>525 East 68th St Box 156</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
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        <EIN>133160354</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Presbyterian Health Resourses Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>525 East 68th St Box 156</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
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        <EIN>133145970</EIN>
        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1>NYP FDN</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>CRT Surgical Associates PC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>56-45 Main St</AddressLine1>
          <City>Flushing</City>
          <State>NY</State>
          <ZIPCode>11355</ZIPCode>
        </USAddress>
        <EIN>112226870</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NYP Hosp QNS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>BMA Medical Foundation Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>56-45 Main St</AddressLine1>
          <City>Flushing</City>
          <State>NY</State>
          <ZIPCode>11355</ZIPCode>
        </USAddress>
        <EIN>112848858</EIN>
        <PrimaryActivitiesTxt>EDU/Reseach</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>4</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NY HOSP QNS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Brooklyn Dental Services PC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11215</ZIPCode>
        </USAddress>
        <EIN>432015903</EIN>
        <PrimaryActivitiesTxt>Dental</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 TYPE I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Brooklyn Foot &amp; Ankle PC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11215</ZIPCode>
        </USAddress>
        <EIN>113341502</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Brooklyn Radiology Services</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11215</ZIPCode>
        </USAddress>
        <EIN>113423162</EIN>
        <PrimaryActivitiesTxt>Radiology</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Emergency Physican Serv PC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11215</ZIPCode>
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        <EIN>061160280</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Hematology &amp; Oncology</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11215</ZIPCode>
        </USAddress>
        <EIN>113564621</EIN>
        <PrimaryActivitiesTxt>Hemo/Oncology</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Medical Health Provider PC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
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        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
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          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Medical Sevices PC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
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          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Medicine PC</BusinessNameLine1>
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          <AddressLine1>506 Sixth Street</AddressLine1>
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        <EIN>113362663</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Obstetrics &amp; Gynecology PC</BusinessNameLine1>
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          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Pathology Services PC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11215</ZIPCode>
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        <EIN>112843879</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Slope Pediatric Medicine PC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
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        <EIN>113303499</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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          <BusinessNameLine1>Park Slope Physican Services PC</BusinessNameLine1>
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          <AddressLine1>506 Sixth Street</AddressLine1>
          <City>Brooklyn</City>
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          <BusinessNameLine1>Methodis Hos</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>Ashland Place Houses INc</BusinessNameLine1>
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          <BusinessNameLine1>BK Hosp CTR</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Caledonian Health Center</BusinessNameLine1>
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          <AddressLine1>121 Dekalb Ave</AddressLine1>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>Ashland Place Holding Corp</BusinessNameLine1>
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          <AddressLine1>121 Dekalb Ave</AddressLine1>
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        <EIN>113304353</EIN>
        <PrimaryActivitiesTxt>Title Holding</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>Brooklyn Hospital Self Insurance Trust</BusinessNameLine1>
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          <AddressLine1>121 Dekalb Ave</AddressLine1>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>11 Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1>BK Hosp CTR</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Brooklyn Hospital Foundation Inc</BusinessNameLine1>
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          <AddressLine1>121 Dekalb Ave</AddressLine1>
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          <State>NY</State>
          <ZIPCode>11201</ZIPCode>
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        <EIN>112936410</EIN>
        <PrimaryActivitiesTxt>Support</PrimaryActivitiesTxt>
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          <BusinessNameLine1>BK Hosp CTR</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Silvercrest SR Housing Development Fund</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>144-45 87th Ave</AddressLine1>
          <City>Briarwood</City>
          <State>NY</State>
          <ZIPCode>11435</ZIPCode>
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          <BusinessNameLine1>Silvercrest</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Nyack Hospital Foundation Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>160 North Midland Ave</AddressLine1>
          <City>Nyack</City>
          <State>NY</State>
          <ZIPCode>10960</ZIPCode>
        </USAddress>
        <EIN>133245804</EIN>
        <PrimaryActivitiesTxt>Support</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1>Nyack Hosp</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Network Recovery Services Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>525 East 68th St Box 156</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
        </USAddress>
        <EIN>113160901</EIN>
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          <BusinessNameLine1>NYP SYS Inc</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Ventures Housing Corp</BusinessNameLine1>
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          <AddressLine1>121 Dekalb Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11201</ZIPCode>
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        <EIN>113321990</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>11 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>BK Hosp CTR</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>TBHC Pediatrics PC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>121 Dekalb Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11201</ZIPCode>
        </USAddress>
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          <BusinessNameLine1>BK Hosp CTR</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>TBHC Medical Testing Services PC</BusinessNameLine1>
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          <AddressLine1>121 Dekalb Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11201</ZIPCode>
        </USAddress>
        <EIN>270174413</EIN>
        <PrimaryActivitiesTxt>Med Testing</PrimaryActivitiesTxt>
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        <InvolvedAmt>132938</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>ny downtown chinese partnership for hlth fdn</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>64355</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>new york and presbyterian fund inc</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>480349</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>