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      <MissionDescription>MEMORIAL SLOAN-KETTERING CANCER CENTER IS DEDICATED TO THIS MISSION: LEADERSHIP IN THE PREVENTION, TREATMENT, AND CURE OF CANCER THROUGH EXCELLENCE, VISION, AND COST-EFFECTIVENESS IN PATIENT CARE, OUTREACH PROGRAMS, RESEARCH, AND EDUCATION. LEADERSHIP IN PATIENT CARE WE PLACE THE HIGHEST PRIORITY ON ADVANCING THE CARE OF CANCER PATIENTS THROUGH EARLY DETECTION, ACCURATE DIAGNOSIS, AND OPTIMAL TREATMENT. THESE THREE ELEMENTS LEAD TO THE MOST EFFECTIVE CANCER CARE POSSIBLE, WHICH IS ALSO THE MOST COST-EFFECTIVE CARE POSSIBLE. WE STRIVE FOR EXCELLENCE IN ALL EXISTING AND EMERGING THERAPIES WITHOUT NEGLECTING THE NEED FOR ADVANCED APPROACHES TO PALLIATION. WE DELIVER THESE THERAPIES IN A CARING ENVIRONMENT THAT ENCOMPASSES PATIENTS AS WELL AS THEIR LOVED ONES. EXCELLENCE IN PATIENT CARE IS EXEMPLIFIED BY OUR MULTIDISCIPLINARY APPROACH, A CORE COMPETENCE OF OUR CENTER. WE ARE COMMITTED TO DEVELOPING OUTREACH PROGRAMS TO BRING EXCELLENCE IN CANCER CARE TO THE COMMUNITY. LEADERSHIP IN RESEARC</MissionDescription>
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        <NamePerson>JOHN R GUNN</NamePerson>
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        <NamePerson>MICHAEL P GUTNICK</NamePerson>
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        <NamePerson>ANNETTE U RICKEL MD</NamePerson>
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        <NamePerson>BENJAMIN W HEINEMAN JR</NamePerson>
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        <NamePerson>JEFFREY P JOHNSON</NamePerson>
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        <OtherCompensation>102238</OtherCompensation>
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        <OtherCompensation>0</OtherCompensation>
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      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>2149091</TotalOtherCompensation>
      <NumberIndividualsGT100K>2968</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
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      <ContractorCompensation>
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      <ProgramServiceRevenue>
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      <BenefitsToMembers>
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      <OtherExpenses>
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      <OtherExpenses>
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      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>246903</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>583870</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING COSTS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE C, PART II-B</ReturnReference>
        <Explanation>MSKCC ENGAGES IN BOTH FEDERAL AND STATE LOBBYING. THE CENTER'S FEDERAL LOBBYING EFFORT FOCUSES ON PATIENT CARE AND REIMBURSEMENT ISSUES. PATIENT CARE ADVOCACY INCLUDES ENSURING PATIENTS ARE ABLE TO ACCESS CLINICAL TRIALS AND CANCER HOSPITALS ARE ABLE TO EFFECTIVELY RESEARCH POTENTIAL TREATMENTS FOR CANCER AS WELL AS PREVENTIVE AND PALLIATIVE MEASURES. THE CENTER ALSO SEEKS TO RECEIVE EQUITABLE REIMBURSEMENT FOR SERVICES RENDERED TO PATIENTS ENROLLED IN ENTITLEMENT PROGRAMS. FROM TIME TO TIME THE CENTER WEIGHS IN ON OTHER FEDERAL LEGISLATION THAT IMPACTS CANCER CARE AND HOSPITALS IN GENERAL. THE CENTER'S STATE LOBBYING EFFORT CONCENTRATES ON LEGISLATION THAT IMPACTS PROVIDERS' ABILITIES TO EFFECTIVELY CARE FOR PATIENTS, SUCH AS LEGISLATION THAT AMENDS CONSTRUCTION REVIEW PROCEDURES, PROVIDES FUNDING FOR BLOOD DONATION DRIVES, OR ENCOURAGES COLLABORATION BETWEEN CARE PROVIDERS AT HOSPITAL FACILITIES. STATE EFFORTS ALSO FOCUS ON ADVOCATING FOR HEALTH CARE ISSUES DURING STATE BUDGET NEGOTIATIONS. PART II-B LINE 1I OTHER ACTIVIES LOBBYING PORTION OF DUES PAID</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>true</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>748997000</BeginningOfYearBalance>
        <Contributions>32670524</Contributions>
        <InvestmentEarningsOrLosses>-2933000</InvestmentEarningsOrLosses>
        <OtherExpenditures>51867524</OtherExpenditures>
        <EndOfYearBalance>726867000</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>767701000</BeginningOfYearBalance>
        <Contributions>13421000</Contributions>
        <InvestmentEarningsOrLosses>9453000</InvestmentEarningsOrLosses>
        <OtherExpenditures>41578000</OtherExpenditures>
        <EndOfYearBalance>748997000</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>776235000</BeginningOfYearBalance>
        <Contributions>5531000</Contributions>
        <InvestmentEarningsOrLosses>23093000</InvestmentEarningsOrLosses>
        <OtherExpenditures>37158000</OtherExpenditures>
        <EndOfYearBalance>767701000</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>853397000</BeginningOfYearBalance>
        <Contributions>1778000</Contributions>
        <InvestmentEarningsOrLosses>-45818000</InvestmentEarningsOrLosses>
        <OtherExpenditures>33122000</OtherExpenditures>
        <EndOfYearBalance>776235000</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>0.41500</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.58500</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>198654000</OtherCostOrOtherBasis>
        <BookValue>198654000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2592747000</OtherCostOrOtherBasis>
        <Depreciation>943398000</Depreciation>
        <BookValue>1649349000</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>73810000</OtherCostOrOtherBasis>
        <Depreciation>55868000</Depreciation>
        <BookValue>17942000</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1258372000</OtherCostOrOtherBasis>
        <Depreciation>976934000</Depreciation>
        <BookValue>281438000</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>2147383000</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests>
        <BookValue>116493000</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </CloselyHeldEquityInterests>
      <OtherSecurities>
        <Description>PRIVATE EQUITY &amp; VENTURE CAP.</Description>
        <BookValue>493000000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>736069000</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>PENSION AND POSTRETIREMENT</Description>
        <Amount>552846000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INSURANCE RESERVES</Description>
        <Amount>222150000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>45046000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATIONS</Description>
        <Amount>34683000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED GIFT ANNUITY</Description>
        <Amount>25400000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>19303000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>899428000</TotalOfAmounts>
      <TotalRevenue>2945144584</TotalRevenue>
      <TotalExpenses>2591837584</TotalExpenses>
      <ExcessOrDeficitForYear>353307000</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-200271000</NetUnrealizedGLOnInvestments>
      <OtherAmount>-109400000</OtherAmount>
      <TotalAdjustments>-309671000</TotalAdjustments>
      <ExcessOrDeficitPerFS>43636000</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>2727018000</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-200271000</NetUnrealizedGainsInvestments>
      <OtherRevenues>750000</OtherRevenues>
      <RevenueNotRptdF990>-199521000</RevenueNotRptdF990>
      <RevenueSubtotal>2926539000</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>18605584</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>18605584</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>2945144584</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2573132000</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>-100000</OtherExpensesIncluded>
      <ExpensesNotRptdF990>-100000</ExpensesNotRptdF990>
      <ExpensesSubtotal>2573232000</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>18605584</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>18605584</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>2591837584</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>USE OF ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D PART V</ReturnReference>
        <Explanation>PERMANENT ENDOWMENT FUNDS ARE HELD BY THE ORGANIZATION IN PERPETUITY. INCOME EARNED ON THE FUND BALANCE IS USED TO SUPPORT THE OPERATIONS OF MEMORIAL SLOAN-KETTERING CANCER CENTER AND ITS AFFILIATED ORGANIZATIONS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER</Identifier>
        <ReturnReference>PART XI LINE 8</ReturnReference>
        <Explanation>CHANGE IN POSTRETIREMENT ($110,250,000) AND GRANT PAYMENT TO RALPH LAUREEN CENTER FROM RESERVED LIABILITY OF $850,000.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER</Identifier>
        <ReturnReference>PART XII LINE 2d</ReturnReference>
        <Explanation>OTHER $750,000 ARE DIRECT EXPENSES RELATING TO FUNDRAISING EVENTS. COSTS ARE REMOVED FROM THE STATEMENT OF FUNCTIONAL EXPENSES AND NETTED ON THE STATEMENT OF REVENUE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER</Identifier>
        <ReturnReference>PART XIII</ReturnReference>
        <Explanation>OTHER $750,000 ARE DIRECT EXPENSES RELATING TO FUNDRAISING EVENTS. COSTS ARE REMOVED FROM THE STATEMENT OF FUNCTIONAL EXPENSES AND NETTED ON THE STATEMENT OF REVENUE OFFSET BY A GRANT PAYMENT TO RALPH LAUREEN CENTER FROM RESERVED LIABILITY OF ($850,000).</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 LIABILITY FOR UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>PART X LINE2</ReturnReference>
        <Explanation>A FIN 48 FOOTNOTE DISCLOSURE, RELATING TO THE ACCOUNTING FOR INCOME TAXES, WAS NOT REQUIRED BECAUSE THERE WAS NO MATERIAL IMPACT ON THE INSTITUTION'S FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleE documentId="IRS990ScheduleE">
      <NondiscriminatoryPolicyStmt>true</NondiscriminatoryPolicyStmt>
      <PolicyStatementInBrochuresEtc>true</PolicyStatementInBrochuresEtc>
      <PolicyPublViaBroadcastMedia>true</PolicyPublViaBroadcastMedia>
      <MaintRacialCompositionRecords>true</MaintRacialCompositionRecords>
      <MaintScholarshipsRecords>true</MaintScholarshipsRecords>
      <MaintCopiesOfBrochuresEtc>true</MaintCopiesOfBrochuresEtc>
      <MaintCopiesOfAllSolicitations>true</MaintCopiesOfAllSolicitations>
      <DiscriminateRaceStudentsRights>false</DiscriminateRaceStudentsRights>
      <DiscriminateRaceAdmissPolicies>false</DiscriminateRaceAdmissPolicies>
      <DiscriminateRaceEmplmnFaculty>false</DiscriminateRaceEmplmnFaculty>
      <DiscriminateRaceScholarships>false</DiscriminateRaceScholarships>
      <DiscriminateRaceEducPolicies>false</DiscriminateRaceEducPolicies>
      <DiscriminateRaceUseOfFclts>false</DiscriminateRaceUseOfFclts>
      <DiscriminateRaceAthleticProg>false</DiscriminateRaceAthleticProg>
      <DiscriminateRaceOtherActy>false</DiscriminateRaceOtherActy>
      <GovernmentFinancialAidReceived>false</GovernmentFinancialAidReceived>
      <GovernmentFinancialAidRevoked>false</GovernmentFinancialAidRevoked>
      <ComplianceWithRevProc7550>true</ComplianceWithRevProc7550>
      <Form990ScheduleEPartII>
        <Identifier>NONDISCRIMINATORY POLICY</Identifier>
        <ReturnReference>SCHEDULE E, PART I</ReturnReference>
        <Explanation>THE SCHOOL'S NONDISCRIMINATORY POLICY IS PUBLICIZED ON ITS WEB SITE. HTTP://WWW.SLOANKETTERING.EDU/GERSTNER/HTML/54499.CFM ALL APPLICANTS TO THE LOUIS V. GERSTNER JR., GRADUATE SCHOOL OF BIOMEDICAL SCIENCES ARE CONSIDERED ON THE BASIS OF MERIT. THE SCHOOL DOES NOT DISCRIMINATE ON THE BASIS OF GENDER, RACE, COLOR, CREED, RELIGION, AGE, NATIONAL ORIGIN, DISABILITY, VETERAN STATUS, MARITAL STATUS, SEXUAL ORIENTATION, OR CITIZENSHIP STATUS IN ACCORDANCE WITH INSTITUTIONAL POLICY AND IN COMPLIANCE WITH THE REQUIREMENTS OF THE CIVIL RIGHTS ACT, THE EDUCATION ADMENDMENTS, THE REHABILITATION ACT, THE AGE DISCRIMINATION ACT, AND THE AMERICANS WITH DISABILITIES ACT.</Explanation>
      </Form990ScheduleEPartII>
    </IRS990ScheduleE>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>793168000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>25049000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>North America</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>21507000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>839724000</SubtotalAmountSpent>
      <TotalAmountSpent>839724000</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>true</PassiveForeignInvestCo>
      <ForeignPartnership>true</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>ORGANIZATION'S PROCEDURES FOR THE USE OF FUNDS OUTSIDE THE US</Identifier>
        <ReturnReference>SCHEDULE F, PART I, LINE 2</ReturnReference>
        <Explanation>MEMORIAL SLOAN-KETTERING CANCER CENTER DOES NOT MAKE GRANTS OR USE GRANT MONEY OUTSIDE OF THE UNITED STATES.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>true</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>TARGET MARKETEAM</NameOfIndividual>
        <AddressUS>
          <AddressLine1>1050 Crown Pointe Parkway</AddressLine1>
          <AddressLine2>18th Floor</AddressLine2>
          <City>Alanta</City>
          <State>GA</State>
          <ZIPCode>30338</ZIPCode>
        </AddressUS>
        <Activity>DIRECT MAIL CONSULTING</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>22186264</GrossReceipts>
        <AmountRetainedByContractor>450000</AmountRetainedByContractor>
        <NetToOrganization>21736264</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>DONOR SERVICES</NameOfIndividual>
        <AddressUS>
          <AddressLine1>6715 Sunset Blvd</AddressLine1>
          <City>Los Angeles</City>
          <State>CA</State>
          <ZIPCode>90028</ZIPCode>
        </AddressUS>
        <Activity>TELEMARKETI CONSULTING</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>437071</GrossReceipts>
        <AmountRetainedByContractor>429760</AmountRetainedByContractor>
        <NetToOrganization>7311</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>Paradysz Matera Co</NameOfIndividual>
        <AddressUS>
          <AddressLine1>5 Hanover Square</AddressLine1>
          <AddressLine2>6th Floor</AddressLine2>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10004</ZIPCode>
        </AddressUS>
        <Activity>Mail list consulting</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>22190000</GrossReceipts>
        <AmountRetainedByContractor>322845</AmountRetainedByContractor>
        <NetToOrganization>21867155</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>44813335</TotalGrossReceipts>
      <TotalRetainedByContractors>1202605</TotalRetainedByContractors>
      <TotalNetToOrganization>43610730</TotalNetToOrganization>
      <LicensedStates>AL</LicensedStates>
      <LicensedStates>AK</LicensedStates>
      <LicensedStates>AZ</LicensedStates>
      <LicensedStates>AR</LicensedStates>
      <LicensedStates>CA</LicensedStates>
      <LicensedStates>CO</LicensedStates>
      <LicensedStates>CT</LicensedStates>
      <LicensedStates>DE</LicensedStates>
      <LicensedStates>DC</LicensedStates>
      <LicensedStates>FL</LicensedStates>
      <LicensedStates>GA</LicensedStates>
      <LicensedStates>HI</LicensedStates>
      <LicensedStates>ID</LicensedStates>
      <LicensedStates>IL</LicensedStates>
      <LicensedStates>IN</LicensedStates>
      <LicensedStates>IA</LicensedStates>
      <LicensedStates>KS</LicensedStates>
      <LicensedStates>KY</LicensedStates>
      <LicensedStates>LA</LicensedStates>
      <LicensedStates>ME</LicensedStates>
      <LicensedStates>MD</LicensedStates>
      <LicensedStates>MA</LicensedStates>
      <LicensedStates>MI</LicensedStates>
      <LicensedStates>MN</LicensedStates>
      <LicensedStates>MS</LicensedStates>
      <LicensedStates>MO</LicensedStates>
      <LicensedStates>MT</LicensedStates>
      <LicensedStates>NE</LicensedStates>
      <LicensedStates>NV</LicensedStates>
      <LicensedStates>NH</LicensedStates>
      <LicensedStates>NJ</LicensedStates>
      <LicensedStates>NM</LicensedStates>
      <LicensedStates>NY</LicensedStates>
      <LicensedStates>NC</LicensedStates>
      <LicensedStates>ND</LicensedStates>
      <LicensedStates>OH</LicensedStates>
      <LicensedStates>OK</LicensedStates>
      <LicensedStates>OR</LicensedStates>
      <LicensedStates>PA</LicensedStates>
      <LicensedStates>RI</LicensedStates>
      <LicensedStates>SC</LicensedStates>
      <LicensedStates>SD</LicensedStates>
      <LicensedStates>TN</LicensedStates>
      <LicensedStates>TX</LicensedStates>
      <LicensedStates>UT</LicensedStates>
      <LicensedStates>VT</LicensedStates>
      <LicensedStates>VA</LicensedStates>
      <LicensedStates>WA</LicensedStates>
      <LicensedStates>WV</LicensedStates>
      <LicensedStates>WI</LicensedStates>
      <LicensedStates>WY</LicensedStates>
      <EventsInformation>
        <NameOfEvent1>SPRING BALL</NameOfEvent1>
        <GrossReceiptsEvent1>1523625</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>911825</CharitableContributionsEvent1>
        <GrossRevenueEvent1>611800</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>110709</RentFacilityCostsEvent1>
        <EntertainmentEvent1>72000</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>125486</OtherDirectExpensesEvent1>
        <NameOfEvent2>ANTIQUE SHOW</NameOfEvent2>
        <GrossReceiptsEvent2>670287</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>481847</CharitableContributionsEvent2>
        <GrossRevenueEvent2>188440</GrossRevenueEvent2>
        <FoodAndBeverageEvent2>79136</FoodAndBeverageEvent2>
        <EntertainmentEvent2>2000</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>38764</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>4</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>1108337</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>444328</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>664009</GrossRevenueOtherEvents>
        <RentFacilityCostsOtherEvents>153789</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>69628</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>5450</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>93038</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>3302249</GrossReceiptsTotal>
        <CharitableContributionsTotal>1838000</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>1464249</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>264498</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>148764</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>79450</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>257288</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>750000</DirectExpenseSummaryEvents>
        <NetIncomeSummary>714249</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>500.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>500.</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>13048455</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2807174</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10241281</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00400</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>94820999</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>83091580</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11729419</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00460</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>107869454</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>85898754</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21970700</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00860</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>15733247</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>77325</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15655922</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00610</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>107992602</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8424693</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>99567910</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03880</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>845729</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>845729</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>335244957</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>335244957</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.13070</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>870693</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>870693</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>460687228</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8502018</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>452185211</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.17620</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>568556682</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>94400772</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>474155911</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.18480</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>50179</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>50179</NetCommunityBuildingExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>171252</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>171252</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>429818</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>429818</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>122898</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>122898</NetCommunityBuildingExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>774147</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>774147</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>17744729</BadDebtExpenseAmount>
      <AmountAttributableTo>1193242</AmountAttributableTo>
      <AmountReimbursedByMedicare>596933959</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>706909122</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-109975163</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>MEMORIAL HOSP FOR CANCER &amp; ALLIED DIS</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1275 York Avenue</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MEMORIAL HOSP FOR CANCER &amp; ALLIED DIS</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>500.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>500.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>false</NondiscrimEmergencyCarePolicy>
        <OtherReason>X</OtherReason>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>15</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LAURANCE S ROCKEFELLER OP PAVILION</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>160 EAST 53RD STREET</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BREAST AND IMAGING CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>300 EAST 66TH STREET</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC COMMACK</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>650 COMMACK ROAD</AddressLine1>
            <City>COMMACK</City>
            <State>NY</State>
            <ZIPCode>11725</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC BASKING RIDGE-AMBULATORY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>136 MOUNTAIN VIEW BLVD</AddressLine1>
            <City>BASKING RIDGE</City>
            <State>NJ</State>
            <ZIPCode>07920</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SIDNEY KIMMEL PROSTATE &amp; UROLOGIC CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>353 EAST 68TH STREET</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC SLEEPY HOLLOW</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>777 NORTH BROADWAY</AddressLine1>
            <City>SLEEPY HOLLOW</City>
            <State>NY</State>
            <ZIPCode>10591</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC HAUPPAUGE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>800 VETERANS MEMORIAL HIGHWAY</AddressLine1>
            <City>HAUPPAUGE</City>
            <State>NY</State>
            <ZIPCode>11787</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>GUTTMAN DIAGNOSTIC CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>55 FIFTH AVENUE</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10003</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC ATLANTIC AVENUE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>557 ATLANTIC AVENUE</AddressLine1>
            <City>BROOKLYN</City>
            <State>NY</State>
            <ZIPCode>11217</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC COUNSELING CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>641 LEXINGTON AVENUE</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC OP IMAGING AT EAST 55 STREET</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>301 EAST 55TH STREET</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>POST TREATMENT RESOURCES PROGRAM</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>215 EAST 68TH STREET</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE BENDHEIM INTEGRATIVE MEDICINE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1429 FIRST AVENUE</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10021</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE HARLEM BREAST EXAMINATION CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>163 WEST 125TH STREET</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MSKCC - 64TH STREET</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>205 EAST 64TH STREET</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10065</ZIPCode>
          </Address>
          <FacilityType>EXTENSION CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Supplemental Information</Identifier>
        <Explanation>PART 1, LINE 3C A PATIENT WITH INCOME LESS THAN OR EQUAL TO 500% OF THE FPL IS ELIGIBLE FOR THE INSTITUTION'S FINANCIAL ASSISTANCE PROGRAM. FOR INSTANCE, THE INSTITUTION MAY REDUCE THE FEES INCURRED BY THE PATIENT OR ACCEPT AS FULL PAYMENT AMOUNTS PAID BY THE INSURANCE CARRIER ON THE PATIENT'S BEHALF. A PATIENT MAY ALSO QUALIFY FOR ASSISTANCE EVEN IF HIS/HER INCOME IS GREATER THAN THE THRESHOLD LIMIT. THIS IS BECAUSE THE INSTITUTION ADJUSTS PATIENTS' INCOME FOR ROUTINE MONTHLY EXPENSES, INCLUDING TAXES, TO DETERMINE DISPOSABLE INCOME. MSKCC ALSO DEDUCTS A SPECIFIC AMOUNT (DEBT BURDEN) AS A MONTHLY CLOTHES AND FOOD ALLOWANCE BASED ON A PATIENT'S FAMILY SIZE IN EVALUATING THE TYPE AND AMOUNT OF ASSISTANCE NEEDED. THE TABLES BELOW ILLUSTRATE THE 2011 INCOME GUIDELINES USED IN EVALUATING A PATIENT'S FINANCIAL STATUS. FOR A FAMILY SIZE OF 1, MSKCC ALLOWED INCOME OF $54,450, RESOURCE LEVELS OF $29,250 FOOD AND CLOTHES ALLOWANCE OF $1,147 FOR A FAMILY SIZE OF 2, MSKCC ALLOWED INCOME OF $73,550, RESOURCE LEVELS OF $35,850 FOOD AND CLOTHES ALLOWANCE OF $1,431 FOR A FAMILY SIZE OF 3, MSKCC ALLOWED INCOME OF $92,650, RESOURCE LEVELS OF $38,978 FOOD AND CLOTHES ALLOWANCE OF $1,641 FOR A FAMILY SIZE OF 4, MSKCC ALLOWED INCOME OF $111,750, RESOURCE LEVELS OF $42,105 FOOD AND CLOTHES ALLOWANCE OF $1,859 FOR A FAMILY SIZE OF 5, MSKCC ALLOWED INCOME OF $130,850, RESOURCE LEVELS OF $45,233 FOOD AND CLOTHES ALLOWANCE OF $2,062 FOR A FAMILY SIZE OF 6, MSKCC ALLOWED INCOME OF $149,950 RESOURCE LEVELS OF $48,360 FOOD AND CLOTHES ALLOWANCE OF $2,279 PART I, LINE 6A THE INSTITUTION PUBLISHES AN ANNUAL REPORT, THE "COMMUNITY SERVICE PLAN", WHICH PROVIDES SUMMARY INFORMATION ON ITS PUBLIC HEALTH PROGRAMS AND FINANCIAL ASSISTANCE SERVICES. IT IS AVAILABLE ON OUR WEB SITE, WWW.MSKCC.ORG, AND BY MAIL UPON REQUEST. IT IS MAILED TO LOCAL ELECTED OFFICIALS AND ORGANIZATIONS AND IS PUBLICIZED THROUGH OUR COMMUNITY NEWSLETTER. PART I, LINE 7G MEMORIAL SLOAN-KETTERING HAS CONSISTENTLY SET THE STANDARD OF CARE FOR PEOPLE WITH CANCER BY EMPHASIZING EARLY DETECTION, PRECISE DIAGNOSIS, AND INDIVIDUALLY TAILORED TREATMENT. THE HOSPITAL SUBSIDIZES CANCER SCREENING, TREATMENT, AND SUPPORT SERVICES TO FULFILL ITS MISSION AND TO HELP REDUCE CANCER HEALTH DISPARITIES AMONG MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. MSKCC'S BREAST EXAMINATION CENTER OF HARLEM (BECH) PROVIDES BREAST AND CERVICAL CANCER SCREENING, COUNSELING AND PATIENT FOLLOW-UP, AS WELL AS EDUCATIONAL PROGRAMS TO UNINSURED PATIENTS THROUGHOUT THE NEW YORK CITY AREA. BECH HAS A DEDICATED STAFF, INCLUDING A HEALTH EDUCATOR WHOSE ROLE IS TO INITIATE AND IMPLEMENT OUTREACH ACTIVITIES IN HARLEM AND THE SURROUNDING COMMUNITIES. SINCE ITS INCEPTION IN 1979, BECH HAS HAD MORE THAN 234,329 VISITS, WITH 5,150 OF THOSE VISITS TAKING PLACE IN 2011. ALL SERVICES WERE PROVIDED AT NO OUT-OF-POCKET EXPENSE TO THE WOMEN WHO RECEIVED CANCER SCREENING AND FOLLOW-UP SERVICES. LOCATED IN HARLEM, THE RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION (RLCCCP) OFFERS CANCER SCREENING AND TREATMENT SERVICES TO ITS MEDICALLY UNDERSERVED COMMUNITY. THE RLCCCP, MADE POSSIBLE IN PART THROUGH A GIFT FROM THE POLO RALPH LAUREN CORPORATION, IS A PARTNERSHIP WITH MSKCC. SINCE ITS INCEPTION RLCCCP HAS CONDUCTED MORE THAN 81,000 VISITS, OF WHICH APPROXIMATELY 12,000 OCCURRED IN 2011. TWENTY-SIX PERCENT OF THESE VISITS PROVIDED CARE TO UNINSURED PATIENTS AND 45 PERCENT TO PATIENTS ON MEDICAID. IN 2011, RLCCCP CONTINUED TO PROVIDE COLON CANCER SCREENING IN THE ENDOSCOPY SUITE. A TOTAL OF 2,056 COLONOSCOPIES WERE PERFORMED. APPROXIMATELY 60 PERCENT OF THESE COLONOSCOPIES WERE PROVIDED TO UNINSURED PATIENTS VIA GRANT FUNDING OR CHARITY CARE. MEMORIAL SLOAN-KETTERING'S PSYCHIATRY &amp; BEHAVIORAL SERVICES DEPARTMENT OFFERS INPATIENT AND OUTPATIENT PSYCHOLOGICAL AND SOCIAL SUPPORT SERVICES TO PATIENTS, THEIR FAMILIES, AND CAREGIVERS. ALL MEDICAID OUTPATIENT VISITS AND INPATIENT ENCOUNTERS ARE SUBSIDIZED BY MEMORIAL SLOAN-KETTERING, AS ARE UNREIMBURSED TIME AND EFFORT BY NURSES TO STAFF A SMOKING CESSATION CLINIC. APPROXIMATELY 1,200 PATIENTS WERE TREATED BY THE NURSING STAFF DURING 2011. PHILANTHROPIC FUNDS ARE USED TO SUPPORT A SIGNIFICANT NUMBER OF THE DEPARTMENT'S OVERALL CLINICAL AND TRAINING ACTIVITIES. THE INTEGRATIVE MEDICINE SERVICE PROVIDES FREE CLINICAL CARE FOR INPATIENTS. DURING 2011, THE SERVICE PROVIDED 7,766 TREATMENTS. THE CLINICAL SERVICES PROVIDED INCLUDE MUSIC THERAPY, TOUCH THERAPY, ACUPUNCTURE, YOGA, MEDITATION, GUIDED IMAGERY, AND DANCE THERAPY. A TOUCH THERAPY FOR CAREGIVERS COURSE IS OFFERED FREE OF CHARGE TO ANY INPATIENT AND THEIR FAMILY MEMBERS ONCE PER MONTH. PART I, LINE 7, COLUMN (F) THE AMOUNT OF THE BAD DEBT EXPENSE REMOVED FROM THE 2011 CALULATION IS $8,085,000 PART I, LINE 7 CHARITY CARE REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT IN ACCORDANCE WITH THE INSTITUTION'S ESTABLISHED POLICIES AND WHERE INSUFFICIENT PAYMENT FOR SUCH SERVICES IS ANTICIPATED. THE INSTITUTION CONSIDERS PATIENTS FOR CHARITY CARE IF HOUSEHOLD INCOME IS LESS THAN 500% OF THE FEDERAL POVERTY GUIDELINES. SERVICES PROVIDED AS CHARITY CARE ARE NOT REPORTED AS REVENUE. THE COSTS REPORTED IN THE TABLE WERE BASED ON VARIOUS SOURCES. CHARITY CARE AND UNREIMBURSED MEDICAID AND MEDICARE COMMUNITY BENEFITS COST WERE BASED ON A COST TO CHARGE RATIO CALCULATION. THE TOTAL CHARGES ASSOCIATED WITH THESE PROGRAMS ARE MULTIPLIED BY A RATIO OF HISTORICAL EXPENSES TO CHARGES AS DERIVED FROM THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT. THE COSTS ASSOCIATED WITH A PORTION OF THE HEALTH PROFESSIONAL EDUCATION COMMUNITY BENEFIT ARE ALSO OBTAINED FROM THE STEPDOWN OF COSTS PREPARED AS PART OF THE NYS INSTITUTIONAL COST REPORT. THE OTHER COMMUNITY BENEFIT COSTS ARE ACTUAL EXPENSES INCURRED BY THE RESPECTIVE PROGRAMS. COSTS OF PROVIDING CHARITY CARE AS CALCULATED PER THE ABOVE IS NET OF AMOUNTS RECEIVED FROM THE NYS BAD DEBT AND CHARITY CARE POOLS. TO ARRIVE AT THE AMOUNTS REPORTED ON THE TABLE ADDITIONAL STEPS AS OUTLINED BELOW WERE TAKEN. UNPAID COST OF GOVERNMENT SPONSORED HEALTH CARE REPRESENTS THE ESTIMATED DIFFERENCE BETWEEN THE PAYMENTS MADE UNDER THE MEDICARE AND MEDICAID PROGRAMS AND THE INSTITUTION'S COST OF PROVIDING THESE SERVICES AS CALCULATED ABOVE. THE INSTITUTION SUBTRACTS ALL REVENUES RECEIVED FROM THE MEDICARE AND MEDICAID PROGRAMS TO DETERMINE THE COMMUNITY BENEFIT PROVIDED. RESEARCH COMMUNITY BENEFIT COSTS REPRESENT THE INSTITUTION'S COSTS FOR BASIC TRANSLATIONAL AND CLINICAL RESEARCH THAT IS NOT FULLY REIMBURSED BY GOVERNMENTAL OR VOLUNTARY AGENCIES. THEREFORE, RESEARCH COMMUNITY BENEFIT COSTS ARE EQUAL TO THE TOTAL ANNUAL AMOUNT SPENT ON RESEARCH LESS AMOUNTS RECEIVED FROM EXTERNAL SOURCES. THESE AMOUNTS ARE REGARDED AS GRANT AND CONTRACT REVENUE. THE INSTITUTION IS A PREEMINENT PROVIDER OF HEALTH TRAINING TO HEALTH PROFESSIONALS WHO DESIRE TRAINING IN THE SKILLS NECESSARY TO TREAT CANCER PATIENTS. THE INSTITUTION TRAINS PHYSICIANS, SCIENTISTS, MEDICAL STUDENTS, RADIOLOGY STUDENTS, NURSING STUDENTS, SOCIAL WORK STUDENTS AND INDIVIDUALS LOOKING TO CREATE A CAREER IN THE FIELD OF CANCER BIOLOGY. THE AMOUNTS REPORTED AS HEALTH TRAINING REPRESENT COSTS IN EXCESS OF AMOUNTS REIMBURSED BY THIRD PARTY PAYERS SUCH AS TRAINING GRANT REVENUES AND DIRECT MEDICAL EDUCATION PAYMENTS FROM THE MEDICARE PROGRAM. PART II. MSKCC ENGAGES IN AND SUPPORTS COALITION BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THE INSTITUTION SERVES. STAFF MEMBERS ARE ENCOURAGED TO SHARE THEIR CLINICAL EXPERTISE AND EXPERIENCE WITH PARTNERING HEALTHCARE FACILITIES AND COMMUNITY ORGANIZATIONS. STAFF MEMBERS SERVE AND PARTICIPATE IN NUMEROUS COMMUNITY GROUPS INCLUDING THE AMERICAN CANCER SOCIETY, THE AMERICAN PUBLIC HEALTH ASSOCIATION, THE GREATER NEW YORK HOSPITAL ASSOCIATION, AND MANY HEALTH IMPROVEMENT ADVOCACY GROUPS FOR PARTICULAR TYPES OF CANCER. ALTHOUGH THE SIGNIFICANT COST OF STAFF TIME DEVOTED TO THESE ACTIVITIES IS NOT QUANTIFIED BY THE CENTER, THE INSTITUTION CONSIDERS THESE EFFORTS TO COLLABORATE AND BUILD COMMUNITY RESOURCES TO BE OF SIZEABLE COMMUNITY BENEFIT. PART III, LINE 4 THE INSTITUTION FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP), IN REPORTING BAD DEBT EXPENSES. THEREFORE, A DETAILED DESCRIPTION OF THE BAD DEBT AND CHARITY CARE POLICY IS NOT REQUIRED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS. PATIENTS HAVE THE OPPORTUNITY TO PURSUE VARIOUS CHARITY CARE PROGRAMS THROUGH MSKCC'S FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT IS FOUND TO HAVE THE APPROPRIATE RESOURCES TO PAY FOR HEALTH SERVICES AND DOES NOT, OR CHOOSES NOT TO PARTICIPATE IN AVAILABLE HEALTH BENEFIT PROGRAMS THE COLLECTION PROCESS WILL BE PURSUED IN ACCORDANCE WITH THE INSTITUTION'S POLICY. ONCE DEEMED UNCOLLECTABLE, THE CHARGES ARE CLASSIFIED AS BAD DEBTS AND ARE CHARGED OFF AS SUCH. THE AMOUNTS IN</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RALPH LAUREN CENTER FOR CANCER &amp; PREVENTION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1919 MADISON AVENUE</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10035</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020597827</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>850000</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT OPERATING COSTS</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>STIPENDS</TypeOfGrant>
        <NumberOfRecipients>2142</NumberOfRecipients>
        <AmountOfCashGrant>50709000</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Form 990, Schedule I</Identifier>
        <ReturnReference>Description of Organization's Procedures for Monitoring the Use of Grants</ReturnReference>
        <Explanation>FOR THE YEAR 2011, THE AMOUNT IS FOR STIPENDS PAID TO 321 RESEARCH FELLOWS, 131 RESEARCH SCHOLARS, AND 14 GRADUATE SCHOOL STUDENTS. STIPENDS WERE ALSO PAID TO A TOTAL OF 1,676 CLINICAL INTERNS, RESIDENTS AND FELLOWS THAT FILLED 440 POSITIONS DURING THE YEAR. EDUCATION AND TRAINING INCLUDES CLASSROOM INSTRUCTION WITH HANDS-ON EXPERIENCE IN BOTH RESEARCH LABORATORIES AND CLINICAL CARE ACTIVITIES. THE AFOREMENTIONED GRANTEES ARE REQUIRED TO BE IN COMPLIANCE WITH ACADEMIC REQUIREMENTS. THIS INCLUDES DIRECT SUPERVISION AND DIRECTION BY PHYSICIANS AND RESEARCH INVESTIGATORS. RALPH LAUREN CENTER FOR CANCER &amp; PREVENTION DURING 2011, MSKCC PAID $850,000 TO THE RALPH LAUREN CENTER TO OFFSET OPERATING EXPENSES. DURING 2010, THE BOARD APPROVED A RESOLUTION TO SUPPORT THE RALPH LAUREN CENTER'S LOSSES UP TO $1,000,000 PER YEAR FROM 2011-2013. THIS WAS FULLY RESERVED IN 2010. MSKCC REGULARY MEETS WITH THE RALPH LAUREN CENTER'S BOARD OF DIRECTORS TO REVIEW THAT THEIR SPENDING IS IN CONFORMITY WITH THEIR MISSION.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <HousingAllowanceOrResidence>X</HousingAllowanceOrResidence>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN R GUNN</NamePerson>
        <BaseCompensationFilingOrg>969522</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>661850</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>102666</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>97386</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19158</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1850582</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>70050</CompReportPrior990FilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1670656</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>48750</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JATIN SHAH MD</NamePerson>
        <BaseCompensationFilingOrg>1092496</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>107772</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>55932</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>36661</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1292861</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>1513173</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PETER G CORDEIRO MD</NamePerson>
        <BaseCompensationFilingOrg>1720307</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>145996</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>86634</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15604</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1968541</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>81485</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PHILIP GUTIN MD</NamePerson>
        <BaseCompensationFilingOrg>1914657</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>80250</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>95275</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4444</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>2094626</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>80250</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH DISA MD</NamePerson>
        <BaseCompensationFilingOrg>1584751</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>71405</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>78588</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13049</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1747793</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>67895</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CRAIG THOMPSON MD</NamePerson>
        <BaseCompensationFilingOrg>1394496</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>10062</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>140000</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12559</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1557117</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>SCHEDULE J, PART I, LINE 1A BUSINESS OR FIRST CLASS TRAVEL IS GENERALLY NOT ALLOWED FOR FLIGHTS LESS THAN 6 CONTINUOUS HOURS. ALL TRAVEL MUST BE APPROVED BEFORE ANY ARRANGEMENTS ARE MADE. AN EMPLOYMENT CONTRACT REQUIRES OUR PRESIDENT TO LIVE IN AN MSK OWNED APARTMENT. THE RESIDENCE IS USED TO HOLD MEETINGS ON BEHALF OF THE INSTITUTION. SCHEDULE J,PART I, LINE 4B THE INSTITUTION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN WHICH IS USED FOR EMPLOYER CONTRIBUTIONS IN EXCESS OF THOSE ALLOWED BY THE RETIREMENT ANNUITY PLAN. DR. SHAH RECEIVED $1,465,994 DISTRIBUTION FROM THE NONQUALIFIED DEFERRED COMPENSATION PLAN AND $47,179 OF EXCESS 403B BENEFITS THAT WERE REPORTED AS DEFERRED COMPENSATION IN A PRIOR YEAR AND ARE TAXABLE IN THE CURRENT YEAR. SCHEDULE J, PART III GRANDFATHERED MSKCC DEFERRED COMPENSATION PLANS Included in Other Reportable Compensation are certain distributions from deferred compensation plans that the Institution maintains for certain highly compensated management and professional employees. These grandfathered plans were adopted in the early and mid-1980s and have been closed to new participants since August 16, 1986. The grandfathered plans allowed participants to irrevocably defer portions of their approved salary until certain conditions were met, typically retirement or disability. In addition, the Institution made contributions to the plans to the extent contributions to the MSKCC Retirement Plan for such participants were limited by applicable contribution limits under the Internal Revenue Code. The Institution provided participants with the opportunity to receive distributions as permitted under Section 409A of the Internal Revenue Code. This opportunity was exercised by numerous participants. These distributed amounts are reported as W-2 compensation. 100 percent of these amounts reflect the deferral of a portion of the participant's approved compensation package and related investment experience since the commencement of an individual's plan participation. As contributions were made to these plans for previous periods, the contribution amounts were reported on Form 990 for the applicable period as contributions to deferred compensation plans with respect to officers, key employees, and other highest paid employees. These amounts, as adjusted for investment experience, are reported again now on Form 990 as distributions from the plans.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>64983QT25</CUSIPNumber>
        <DateIssued>2006-06-29</DateIssued>
        <IssuePrice>114610323</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>649903ZR5</CUSIPNumber>
        <DateIssued>2008-05-13</DateIssued>
        <IssuePrice>164779275</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>64983UFK1</CUSIPNumber>
        <DateIssued>2003-05-14</DateIssued>
        <IssuePrice>500001381</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>true</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>64983QS83</CUSIPNumber>
        <DateIssued>2006-06-29</DateIssued>
        <IssuePrice>102783274</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>115772187</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>114009278</RefundingEscrow>
        <IssuanceCostsFromProceeds>1762909</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>164780185</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>2204275</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>162575910</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>79300000</AmountRetired>
        <AmountBondDefeased>114009277</AmountBondDefeased>
        <TotalProceeds>502987588</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>6762359</IssuanceCostsFromProceeds>
        <CreditEnhancement>4967000</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>491258229</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>112974138</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1525106</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>111449032</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN1">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>649903B91</CUSIPNumber>
        <DateIssued>2008-05-13</DateIssued>
        <IssuePrice>291329951</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <DateIssued>2007-02-08</DateIssued>
        <IssuePrice>3423972</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <DateIssued>2008-11-03</DateIssued>
        <IssuePrice>25000000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <DateIssued>2009-08-13</DateIssued>
        <IssuePrice>75000000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
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        <TotalProceeds>291330551</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>3904951</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>287425600</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>3423972</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>3423972</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>24000</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>3399972</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <AmountRetired>14544762</AmountRetired>
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        <TotalProceeds>25047201</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
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        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
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        <CapitalExpenditures>25047201</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>33655045</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>75002338</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>74992797</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>9548</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN2">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>6499053Z7</CUSIPNumber>
        <DateIssued>2010-09-02</DateIssued>
        <IssuePrice>80000000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>80007034</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>80007034</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>Hedvig Hricak MD</NamePerson>
        <PurposeOfLoan>MORTGAGE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>700000</OriginalPrincipalAmount>
        <BalanceDue>400000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>400000</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>FIRST LEXINGTON CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>1265493</AmountOfTransaction>
        <DescriptionOfTransaction>LEASE OF OFFICE SPACE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PERKINS EASTMAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>5937416</AmountOfTransaction>
        <DescriptionOfTransaction>ARCHITECTUAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>GENERAL ELECTRIC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>14411795</AmountOfTransaction>
        <DescriptionOfTransaction>SERVICE/PURCHASE OF EQUIPMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MERCK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>2424000</AmountOfTransaction>
        <DescriptionOfTransaction>PURCHASE OF PHARMACEUTICALS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MS T LINDSTEN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>147487</AmountOfTransaction>
        <DescriptionOfTransaction>FAMILY EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MR I GUTNICK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>73188</AmountOfTransaction>
        <DescriptionOfTransaction>FAMILY EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>IBM CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>3293482</AmountOfTransaction>
        <DescriptionOfTransaction>SERVICE/PURCHASE OF EQUIPMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE L, PART IV</ReturnReference>
        <Explanation>1. MR. JACK RUDIN WAS A BOARD MEMBER OF THE INSTITUTION UNTIL MARCH 2011. HE IS A SHAREHOLDER IN FIRST LEXINGTON CORPORATION. THE INSTITUTION LEASES OFFICE SPACE FROM FIRST LEXINGTON AT FAIR MARKET VALUE. THE COST OF THE LEASE WAS $1,265,493 IN 2011. 2. MR. STEPHEN FRIEDMAN IS A BOARD MEMBER OF THE INSTITUTION. THE INSTITUTION PURCHASED ARCHITECTURAL SERVICES FROM THE FIRM OF PERKINS/EASTMAN. THE TOTAL AMOUNT PAID IN 2011 WAS $5,937,416. MR. PERKINS AND MR. FRIEDMAN ARE BROTHERS-IN-LAW. 3. MR. DOUGLAS A. WARNER III IS CHAIRMAN OF THE BOARD OF THE INSTITUTION. MR. WARNER IS ALSO A DIRECTOR OF GENERAL ELECTRIC. DURING THE YEAR THE INSTITUTION PURCHASED MEDICAL EQUIPMENT AND SERVICES FROM G.E. IN THE AMOUNT OF $14,411,795. 4. DR. CRAIG THOMPSON IS PRESIDENT OF THE INSTITUTION, COMMENCING EMPLOYMENT IN 2010. DR. THOMPSON IS ON THE BOARD OF DIRECTORS OF MERCK AND HAS BEEN SINCE 2008. FROM TIME TO TIME, MEMORIAL SLOAN-KETTERING, ENTERS INTO DIRECT CONTRACTS WITH MERCK. DURING 2011, THE VALUE OF THESE CONTRACTS APPROXIMATED $2,424,000. 5. DR. THOMPSON'S SPOUSE IS A LABORATORY MEMBER IN SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH. HER COMPENSATION WAS $147,487. 6. MR. MICHAEL P. GUTNICK IS THE SENIOR VICE PRESIDENT FINANCE. HIS SON IS A FUND COORDINATOR IN THE DIVISION OF MEDICINE. HIS SON'S TOTAL COMPENSATION FOR 2011 WAS $73,188. 7. MS. VIRGINIA M. ROMETTY IS A BOARD MEMBER OF THE INSTITUTION. MS. ROMETTY WAS A SENIOR VICE PRESIDENT OF IBM DURING 2011. EFFECTIVE JANUARY 1, 2012, MS. ROMETTY WAS APPOINTED PRESIDENT AND CEO OF IBM. DURING 2011, THE INSTITUTION PURCHASED SERVICES AND EQUIPMENT FROM IBM TOTALING $3,293,482. THE INDIVIDUALS LISTED WERE NOT A PARTY TO THE TRANSACTIONS. THERE IS NO SHARING OF THE INSTITUTION'S REVENUE. THE PURCHASES OF GOODS OR SERVICES BY THE INSTITUTION WERE MADE IN THE ORDINARY COURSE OF BUSINESS, AT COMMERCIALLY AVAILABLE RATES.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>1354657</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>THRIFT VALUE</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>64</NumberOfContributions>
        <NoncashContribsRptdF990>1688780</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>MARKET VALUE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>true</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>SALE OF NON CASH CONTRIBUTIONS</Identifier>
        <ReturnReference>SCHEDULE M LINE 32A</ReturnReference>
        <Explanation>CLOTHING AND HOUSEHOLD GOODS ARE DONATED AT OUR THRIFT SHOP. THE SOCIETY OF MSKCC RUNS THE THRIFT SHOP FOR THE BENEFIT OF THE ORGANIZATION. PUBLICLY TRADED DONATED STOCK IS SOLD BY MERRILL LYNCH ON BEHALF OF MEMORIAL SLOAN-KETTERING CANCER CENTER AND ITS AFFILIATED ORGANIZATIONS.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE RETURN PRIOR TO FILING THE RETURN, A REVIEW OF THE 990 WAS CONDUCTED BY THE CONTROLLER AND THE CHIEF FINANCIAL OFFICER. IT IS THEN REVIEWED BY THE JOINT AUDIT COMMITTEE OF THE BOARD. THE JOINT AUDIT COMMITTEE REFERS THE FORM 990 TO THE FULL BOARD, AND A COPY IS PROVIDED TO EACH BOARD MEMBER FOR FURTHER REVIEW. MEMORIAL SLOAN-KETTERING'S FORM 990 IS REVIEWED BY OUTSIDE COUNSEL AND IS PREPARED IN CONJUNCTION WITH ERNST AND YOUNG, LLP. FORM 990, PART VI, LINE 12C PROCESS USED TO MONITOR COMPLIANCE THE COMPLIANCE OFFICER AND STAFF ARE RESPONSIBLE FOR ADMINISTERING THE CONFLICT OF INTEREST PROGRAM--INCLUDING THE IMPLEMENTATION OF THE POLICY--BY MAINTAINING PROCESSES FOR DISCLOSURE OF OUTSIDE ACTIVITIES AND FOR THE TIMELY REVIEW OF REPORTED INTERESTS, INCLUDING: 1. MANAGEMENT OF THE ANNUAL DISCLOSURE CERTIFICATION PROCESS AND THE PROCESS BY WHICH COVERED PERSONS DISCLOSE AT TIME OF HIRE. COVERED PERSONS RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING DISCLOSURE OF RELATIONSHIPS AND TRANSACTIONS THAT MIGHT INVOLVE A CONFLICT OF INTEREST. QUESTIONNAIRE RESPONSES ARE REVIEWED BY THE COMPLIANCE OFFICER AND STAFF. FOLLOW-UP INQUIRIES ARE MADE IF NEEDED. MATTERS ARE SUBMITTED TO AN INTERNAL MANAGEMENT COMMITTEE AND A COMMITTEE OF THE BOARD OF MANAGERS IF ADJUDICATION IS NEEDED. 2. REVIEW AND ADJUDICATION OF OUTSIDE ACTIVITIES THAT REQUIRE PRE- APPROVAL OR DISCLOSURE; FACILITATION OF A REVIEW BY THE OFFICE OF INDUSTRIAL AFFAIRS OF ANY OUTSIDE ACTIVITIES THAT INVOLVE INTELLECTUAL PROPERTY OR OTHERWISE INVOLVE AN ACTIVITY IN WHICH THE CENTER'S RIGHTS MAY REQUIRE PROTECTION. 3. ADMINISTRATION OF CONFLICT OF INTEREST ADVISORY COMMITTEE MEETINGS, INCLUDING DEVELOPMENT AND DISTRIBUTION OF AGENDAS AND SUPPORTING DOCUMENTS, DRAFTING AND DISTRIBUTION OF MINUTES, AND MAINTENANCE OF COMMITTEE RECORDS. 4. DOCUMENTATION OF THE OUTCOME OF ALL REVIEWS OF REPORTED OUTSIDE ACTIVITIES. COMMUNICATION TO THE COVERED PERSON OF THE OUTCOME OF ALL REVIEWS, INCLUDING DOCUMENTATION OF MANAGEMENT PLANS. AS PART OF THE CLINICAL RESEARCH REVIEW PROCESS, QUESTIONS ON THE PROTOCOL SUBMISSION FORM ARE DESIGNED TO ELICIT INFORMATION ABOUT POTENTIAL CONFLICTS. SITUATIONS IN WHICH A STAFF PARTICIPANT IN RESEARCH REPORTS A POTENTIAL CONFLICT ARE REFERRED TO THE CHAIR OF THE COIAC AND TO THE COMPLIANCE OFFICER FOR REVIEW. THE BOARD OF MEMORIAL SLOAN-KETTERING CANCER CENTER HAS MEMBERS THAT ACTIVELY SERVE AS OFFICERS AND/OR BOARD MEMBERS OF PUBLICLY-TRADED COMPANIES. THE INSTITUTION MAY PROCURE GOODS AND/OR SERVICES FROM THESE PUBLICLY TRADED COMPANIES THROUGH THE ORDINARY COURSE OF THE COMPANIES' BUSINESS ON TERMS AND CONDITIONS WHICH WE ASSUME ARE THE SAME THAT SUCH COMPANIES CHARGE TO THE GENERAL PUBLIC. ANY OF OUR BOARD MEMBERS THAT HAVE AN AFFILIATION WITH SUCH COMPANIES ARE NOT INVOLVED WITH THE NEGOTIATIONS OR THE TERMS OF THE AGREEMENT. THE INSTITUTION HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. TRANSACTIONS IDENTIFIED THROUGH OUR CONFLICT OF INTEREST QUESTIONNAIRE ARE DISCLOSED ON SCHEDULE L. THESE TRANSACTIONS WERE ALSO CONSUMMATED ON AN ARM'S LENGTH BASIS BETWEEN MANAGEMENT OF THE INSTITUTION AND THE COMPANY. MSKCC'S "POLICY ON CONFLICTS OF INTERESTS FOR DIRECTORS AND KEY EMPLOYEES" APPLIES TO ANY BOARD OF MANAGERS MEMBER, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS. INDIVIDUALS COVERED BY THIS POLICY HAVE A DUTY TO DISCLOSE FINANCIAL INTERESTS, AS DEFINED BY THE POLICY, ANNUALLY AND AS THEY ARISE. IN THE EVENT A COVERED INDIVIDUAL IS INVOLVED IN A BOARD OR COMMITTEE ACTION (SUCH AS APPROVAL OF A TRANSACTION OR ARRANGEMENT) AND THE INDIVIDUAL HAS A FINANCIAL INTEREST RELATED TO THE MATTER BEFORE THE BOARD, THE INDIVIDUAL MUST DISCLOSE THE FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE. THE INDIVIDUAL MUST LEAVE THE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON, AND THE REMAINING, DISINTERESTED BOARD OR COMMITTEE MEMBERS ARE RESPONSIBLE TO DECIDE IF A CONFLICT EXISTS. IF A DETERMINATION IS MADE THAT A CONFLICT EXISTS, THE INVOLVED INDIVIDUAL MAY MAKE A PRESENTATION TO THE BOARD OR COMMITTEE BUT S/HE MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE IS REQUIRED TO DETERMINE WHETHER MSKCC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN UNCONFLICTED PERSON OR ENTITY. AS APPROPRIATE, THE CHAIRPERSON OF THE BOARD OR COMMITTEE IS RESPONSIBLE TO APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, LINE 15 PROCESS FOR DETERMINING COMPENSATION MEMORIAL SLOAN-KETTERING CANCER CENTER (MSKCC) IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE ESTABLISHED STANDARDS OF REGULATORY COMPLIANCE AND BEST CORPORATE GOVERNANCE. THE MSKCC BOARD OF OVERSEERS AND MANAGERS HAS CHARGED THE JOINT HUMAN RESOURCES COMMITTEE (WHICH IS COMPOSED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARDS TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE REVIEWS THE TOTAL COMPENSATION OF THE INDIVIDUALS, INCLUDING BOTH CURRENT AND DEFERRED COMPENSATION, AND ALL EMPLOYEE BENEFITS, ON AN ANNUAL BASIS TO ENSURE THAT THE TOTAL COMPENSATION OF EACH OFFICER AND KEY EMPLOYEE IS REASONABLE. TO ASSIST IN THE COMPLETION OF ITS RESPONSIBILITIES, THE COMMITTEE ENGAGES THE SERVICES OF A NATIONALLY RECOGNIZED CONSULTING FIRM SPECIALIZING IN EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. EACH YEAR THE COMMITTEE REVIEWS A COMPREHENSIVE REPORT PREPARED BY THE FIRM THAT INCLUDES MARKET DATA FOR FUNCTIONALLY COMPARABLE ROLES IN COMPARABLE ORGANIZATIONS (I.E., NOT-FOR-PROFIT ACADEMIC/RESEARCH MEDICAL CENTERS, ESPECIALLY THOSE SHARING A MISSION SIMILAR TO MSKCC, WITH OTHER HEALTHCARE SECTORS CONSIDERED ON A SELECTED BASIS) AND SUMMARIZES THE RELATIVE MARKET POSITION OF EACH EXECUTIVE'S TOTAL COMPENSATION. THE LAST REVIEW WAS NOVEMBER 2011. THIS REVIEW SETS THE COMPENSATION POLICY FOR THE FOLLOWING YEAR. ADDITIONALLY, A SENIOR MEMBER OF THE CONSULTING FIRM ATTENDS THE COMMITTEE'S MEETINGS TO PROVIDE INFORMATION AND TO RESPOND TO QUESTIONS BY THE MEMBERS OF THE COMMITTEE. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING THE MARKET DATA, AN ASSESSMENT OF PERFORMANCE, AND OTHER BUSINESS JUDGMENT FACTORS, CONSISTENT WITH MSKCC'S EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTERESTS OF MSKCC, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SCOPE, MISSION AND COMPLEXITY. ON AN ANNUAL BASIS, THE COMMITTEE PROVIDES THE FULL BOARD WITH AN OVERVIEW OF ITS DETERMINATIONS AND PROCESS. THE COMMITTEE'S REVIEW PROCESS FOLLOWS THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986: - THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX EXEMPT ORGANIZATION (I.E, THE COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF THE REGULATIONS UNDER SECTION 4958). - THE AUTHORIZED BODY OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION, FOR WHICH COMPARABILITY DATA ARE PROVIDED AND ANALYZED BY SULLIVAN, COTTER AND ASSOCIATES, INC., A WELL-REGARDED EXPERT IN THE AREA OF HEALTHCARE COMPENSATION. - THE COMMITTEE ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS REQUIRED IN THE REGULATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI LINE 19</Identifier>
        <ReturnReference>DOCUMENTS AVAILABLE TO THE PUBLIC</ReturnReference>
        <Explanation>THE INSTITUTION MAKES ITS AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS CAN BE ACCESSED AT THE FOLLOWING WEB ADDRESS: WWW.DACBOND.COM. THE INSTITUTION HAS ENGAGED DAC BOND AS OUR INVESTOR RELATIONS AND DISCLOSURE/DISSEMINATION AGENT. THE INFORMATION AVAILABLE ON THIS WEB SITE INCLUDES AUDITED FINANCIAL STATEMENTS, QUARTERLY UNAUDITED FINANCIAL STATEMENTS AND THE BOND OFFERING STATEMENTS FOR ALL OF OUR TAX-EXEMPT DEBT ISSUES. IN ADDITION, COPIES OF THE GROUP 990 AND FILED 990T ARE ALSO AVAILABLE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. IT CAN BE FOUND AT THE FOLLOWING INSTITUTIONAL WEB SITE: WWW.MSKCC.ORG. GOVERNING DOCUMENTS SUCH AS THE ARTICLES OF INCORPORATION AND CORPORATE BY-LAWS ARE NOT CURRENTLY MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A TITLES THIS IRS FORM 990 IS FILED UNDER GROUP EXEMPTION NUMBER 3475, EIN 91-2154267. THE ATTACHED LIST REPRESENTS MEMBERS FROM THE GOVERNING BOARDS OF THE FOLLOWING AFFILIATED INSTITUTIONS THAT MAKE UP OUR EXEMPT GROUP: MEMORIAL SLOAN-KETTERING CANCER CENTER (MSK) EIN 13-1924236, MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES (MEM) EIN 13-1624082, SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH (SKI) EIN 13-1624182, S.K.I. REALTY, INC. (SKR) EIN 13-3389586, LOUIS V. GERSTNER JR. GRADUATE SCHOOL OF BIOMEDICAL SCIENCES (SKG) EIN 20-2212588, MSK INSURANCE US, INC. (MVI) EIN 83-2212588, AND MSKCC PROTON INC.,(MPI) EIN 83-0363317, A NEW START UP COMPANY THAT HAS NOT HAD ANY ACTIVITY. MEMORIAL SLOAN-KETTERING CANCER CENTER BOARD OF MANAGERS/DIRECTORS RICHARD I. BEATTIE, VICE-CHAIRMAN OF THE BOARD STANLEY F. DRUCKENMILLER ANTHONY B. EVNIN RICHARD N. FOSTER STEPHEN FRIEDMAN ELLEN V. FUTTER PHILIP H. GEIER, JR. LOUIS V. GERSTNER, JR. VICE CHAIRMAN OF THE BOARD JONATHAN N. GRAYER JOHN R. GUNN, EXECUTIVE VICE PRESIDENT, EMPLOYEE, NOT INDEPENDENT BOARD MEMBER BENJAMIN W. HEINEMAN, JR. DAVID H. KOCH MARIE-JOSEE KRAVIS JAMES G. NIVEN BRUCE C. RATNER ANNETTE U. RICKEL, M.D. CLIFTON S. ROBBINS, BOARD MEMBER &amp; TREASURER JAMES D. ROBINSON III,BOARD MEMBER &amp; HONORARY CHAIRMAN OF THE BOARD VIRGINIA M. ROMETTY BENJAMIN M. ROSEN NORMAN C. SELBY, BOARD MEMBER &amp; SECRETARY STEPHEN C. SHERRILL PETER J. SOLOMON SCOTT M. STUART CRAIG B. THOMPSON, M.D., BOARD MEMBER, PRESIDENT AND CHIEF EXECUTIVE OFFICER EMPLOYEE, NOT INDEPENDENT BOARD MEMBER LUCY R. WALETZKY, M.D. DOUGLAS A. WARNER III, CHAIRMAN OF THE BOARD PETER A. WEINBERG DEBORAH C. WRIGHT 29 TOTAL BOARD MEMBERS 24 INDEPENDENT BOARD MEMBERS MEMORIAL HOSPITAL BOARD OF MANAGERS/DIRECTORS RICHARD I. BEATTIE, CHAIRMAN OF THE BOARD STANLEY F. DRUCKENMILLER ANTHONY B. EVNIN RICHARD N. FOSTER STEPHEN FRIEDMAN ELLEN V. FUTTER PHILIP H. GEIER, JR. LOUIS V. GERSTNER, JR. JONATHAN N. GRAYER BENJAMIN W. HEINEMAN, JR. DAVID H. KOCH MARIE-JOSEE KRAVIS JAMES G. NIVEN BRUCE C. RATNER ANNETTE U. RICKEL, M.D. CLIFTON S. ROBBINS, BOARD MEMBER &amp; TREASURER JAMES D. ROBINSON III VIRGINIA M. ROMETTY BENJAMIN M. ROSEN, VICE-CHAIRMAN OF THE BOARD NORMAN C. SELBY, BOARD MEMBER &amp; SECRETARY STEPHEN C. SHERRILL PETER J. SOLOMON SCOTT M. STUART CRAIG B. THOMPSON, M.D., BOARD MEMBER, CHIEF EXECUTIVE OFFICER EMPLOYEE, NOT INDEPENDENT BOARD MEMBER LUCY R. WALETZKY, M.D. DOUGLAS A. WARNER III, CHAIRMAN OF THE BOARD PETER A. WEINBERG DEBORAH C. WRIGHT 28 TOTAL BOARD MEMBERS 24 INDEPENDENT BOARD MEMBERS SLOAN-KETTERING INSTITUTE BOARD OF MANAGERS/DIRECTORS RICHARD I. BEATTIE STANLEY F. DRUCKENMILLER ANTHONY B. EVNIN RICHARD N. FOSTER STEPHEN FRIEDMAN ELLEN V. FUTTER PHILIP H. GEIER, JR. LOUIS V. GERSTNER, JR., CHAIRMAN OF THE BOARD JONATHAN N. GRAYER BENJAMIN W. HEINEMAN, JR. DAVID H. KOCH MARIE-JOSEE KRAVIS JAMES G. NIVEN BRUCE C. RATNER ANNETT U. RICKEL, M.D. CLIFTON S. ROBBINS BOARD, MEMBER &amp; TREASURER JAMES D. ROBINSON III VIRGINIA M. ROMETTY BENJAMIN M. ROSEN NORMAN C. SELBY, BOARD MEMBER &amp; SECRETARY STEPHEN C. SHERRILL PETER J. SOLOMON SCOTT M. STUART CRAIG B. THOMPSON, M.D., BOARD MEMBER, CHIEF EXECUTIVE OFFICER EMPLOYEE, NOT INDEPENDENT BOARD MEMBER LUCY R. WALETZKY, M.D. DOUGLAS A. WARNER III DEBORAH C. WRIGHT 27 TOTAL BOARD MEMBERS 24 INDEPENDENT BOARD MEMBERS S.K.I. REALTY BOARD OF MANAGERS/DIRECTORS RICHARD I. BEATTIE LOUIS V. GERSTNER, JR. JAMES G. NIVEN, PRESIDENT CLIFTON S. ROBBINS JAMES D. ROBINSON III DOUGLAS A. WARNER III, CHAIRMAN OF THE BOARD 6 TOTAL BOARD MEMBERS 5 INDEPENDENT BOARD MEMBERS GERSTNER GRADUATE SCHOOL BOARD OF MANAGERS/DIRECTORS RICHARD I. BEATTIE RICHARD N. FOSTER STEPHEN FRIEDMAN ELLEN V. FUTTER LOUIS V. GERSTNER, JR., CHAIRMAN OF THE BOARD JONATHAN N. GRAYER DAVID H. KOCH HUTHAM S. OLAYAN BENJAMIN M. ROSEN NORMAN C. SELBY CRAIG B. THOMPSON, M.D. BOARD MEMBER, PRESIDENT, EMPLOYEE, NOT INDEPENDENT BOARD MEMBER DOUGLAS A. WARNER III 12 TOTAL BOARD MEMBERS 11 INDEPENDENT BOARD MEMBERS MSK INSURANCE U.S. BOARD OF MANAGERS/DIRECTORS JOHN R. GUNN, VICE PRESIDENT AND SECRETARY EMPLOYEE, NOT INDEPENDENT BOARD MEMBER STEPHEN C. SHERRILL, CHAIRMAN OF THE BOARD MARK SVENNINGSON, BOARD MEMBER AND PRESIDENT EMPLOYEE, NOT INDEPENDENT BOARD MEMBER JEFFREY P. JOHNSON, BOARD MEMBER AND VICE PRESIDENT MICHAEL P. GUTNICK, BOARD MEMBER AND TREASURER EMPLOYEE, NOT INDEPENDENT BOARD MEMBER 5 TOTAL BOARD MEMBERS 2 INDEPENDENT BOARD MEMBERS MSKCC PROTON INC., BOARD OF DIRECTORS MICHAEL P. GUTNICK, EMPLOYEE NOT AN INDEPENDENT DIRECTOR SIMON NICHOLAS POWELL MD, EMPLOYEE NOT AN INDEPENDENT DIRECTOR ROBERT E. WITTES MD, EMPLOYEE NOT AN INDEPENDENT DIRECTOR 3 TOTAL DIRECTORS 0 INDEPENDENT DIRECTORS OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES ROBERT E. WITTES, MD - PHYSICIAN-IN-CHIEF, MEMORIAL HOSPITAL THOMAS J. KELLY, MD, PHD - DIRECTOR, SLOAN-KETTERING INSTITUTE KATHRYN MARTIN - SR VICE PRESIDENT, HOSPITAL ADMINISTRATOR JASON KLEIN - VICE PRESIDENT &amp; CHIEF INVESTMENT OFFICER PATRICIA C. SKARULIS - VICE PRESIDENT, INFORMATION SYSTEMS &amp; CHIEF INFORMATION OFFICER LARRY NORTON, M.D. - DEPUTY PHYSICIAN-IN-CHIEF DENNIS DOWDELL, JR. - VICE PRESIDENT, HUMAN RESOURCES RICHARD K. NAUM - VICE PRESIDENT, DEVELOPMENT EDWARD J. MAHONEY - VICE PRESIDENT, FACILITIES MANAGEMENT ERIC M. COTTINGTON, PHD- VICE PRESIDENT, RESEARCH &amp; TECHNOLOGY MANAGEMENT MAUREEN KILLACKEY, M.D. - DEPUTY PHYSICIAN-IN-CHIEF; MEDICAL DIRECTOR REGIONAL CARE ROGER N. PARKER, JD - SR VICE PRESIDENT, LEGAL AFFAIRS &amp; GENERAL COUNSEL KENNETH MARIANS - SKI MEMBER; DEAN OF GERSTNER GRADUATE SCHOOL ELLEN MILLER SONET - VICE PRESIDENT, MARKETING KATHY LEWIS - VICE PRESIDENT, PUBLIC AFFAIRS PETER T. SCARDINO, M.D. - CHAIRMAN &amp; ATTENDING, DEPARTMENT OF SURGERY HEDVIG HRICAK, M.D. - CHAIRMAN &amp; ATTENDING, DEPARTMENT OF RADIOLOGY GEORGE BOSL, M.D. - CHAIRMAN &amp; ATTENDING, DEPARTMENT OF MEDICINE SIMON NICHOLAS POWELL, M.D. - CHAIRMAN &amp; ATTENDING, DEPARTMENT OF RADIATION ONCOLOGY ANNE MCSWEENEY - CAMPAIGN DIRECTOR (DEVELOPMENT) MURRAY F. BRENNAN, M.D. - VICE PRESIDENT, INTERNATIONAL PROGRAMS, DIRECTOR, INTERNATIONAL CENTER MANJIT S. BAINS, M.D. - ATTENDING SURGERY, THORACIC SERVICE PETER G. CORDEIRO M.D. - CHIEF ATTENDING SURGERY, PLASTIC &amp; RECONSTRUCTIVE SERVICE PHILIP H. GUTIN, M.D. - CHAIRMAN &amp; ATTENDING, NEUROSURGERY JOSEPH DISA, M.D. - ATTENDING SURGERY, PLASTIC &amp; RECONSTRUCTIVE SERVICE FORM 990, PART VII, SECTION B AMOUNTS PAID TO INDEPENDENT CONTRACTORS INCLUDE AMOUNTS PAID TO SUBCONTRACTORS AS WELL AS REIMBURSABLE EXPENSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART XI OTHER CHANGES IN NET ASSETS</Identifier>
        <Explanation>UNREALIZED LOSSES ON INVESTMENT TRANSACTIONS $ (200,271,000) CHANGE IN POSTRETIREMENT $(110,250,000) RELEASE OF RESERVES TO SUPPORT OPERATING LOSSES AT THE RALPH LAUREEN CENTER (SCHEDULE I) $850,000 TOTAL $(309,671,000) SCHEDULE K PART 1 COL. (F) DESCRIPTION OF PURPOSE 2003 SERIES BONDS CUSIP #64983UFK1 2003 SERIES BONDS WERE USED TO FINANCE OR REFINANCE ALL OR A PORTION OF THE COST OF THE FOLLOWING: BEGAN CONSTRUCTION ON A NEW 23 FLOOR RESEARCH FACILITY ACQUIRED 256 UNITS OF RESIDENTIAL APARTMENT FOR STAFF OF THE INSTITUTION IMPROVED A TWO-STORY LABORATORY ANIMAL FACILITY PURCHASED A 28 UNIT RESIDENTIAL APARTMENT COMPLEX FOR STAFF OF THE INSTITUTION. 2006 SERIES I BONDS CUSIP #64983QS83 2006 SERIES I BONDS WERE USED TO FINANCE OR REFINANCE ALL OR A PORTION OF THE COST OF THE FOLLOWING: BEGAN CONSTRUCTION ON A NEW EIGHT-STORY RESEARCH FACILITY COMPLETED THE 23 STORY RESEARCH FACILITY PURCHASED 96 RESIDENTIAL CONDOMINIUM APARTMENTS FOR STAFF OF THE INSTITUTION IMPROVE A 13-STORY RESEARCH FACILITY. 2006 SERIES II BONDS CUSIP #64983QT25 2006 SERIES II BONDS WERE USED TO ADVANCE REFUND A PORTION OF THE 2003 BONDS ISSUED ON MAY 14, 2003. 2008 SERIES I BONDS CUSIP #649903ZR5 2008 SERIES I BONDS WERE USED TO ADVANCE REFUND A PORTION OF THE 2002A BONDS ISSUED IN JANUARY 24, 2002 2008 SERIES II BONDS CUSIP #649903B91 2008 SERIES II BONDS WERE USED TO REFUND A PORTION OF THE 2002A BONDS ISSUED ON JANUARY 24, 2002. 2007 TELP 2007 TELP WAS USED TO LEASE FINANCE MEDICAL EQUIPMENT. 2008 TELP 2008 TELP WAS USED TO LEASE FINANCE MEDICAL EQUIPMENT 2009 TELP 2009 TELP WAS USED TO LEASE FINANCE MEDICAL AND RESEARCH LABORATORY EQUIPMENT 2010 SERIES I BONDS CUSIP #6499053Z7 2010 SERIES I BONDS WERE USED TO FINANCE THE PURCHASE OF REAL ESTATE PROPERTY. 2010 SERIES I BONDS WERE USED TO FINANCE THE PURCHASE OF REAL ESTATE PROPERTY.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RALPH LAUREN CTR FOR CANCER &amp; PRVENTION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1919 MADISON AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10036</ZIPCode>
        </AddressUS>
        <PrimaryActivities>CANCER CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MSKCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM CRITICAL CARE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133348785</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM INFECT DISEASE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133278582</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM MEDICAL CONSULT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133278550</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM NUTRITION GRP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133278576</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM SOLID TUMOR GRP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133278578</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM PULMONARY FUNC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133304834</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM CARDIOPULMONARY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133278552</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MSK RADIOLOGY GRP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133375559</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM NUCLEAR MED</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133278580</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEM RADIATION ONCOL</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1275 YORK AVENUE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
        </AddressUS>
        <EIN>133237927</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MEM</BusinessNameLine1>
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        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>15311000</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>100080000</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SKI REALTY INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>5400000</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SKI REALTY INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>1728000</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOUIS V GERSTNER JR GRADUATE SCHOOL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>384000</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>RALPH LAUREN CTR FOR CANCER &amp; PREVENTION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>590254</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>RALPH LAUREN CTR FOR CANCER &amp; PREVENTION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>850000</AmountInvolved>
        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>