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      <Description>At St. Peter's, surgeons operate in the area's newest and best surgical suites, featuring the latest diagnostic and surgical technology. It's why more than 15,000 surgeries are performed at St. Peter's each year.Supported by a nationally-recognized nursing staff and an expert support staff, surgeons at St. Peter's have the tools and the advanced technology to transform and save lives.Minimally invasive procedures, including robotic, computer-assisted and image-guided surgeries, are performed in the areas of cardiac, vascular, gynecologic, neurological, orthopedic, otolaryngologic, thoracic, urologic and general surgery. Types of procedures being performed at St. Peter's Hospital:- Bariatric Surgery - Breast Surgery - Cardiac Surgery - Colorectal Surgery - Dental/Maxillofacial Surgery - General Surgery - Gynecologic Oncology - Gynecological Surgery - Hepatobiliary (Liver, Biliary, Pancreas) - Minimally-invasive Surgery - Neurosurgery - Orthopaedic Surgery - Otolaryngology Surgery - Pediatric Surgery - Plastic and Reconstructive Surgery - Surgical Oncology/Cancer - Thoracic Surgery - Urological Surgery - Vascular Surgery Robotic Surgery: The da Vinci Surgical SystemThe surgeon's surgical capabilities are enhanced by the da Vinci surgical system, a totally "intuitive" laparoscopic surgical robot. The system is so precise, the instruments recheck their position by computer 1,500 times per second. St. Peter's gynecologic oncologists were the first in New York to use the state-of-the-art da Vinci surgical system. This new system integrates robotics and extremely sophisticated computer technology with the skills of the surgeon. It allows the surgeon to perform minimally invasive procedures in a manner never experienced before. Robotic-assisted laparoscopy combines dexterity and precision with advanced 3-D imaging to overcome the surgical limitations of a standard laparoscopy. The new technology gives surgeons precise control and visualization, bringing a whole new dimension and flexibility to surgery. The system's camera gives the surgeon a highly detailed, three-dimensional view of the patient's body. Advanced imaging allows much greater precision, thereby allowing for small incisions, more exact placement of sutures and more exact use of the operating instruments. For most patients, robotic surgery offers several benefits, such as:- Shorter hospital stay- Less pain- Less risk of infection- Less blood loss and transfusions- Less scarring- Faster recovery- Quicker return to normal activitiesIn addition, it is possible to return to regular activities in one to two weeks, instead of the traditional six weeks that may be required for a complete recovery.Surgical Services: In 2010, St. Peter's Hospital's operating room serviced 6,942 inpatient surgical cases (Orthopedic - 2,232, General Surgery - 848, Neurological - 1,043, Thoracic - 598, Gyn &amp; Gyn Oncology - 394, Gen Colorectal - 380 and various others). The operating room also serviced 8,129 outpatient cases (General Surgery - 2,556, Ear Nose and Throat - 1,149, Orthopedic - 566, Urology Closed - 689, Gyn &amp; Gyn Oncology - 1,396, Neurological - 520 and other cases).</Description>
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        <Description>A nationally recognized, Top 100 Cardiovascular Hospital, St. Peter's Cardiac &amp; Vascular Center is led by a premier team of cardiologists, cardiac surgeons, and vascular specialists. This world-class facility is a leader in the Capital Region and one of the most active centers in the state of New York for the diagnosis, treatment and rehabilitation of persons with cardiac and vascular disease.The Cardiac and Vascular Center's new cardiovascular surgery facilities are among the nation's most advanced surgical environments for surgery and post-surgical care of patients with complex heart and vascular disease. Among the innovative technology in the facility is a unique "true Hybrid Operating Room" - the ArtisZeego multi-access system for surgical angiography. Upon its completion, this new operating room system was reported by its manufacturer to be one of only 29 such installations worldwide.St. Peter's nationally recognized surgical team and state-of-the-art operating rooms are the perfect combination, and our integrated team approach helps patients achieve the best possible outcomes.We are proud to offer northeastern New York and west central New England the latest innovations in cardiac and vascular care, including our Heart Rhythm Center. At St. Peter's, we pride ourselves in being the only regional cardiac center to offer a full spectrum of individualized services including individualized rehabilitation programs, home care and long-term care.Recognition of ExcellenceSince opening in 1985, St. Peter's Cardiac &amp; Vascular Center has been recognized for excellence by health and heart care organizations across the country. Named a Top 100 Cardiovascular Hospital for 10 of the last 12 years, St. Peter's is the only ten-time recipient of this award in the northeastern U.S. Such accomplishments underscore our commitment to creating a culture of excellence at St. Peter's. Some statistics: The cardiac Cath lab performed over 2501 cases in 2010. We performed 1,753 diagnostic procedures and approximately 748 PCI's. We also expanded our Transradial Cardiac Catheterization. Cardiac Catheterization is a procedure which enables physicians to assess the coronary arteries (the vessels supplying blood to the heart muscle). Coronary angioplasty is a procedure in which a clogged artery is opened. Both procedures, which have traditionally been performed via catheters placed through the femoral artery in the groin can now be done through the radial artery in the wrist. We have performed 748 Transradial Cardiac Catheterizations in 2010. We were designated a regional training hospital for this procedure and have trained physicians and staff from the east coast.Both our catheterization and EP program serve the Capital District and a large geographical area in upstate New York, Vermont and Massachusetts. We continue to be a mentor hospital to the surrounding counties. Our EP program is the largest program in upstate New York. We continue to see double-digit volume increase per year. Nationally, Electrophysiology studies are expected to grow between 15-18% per year. Over 1182 invasive and non invasive electrophysiology procedures were done in 2010. We continue to be the largest cardio vascular program in Northeastern New York. We performed over 638 cardiac surgeries in 2010. We are the only healthcare facility that performs minimally invasive heart surgery. We are a training site for minimally invasive surgery hosting such facilities as Brigham and Woman's Hospital, Boston. We are in a position to be on the forefront of minimally invasive valve replacement in the country. Our continuum of programs includes a cardiac rehabilitation and wellness program. This program provides physical rehabilitation, functional assessment, education and complementary healing for patients at risk or recovering from cardiac events. Over 12,922 sessions are done annually with patients. In addition, nearly 50 community programs are conducted which include education, screenings, health fairs and wellness events.</Description>
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        <Description>Cancer CareSt. Peters was 1 of 84 centers nationally to receive the Blue Distinction Award for the treatment of complex and rare cancers.Since 1985, St. Peter's has been accredited by the American College of Surgeons as a Community, Comprehensive Cancer Care Program. As part of that program, we offer a full range of inpatient and outpatient services including:- An expert, collaborative team of Medical Oncologists, Radiation Oncologists, Pathologists, Radiologists and Surgeons- Outpatient Infusion Services on the St. Peter's Hospital campus.- Interdisciplinary Cancer Conferences for discussion, determination and evaluation of plans of care- ANCC Magnet status nursing care- Access to clinical trials- Advanced Diagnostic Procedures- Advanced Medical Imaging and Breast Center services- Comprehensive Inpatient Services- Rehabilitation (physical, occupational and speech therapy; audiology; respiratory and lymphedema management)- Nutritional Services, Clinical Social Workers and Spiritual Care Services- Symptom Management and Palliative Care- Complementary and Supportive Therapies - Community Resource Nurse- Support Groups for Patients, Families and Caregivers- Cancer Screening, Education and Wellness Programs- Community Hospice/Bereavement ServicesCancer Care Stats:Radiology- Consults 673- Simulations 1,107- Treatments 7,780- Follow ups 2,460Med Oncology / Infusion- Clinic Visits - New Consults - 566, Follow Ups - 4,037, Oncology - 3,689, Hematology - 954, Bone Marrow - 22- Patient Infusions - 3,791</Description>
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        <Description>Other Program Services: St. Peter's Addiction Recovery Center (SPARC), established in 1972 as the first medical facility in upstate New York to provide addictions treatment; now the region's leading provider of alcoholism and substance abuse treatment. It operates an 18 bed hospital detoxification facility, a 40-bed inpatient rehabilitation program in Guilderland, a men's halfway house and day treatment program in Albany, as well as outpatient programs in Albany, Latham, Cohoes, Rotterdam and Ballston Spa. Other Specialized Programs and Services: Women's and Children's Services, St. Peter's Ambulatory Care Network, St. Peter's Home Care, St. Peter's ALS Regional Center, St. Peter's Bender Laboratory, the Family Life Information Center, St. Peter's Sleep Center, Lifeline service, Physical Therapy and Fitness and Becky's House, (a temporary residence for families of patients at St. Peter's).</Description>
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        <BookValue>4274861</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Trustee Held Funds</Description>
        <BookValue>35177911</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>53678941</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Interest in Net Assets of the Foundation</Description>
        <BookValue>29400441</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LT SWAP Program CHE-Market Valuation</Description>
        <BookValue>244265</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deposits and Advances</Description>
        <BookValue>354006</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due From Affiliates</Description>
        <BookValue>1530868</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Miscellaneous Receivables</Description>
        <BookValue>2336211</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>33865791</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>AR Credit Balances</Description>
        <Amount>2096407</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Current Portion of Pension Liability</Description>
        <Amount>22026680</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated Workers Compensation Payable</Description>
        <Amount>1383000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Library</Description>
        <Amount>23609</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated Reserve</Description>
        <Amount>5422000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Current Liabilities</Description>
        <Amount>7617649</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Long Term Liabilities</Description>
        <Amount>5811162</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated Payable to Third Party</Description>
        <Amount>2447000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated Workers Compensation Reserve</Description>
        <Amount>5051736</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Long Term Liabilities Deferred</Description>
        <Amount>5413396</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>57292639</TotalOfAmounts>
      <TotalRevenue>433464821</TotalRevenue>
      <TotalExpenses>414068957</TotalExpenses>
      <ExcessOrDeficitForYear>19395864</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>1945000</NetUnrealizedGLOnInvestments>
      <OtherAmount>-844989</OtherAmount>
      <TotalAdjustments>1100011</TotalAdjustments>
      <ExcessOrDeficitPerFS>20495875</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>434219967</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>2774019</OtherRevenues>
      <RevenueNotRptdF990>2774019</RevenueNotRptdF990>
      <RevenueSubtotal>431445948</RevenueSubtotal>
      <OtherRevenuesNotIncluded>2018873</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>2018873</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>433464821</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>416842976</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>2774019</OtherExpensesIncluded>
      <ExpensesNotRptdF990>2774019</ExpensesNotRptdF990>
      <ExpensesSubtotal>414068957</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>414068957</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Equity in earnings of unconsolidated organization 1,150,000. Change in fair value of derivative financial instruments -344,000. Other gains 9,000. Transfers to affiliates -155,000. Contribution for capital expenditures 355,000. Pension adjustment -4,179,000. Other adjustments -31,989. Contributions 464,000. Change in beneficial restricted interest of the Foundation 2,205,000. Net assets released from restrictions for operations -444,000. Realized gains of investments 126,000.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Medical Office Building(MOB) Expense offset in Revenue 693,931. Other expense offset in Revenue 2,080,088.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Realized Investment Income 2,018,873.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Medical Office Building(MOB) Expense offset in Revenue 693,931. Other expense offset in Revenue 2,080,088.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2638427</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1109923</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1528504</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00390</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>18401593</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>16899111</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1502482</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00390</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>28941772</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>17194478</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11747294</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03010</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>49981792</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>35203512</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14778280</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03790</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>432101</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>61652</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>370449</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>2977139</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1441349</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1535790</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00390</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2545004</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1305510</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1239494</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00320</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>5530</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>5530</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>2744</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2744</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>5962518</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2808511</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3154007</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00800</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>55944310</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>38012023</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>17932287</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04590</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <LeadershipDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>100</PersonsServed>
        <TotalCommunityBuildingExpense>357</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>357</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>2213</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2213</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>161</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>161</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>100</PersonsServed>
        <TotalCommunityBuildingExpense>2731</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2731</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3887029</BadDebtExpenseAmount>
      <AmountAttributableTo>2682050</AmountAttributableTo>
      <AmountReimbursedByMedicare>96184046</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>98078260</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1894214</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 St Peter's Surgery and Endoscopy Center</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Surgery Center</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>StPeter's Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>315 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <ErOther>X</ErOther>
        <Other>Various Med Surg,Surgical and Clinics</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Not Applicable</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>24</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OP Medical Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>319 South Manning Blvd</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12208</ZIPCode>
          </Address>
          <FacilityType>Medical Imaging, Breast Center, Labs</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cancer Care - Radiation Oncology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>317 South Manning Blvd</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12208</ZIPCode>
          </Address>
          <FacilityType>Cancer Treatment and Oncology</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Home Care</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>159 Wolf Road</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12205</ZIPCode>
          </Address>
          <FacilityType>Home Care Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPARC - Guilderland</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3 Mercycare Lane</AddressLine1>
            <City>Guilderland</City>
            <State>NY</State>
            <ZIPCode>12084</ZIPCode>
          </Address>
          <FacilityType>Inpatient Rehabilitation Service for Addictions</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Sleep Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1 Pine West Plaza Wash Ave Ext</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>11208</ZIPCode>
          </Address>
          <FacilityType>Education &amp; Sleep Studies</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>St Peter's Surgery and Endoscopy Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1375 Washington Ave Suite 201</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12206</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Family Health Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>326 South Pearl St</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>11208</ZIPCode>
          </Address>
          <FacilityType>Adult Medicine, Pediatrics, OB/GYN Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Dental - POB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1092 Madison Ave</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>11208</ZIPCode>
          </Address>
          <FacilityType>Dental Clinic &amp; Van</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPARC 2nd Avenue</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>64 Second Avenue</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12202</ZIPCode>
          </Address>
          <FacilityType>Addictions OP Services Men's Half Way House</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPARC - Ballston SPA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>431 Geiser Road</AddressLine1>
            <City>Balston SPA</City>
            <State>NY</State>
            <ZIPCode>12020</ZIPCode>
          </Address>
          <FacilityType>Addictions Outpatient Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPARC - Rotterdam</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2925 Hamburg Street</AddressLine1>
            <City>Rotterdam</City>
            <State>NY</State>
            <ZIPCode>12306</ZIPCode>
          </Address>
          <FacilityType>Addictions Outpatient Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPARC - Central</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>845 Central Ave</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12205</ZIPCode>
          </Address>
          <FacilityType>Addictions Outpatient Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPARC Latham</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>636 New Loudon Road</AddressLine1>
            <City>Latham</City>
            <State>NY</State>
            <ZIPCode>12110</ZIPCode>
          </Address>
          <FacilityType>Addictions Outpatient Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPARC Cohoes</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Remsen St</AddressLine1>
            <City>Cohoes</City>
            <State>NY</State>
            <ZIPCode>12047</ZIPCode>
          </Address>
          <FacilityType>Addictions Outpatient Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Slingerlands</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1240 New Scotland Rd</AddressLine1>
            <City>Slingerlands</City>
            <State>NY</State>
            <ZIPCode>12208</ZIPCode>
          </Address>
          <FacilityType>Rehab, Speech &amp; Audiology</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Life Line</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>301 Hackett Blvd</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12208</ZIPCode>
          </Address>
          <FacilityType>Personal Emergency Response monitoring</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cardiac Rehab</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>400 Patroon Creek</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>11208</ZIPCode>
          </Address>
          <FacilityType>Cardiac Rehabilitation</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Rensselaer Health Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>53 Columbia Street</AddressLine1>
            <City>Rensselaer</City>
            <State>NY</State>
            <ZIPCode>12144</ZIPCode>
          </Address>
          <FacilityType>Adult/Medicine Peds &amp; Dental</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Siena Student Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>515 Loudon Road</AddressLine1>
            <City>Loudonville</City>
            <State>NY</State>
            <ZIPCode>12211</ZIPCode>
          </Address>
          <FacilityType>College Student Health Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ALS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>19 WAREHOUSE RD</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12208</ZIPCode>
          </Address>
          <FacilityType>Outpatient Services for ALS Patients</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Patient Service Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1365 Washington Ave</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12205</ZIPCode>
          </Address>
          <FacilityType>Labs</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Patient Service Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>62 Hackett Blvd</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12208</ZIPCode>
          </Address>
          <FacilityType>Labs</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>St Peter's Breast Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1365 Washington Ave</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12206</ZIPCode>
          </Address>
          <FacilityType>Diagnostic Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPH Spine and Neurosurgery</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1182 Troy-Schectady Rd</AddressLine1>
            <City>Latham</City>
            <State>NY</State>
            <ZIPCode>12110</ZIPCode>
          </Address>
          <FacilityType>Spec In Spine &amp; Neurology Cond</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 6a: An annual community benefit report is required by New York State. There are 3 links on our website that the Public may refer to for the Community Benefit Report. A Comprehensive Community Service Plan (CSP) is due and submitted every three years. A CSP Update is due and submitted annually. St. Peter's is also required annually to provide a Community Benefit Report to Catholic Health East.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: Charity care is free or discounted health services provided to persons who cannot afford to pay and who meet the organizations financial assistance policy criteria. Charity care is reported in terms of costs, not charges. Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of these objectives:-Improve access to health care service-Enhance the health of the community-Advance medical or health care knowledge-Relieve or reduce the burden of government or other community efforts.The amounts reported in the Line 7 table were calculated using a cost-to-charge ratio determine in accordance with Worksheet 2.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7g: Subsidized health services are clinical programs that are provided despite a financial loss so significant that negative margins remain after removing the effects of charity care, bad debt and Medicaid shortfalls. Programs included in subsidized health services ($1,239,494) are part of the St. Peter's Ambulatory Care Network:-St. Peter's Rensselaer Health Center Medical Services-St. Peter's Rensselaer Health Center Dental Services-St. Peter's Family Health Center OB/GYN Services-St. Peter's Family Health Center Pediatric Services-St. Peter's Family Health Center Medical Services-St. Peter's Dental ServicesThe roots of the Ambulatory Care Network are in the St. Peter's Family Health Center. The South End community was unable to access primary/preventive health services and requested St. Peter's to invest in the people who were poor, uninsured and could not find a medical home in the private practice of physicians. There are no health centers in the South End of the City of Albany or in the City of Rensselaer that cares for poor, uninsured populations. The population of the City of Rensselaer, also poor and underserved, has frequented the Rensselaer Health Center since its founding in 1993. In 2007, a new clinic was built on Columbia Turnpike to serve this population with primary/preventive medical care and dental services that are not available in the city from other providers.The Ambulatory Care Network has extensive relationships with community agencies and relationships with referring organizations. These relationships are based in mutual education about health issues and community resources. Outreach to these agencies and organizations helps to enhance the capacity of the community to both refer and access services. St. Peter's Dental Health Services has provided high-quality, cost-effective, comprehensive dental health care to the Capital Region for more than 20 years. St. Peter's Hospital operates two dental clinics, a Ronald McDonald Care Mobile serving inner-city children, and a fully accredited General Practice Dental Residency Program. The programs serve a diverse client population, welcoming all regardless of needs or ability to pay. Our clinics experience a combined volume of more than 20,000 visits annually. Our clients include children, the elderly, and people with physical or mental special needs. Through extended office hours, a mobile dental van, and cooperative relationships with our Emergency Department, our two nursing homes, and the Center for Disability Services, we provide access to our community's most vulnerable residents.While our region continues to be tragically underserved in terms of dental services for patients enrolled in public health insurance programs, the St. Peter's Hospital Dental Program has made great strides in increasing access to care for these individuals.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 24077550.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: Programs listed under Community Building Activities:Leadership Development / Training for Community MembersLeadership Development Specialist participates in the American Society of Training and Development annual conference on Workplace Learning and Performance - local chapter committee preparation. The training promoted the health of the communities we serve by providing skill building training on topics that help people be effective with patients, physicians, and co-workers. These effective relationships then enhance the experience and healing of the patients in our health care settings. The topics included communication, team work, leadership skills, dealing with different generations, and conflict resolution.Asthma CoalitionSt. Peter's Staff participates on a steering committee on a monthly basis to coordinate community activities related to Asthma for the Underinsured and Uninsured children of the capital region.HCDI - Healthy Capital District Initiative Board The Healthy Capital District Initiative (HCDI) is a not-for-profit that has helped over 35,000 needy children and adults in the capital region get health services that they might not have accessed otherwise. Healthy Capital District Initiative (HCDI) represents an ongoing partnership effort to develop a strategic action work plan designed to improve the health of the residents of the Albany, Schenectady and Rensselaer Counties. HCDI was undertaken in the spirit of Communities Working Together For A Healthier New York, an initiative to use community forums to identify high-priority health concerns.Hope House BoardThe mission of Hope House, Inc. is to respond to needs in the community to provide education, intervention and treatment to persons whose lives have been affected by any form of chemical dependency or family dysfunction. The Board of Directors and staff are dedicated to providing an array of high-quality residential, outpatient and community-based services that are developmentally focused to both adult and youth populations. These services are provided irrespective of color, creed, age, national origin, marital status, disability, arrest/conviction record or ability to pay. All services strive to empower each individual and family to achieve their highest level of functioning. In addition to enhancing the quality of life of the persons it serves, the agency is committed to providing a supportive and professional work environment for its staff.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: We calculated the cost of bad debt using the ratio cost to charge (RCC) methodology. We divided the hospital's total expenses by the hospital's gross charges. We applied this ratio to the hospital's bad debt expense (which is comprised of gross charges) to calculate the cost of bad debts. We are taking our bad debt at cost and offsetting the portion of the indigent care pool receipts that relates to bad debts.The organization does not consider discounts properly accorded to patient accounts in its determination of bad debt expense. The portion of bad debts (at cost) attributable to patients who would be eligible for our charity care policy if sufficient information were available to make a determination is estimated. The test of our financial statement footnote describing bad debt expense is:The Hospital provides an allowance of doubtful accounts for estimated losses resulting from the unwillingness of patients to make payment on services. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance fordoubtful accounts when management determines that recovery is unlikelyand the Hospital ceases collection efforts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: The costs are from the 2010 Medicare Cost report using the step down methodology and Medicare cost Accounting regulations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: In order to preserve the dignity of patients and to facilitate the process of securing necessary information, SPH strongly prefers to perform financial screening upon scheduling, admission or registration (discharge processing in the ED) as part of the overall financial counseling process as described in the CHE Key Performance Indicator System policies 1. SPH refers patients who represent increased financial risk as a result of the amount they are expected to owe "out-of-pocket" to a Financial Counselor for assistance in applying for alternative payment programs, determining Charity Care eligibility, establishing payment plans or other payment arrangements. 2. SPH makes financial counseling services available to all patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: St. Peter's participates in collaborative planning through the Healthy Capital District Initiative (HCDI) to assess community health needs. As part of the Healthy Capital District Initiative, St. Peter's collaborated with local public health agencies, community agencies, the business community and other providers to create the 2009 Community Health Profile. HCDI member organizations include Albany County Department of Health, Albany Medical Center, Catholic Charities of the Catholic Diocese of Albany, Capital District Physicians' Health Plan, Ellis Hospital, Fidelis Care, Northeast Health/Samaritan Hospital/Albany Memorial Hospital, Rensselaer County Department of Health, Schenectady County Public Health Services, Senior Whole Health, Seton Health/St. Mary's Hospital, St. Peter's Health Care Services and Whitney M. Young, Jr. Health Services. St Peter's administered a paper and pencil community needs assessment that targeted the five zip code areas that represented communities with the highest Community Need Index scores (12202, 12204, 12206, 12210, 12144). The five zip codes are located in the primary service area of St. Peter's Hospital and are within a five mile radius of the hospital. St. Peter's participates in the Albany County Strategic Alliance for Health initiative intended to combat the concurrent epidemics of cardiovascular disease, diabetes, and obesity. In collaboration with the Healthy Capital District Initiative, St. Peter's participated in the production of a televised Community Health Forum to provide citizen input to the state-mandated Community Health Assessment. The one-hour program featured a studio audience of about 80 public health experts and stakeholders as well as a broad range of consumers from the three counties. Also call-in questions and comments from viewers were broadcast live.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: As members of the Catholic healthcare ministry who are deeply committed to caring for those who are poor, St. Peter's Hospital has established respectful and effective procedures for addressing the needs of those persons who are unable to pay for all or most of their care. Patients who represent increased financial risk as a result of the amount they are expected to owe "out-of-pocket" are referred to a Financial Counselor for assistance in determining Charity Care eligibility.As a not-for-profit Catholic Healthcare facility St. Peter's has remained consistent in the administration of our charity care program. St. Peter's prides itself on providing free and reduced health care services to those who are in need that live in our community. Annually, St. Peter's budgets an amount for Community Benefit, which includes our financial aid program. The improvements implemented to the Hospital's existing Charity Care policy are simply advising the patients and their families of the availability of our programs. This information is posted throughout the facility, on our user-friendly web site, on all patient-billing statements, in the Ambulatory Care Network clinics and by word-of-mouth.St. Peter's has programs in place to provide comprehensive financial counseling to our patients. Uninsured patients are screened by a financial counselor at the point of registration to identify which type of program they may be eligible. In 2009, St. Peter's invested in software to enable us to improve the up-front financial counseling process to validate patient information upon registration which enables us to assist patients who need it most in real-time without any delay.We have formed a Charity Care workgroup which meets bi-weekly to review Charity Care cases that assist us to continually improve our systems and processes to best serve the needs of the most vulnerable. The greatest challenges regarding St. Peter's Financial Aid Program has always been to encourage the patients to complete the Charity Care application along with providing any documentation that demonstrates the patients' income levels. Ongoing patient education is required in order for us to make a determination on providing free or reduced cost care. More information about our Charity Care program is available at www.sphcs.org/CharityCare.Public notice of the availability of financial assistance is made through each of the following means:- Notices are posted in a visible manner in locations where there is a high volume of inpatient or outpatient admitting/registration, such as emergency departments, billing offices, admitting offices, and hospital outpatient service settings.-Information regarding financial aid (Charity Care) is included on all patient liability statements (bills) and statements sent to patients indicating: a) that if the patient meets certain income requirements that the patient may be eligible for a government sponsored program or for financial assistance from the hospital, and b) a hospital contact name and phone number that patients may call in order to gain information on the hospital's Charity Care, reduced payment, and other financial assistance policies.-Availability of assistance, contact names and phone numbers posted on St. Peter's Hospital web site.-Uninsured patients are provided with a copy of the Charity Care Application and Brochure upon registration.-St. Peter's annually makes available to the public on a reasonable basis the costs of charity care provided and the unreimbursed costs of care provided to beneficiaries of government programs that serve the poor.-Posted notices are in the primary language(s) of the service area and in a manner consistent with all applicable federal and state laws and regulations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: St. Peter's identifies Albany and Rensselaer Counties as its primary services areas and portions of Schenectady, Saratoga and Columbia Greene Counties for its secondary service areas in planning for the Community Service Plan. St. Peter's Hospital defines its Primary Service Area as the zip codes that account for the top 65% of inpatient discharges and its secondary service area as the zip codes that make up the next 15% of inpatient discharges. This method of defining the service area is the standard used by the corporate governing body of St. Peter's Hospital. St. Peter's Hospital is located in Albany, the County Seat and State capital of New York near the state's eastern border. In general, persons in the community served by St. Peter's tend to be better educated and have a higher income than those in the U.S. as a whole and the state of NY. There is a lower rate of unemployment and fewer persons without health insurance than the state or national comparisons. Based on the most recent data available, which is 2004, there are 191,936 families in the service area, 16.1% of which are single parent families (U.S. 15.7%). There are 336,040 housing units in the service area. 57.9% are owner occupied, 34.6% are renter occupied and 7.5% are vacant (U.S. 59.9%, 30.4%, and 9.7% respectively). 7.0 % of families live below the poverty level, compared to 7.7% of all Albany County families and 11.7% of all families residing in NY (U.S. 9.0%). 14.6% of area residents aged 25 or older have not graduated from high school, compared to 13.8% of Albany County adults and 21.0% of adults statewide (U.S. 19.4%). 29.3% of residents aged 25 or older have received Bachelor's Degrees, compared to 33.4% of Albany County adults and 27.3% of adults statewide (U.S. 25.6%). The unemployment rate in the service area is 5.6%, which is lower than the county level of 7.1% and the state's level, also 7.1% (U.S. 5.7%). In 2004, 15.0% of NY residents had no health insurance; 8.6% of children had no health insurance. In aggregate, 18% of non-elderly adults and 12% of children are uninsured in the United States.Zip Code 12202 is located in the South End of Albany, population 10,000. Includes the Delaware Avenue community immigrant and refuge community. Median household income of $23,648, 55% are minority 34% of population without health insurance, 10% unemployed. Industry: Port of Albany, Highway, Street and Bridge construction, waste collection.Zip Code 12204 is located in the North End of Albany, population 7,000. Median household income of $39,840, 39% are minority, 12% of population without health insurance, 6% unemployed. Industry: credit card issuing, Memorial Hospital, corporate offices.Zip Code 12206 is located in the West End of Albany, population 16,000. Median household income is $23,891, 48% minority, 30% of population without health insurance, 7% unemployed. Industry: home health care services, medical insurance carriers, restaurants, plumbing, heating and air conditioning contractors.Zip Code 12210 is located in Arbor Hill, population 9,000. Median household income of $28,668, 63% minority, 33% of population without health insurance, 7% unemployed. Industry: labor organizations, lawyers and restaurants.Zip Code 12214 is located in the City of Rensselaer and surrounding suburbs. Population 19,000. Median household income of $47,833, 12% minority, 9% without health insurance, 4% unemployed. Industry: Research and Development in the physical, engineering and life sciences, technology.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: 1. In February 2010, St. Peter's Cancer Care Center hosted the Clinical Breast Exam (CBE) Skills Update Training through the University at Albany School of Public Health. This free training was offered to Registered Nurses, Physicians Assistants, Nurse Practitioners and Physicians administering clinical breast exams to women. At the end of this program participants were able to:- Describe the epidemiology of breast cancer.- List the breast cancer risk factors.- Identify the goals and guidelines for breast cancer screening.- List the components that the practitioner will perform in the clinical breast exam and demonstrate a comprehensive clinical breast exam.- Define abnormal variations in breast tissue.- Explain to the patient how to do a breast self exam.- Document a comprehensive history and the findings of a comprehensive clinical breast exam.St. Peter's supports the federal government's initiative Healthy People 2010 - a set of health objectives for the nation to achieve over the first decade of the new century. Healthy People 2010 is a broad-based collaborative effort among government, private, public and non profit organizations with a set of national disease prevention and health promotion objectives. The effort has two overarching goals: to increase the quality and length of healthy life and to eliminate health disparities.As part of the Healthy Capital District Initiative, St. Peter's collaborates with local public health agencies, community agencies, the business community and other providers to improve the health status of Capital Region residents. Patient needs identified as part of the community planning process include Access to Quality Health Care and Chronic Diseases. St. Peter's has incorporated this information in its planning process.In addition to these ongoing community planning processes, St. Peter's developed a ten-year strategic planning process in 2008, focused on the care, services and structure necessary to meet community needs in the next decade. The process included review of a comprehensive community needs assessment, current market and demographic data and numerous focus groups of key stakeholders; the sponsors, Board members, physicians and management staff.In addressing the Prevention Agenda, St. Peter's will address the priorities of Access to Quality Health Care and Chronic Disease with a focus on health coverage, dental care, breast cancer, lung cancer, colorectal cancer, diabetes, coronary heart disease and congestive heart failure through our goal to reach out to those most in need in order to demonstrate an improvement in the health of the vulnerable populations in the communities we serve.In collaboration with our community partners, we are committed to: - Increase the percentage of adult New Yorkers with health coverage. - Develop baseline data on the number of applicants referred to private and public sponsored health insurers.- Increase the percentage of adults who see a dentist.- Increase percentage of breast cancer cases diagnosed at an early stage- Reduce the incidence of lung cancer- Reduce the mortality rate for colorectal cancer- Reduce the prevalence of adult diabetes and hospital complications of diabetes - Complete an assessment of current diabetes program at St. Peter's - Reduce coronary heart disease hospitalizations - Expand Choices program scope to demonstrate reduced hospital readmissions for Congestive Heart Failure (CHF)St. Peter's provided Open Medical Staff Grand Rounds in 2010 on the following topics:- Update on Suicide Risk Assessment- Update on Inflammatory Bowel Disease (IBD)- The Use of Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) for Trigeminal Neuralgia and Stage I Non-Small Cell Lung Cancer- New Therapies for Non-Small Cell Lung Carcinoma (NSCLC) - Tobacco Cessation for the Overworked Clinician: It's Easier for You Than You Think- Interventional Approaches to Acute Stroke- Treating the Addicted Patient- Medication Safety: 2010 Update- The Spectrum of HPB Surgery- Achieving Glycemic Control in the Hospital Setting- Family Practice Case Discussion - Ethical Question, Does the Patient have Capacity?- Men's Health Literacy: Implications for low male engagement in health care, and poor health outcomes- Non-Cardiac Causes of Elevated Troponin- Urologic Oncology Update- Update in Female Pelvic Surgery- Combating the Diversion of Prescription Controlled Substances- The Final Five: The Ten Most Common Eye Disorders in Primary Care- The Benefits of Holistic Medicine for Your Patient and for You- Antibiotic Stewardship Program: Findings and Guidance- Degos Disease: Solving a Deadly Mystery- Noninvasive Assessment of Coronary Artery Disease - Appropriate Utilization of Testing in The Outpatient Setting: A Guidelines Based Approach- New York State Mandated Infection Control Training Program- Metastatic Colon Cancer- Update in Liver Transplant- Hematuria: Work-up and Causes- Adrenal Incidentalomas- Influenza: Looking Back - The 2009 H1N1 Pandemic and Looking Forward - The 2010/2011 Flu Season- M.O.L.S.T. - Translating Patient Preferences into Medical Orders- The Science of the Mind: Neuroplasticity, Allostasis and Health Outcomes- Family Medicine Ethics Case Discussion- Is There a Link Between Testosterone and Cardiovascular Status?</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7: 2. As a member of Catholic Health East, our Vision, Mission and Core Values compel us to identify unmet community needs to demonstrably improve the health of vulnerable populations. In 2010, Catholic Health East provided over $230,700 million in community benefit programs and services. But faces speak louder than numbers. Individuals and families whose lives have been touched and changed through interaction with our ministry's community benefit programs and services - are the guiding force to continue to serve our communities. Remaining faithful to extending the mission of person-centered care, especially for those who poor in a changing economic and political environment, CHE strives to expand its participation in the community benefit process with a partnership in assessing the need, planning, implementing and evaluation of the community benefit provided at each Regional Health Corporation (i.e. St. Peter's) Community benefit is grounded in the belief that those living in poverty have a moral priority for services. Programs designed to increase access to health care and to improve the health and lives of low-income and homeless persons should have top priority. Not-for-profit health care also has a responsibility to work to improve health in communities by focusing on programs addressing underlying causes of health problems and collaborating with others to make the community a healthier place to live and work.Those living in poverty have a moral priority for services. As a not-for-profit organization we have a responsibility to improve the health of all the communities we serve, partner with community organizations and community members to improve the health services to our communities and demonstrate how our work has added value to the communities we serve.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Reports Filed With States</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>NY</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <NamePerson>Heckman Jason T</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>Supplemental Executive Retirement Plan will provide benefits to certain key executive employees of SPHCS. The Trustee is Charles Schwab Trust Company. The Plan type is a 457(f) plan funded through a Rabbi Trust. The Key executivies are: K. Brodbeck, R. Cella, J. Gavin, C. Gianfagna, V. Golden, J. Gray Part I, Line 3: St. Peter's Hospital Top Management Officals - Steven Boyle is compensated by a related organization. St Peter's Hospital relies on the related organization (CHE) which uses the following methods to establish its compensation: -Compensation committee -Independent compensation consultant -Written employment contract -Compensation survey -Approval by the board or compensation committee The CIO is compensated by a related organization, CHE, and the process outlined for the CEO is followed for the CIO. St. Peter's Hospital uses for their executive staff an independent compensation consultant to review the salaries and ensure they are within market on an annual basis. In addition, a compensation committee reviews this information annually and it is approved by the board or compensation committee. Finally, executives have a written letter outlining specifics of their compensation with St. Peter's Hospital.</Explanation>
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        <IssuerName>
          <BusinessNameLine1>See Part V</BusinessNameLine1>
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        <CUSIPNumber>012440LC5</CUSIPNumber>
        <DateIssued>2008-01-30</DateIssued>
        <IssuePrice>173524283</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
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        <CUSIPNumber>012440KF9</CUSIPNumber>
        <DateIssued>2008-01-30</DateIssued>
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        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
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        <DateIssued>2008-01-30</DateIssued>
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        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
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        <IssuerEIN>522015750</IssuerEIN>
        <CUSIPNumber>012440KQ5</CUSIPNumber>
        <DateIssued>2008-01-30</DateIssued>
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        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
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        <CapitalExpenditures>126946775</CapitalExpenditures>
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        <AmountUnspent>18576747</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
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        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
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        <AmountUnspent>1715308</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
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        <NameOfGICProvider>
          <BusinessNameLine1>MBIA</BusinessNameLine1>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
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      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part I, Columns (a) &amp; (f):</Identifier>
        <ReturnReference>CUSIP #: 012440LCS</ReturnReference>
        <Explanation>Issuer name: City of Albany Industrial Development Agency. Description of purpose: To finance renovations, construction, improvements and equipping of certain areas of the Institution's facilites.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part I, Columns (a) &amp; (f):</Identifier>
        <ReturnReference>CUSIP #: 012440KF9</ReturnReference>
        <Explanation>Issuer name: City of Albany Industrial Development Agency. Description of purpose: To renovate, refurbish and equip certain clinical areas of the Institution's main hospital campus and acquire and install certain medical equipment.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part I, Columns (a) &amp; (f):</Identifier>
        <ReturnReference>CUSIP #: 012440JW4</ReturnReference>
        <Explanation>Issuer name: City of Albany Industrial Development Agency. Description of purpose: Refund the outstanding bonds, St. Peter's Hospital Project.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>schedule K, Part I, Columns (a) &amp; (f):</Identifier>
        <ReturnReference>CUSIP #: 012440KQ5</ReturnReference>
        <Explanation>Issuer name: City of Albany Industrial Development Agency. Description of purpose: Construct and equip certain clinical portions of a new, approximately 273,000 square foot patient pavilion on the Institution's main hospital campus and to acquire and install certain medical equipment.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>schedule K, Part I, Columns (a) &amp; (f):</Identifier>
        <ReturnReference>CUSIP #: 012440LT8</ReturnReference>
        <Explanation>Issuer name: City of Albany Industrial Development Agency. Description of purpose: Construct and equip certain clinical portions of a new, approximately 273,000 square foot patient pavilion on the Institution's main hospital campus and to acquire and install certain medical equipment.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part III, Lines 3a and 3b:</Identifier>
        <Explanation>The organization has entered into various management and service contracts as well as research agreements. Collectively, these contracts and agreements do not constitute an amount of private business use that exceeds the prescribed percentage.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part IV, Lines 4 a, b, c, d:</Identifier>
        <Explanation>Series A included an investment in a GIC for $71,496,200 with MBIA. As part of the Trust Indenture if a down grade occurred the agreement with MBIA and the investment in GIC would be terminated. A down grade occurred on 6/20/08 and the GIC investment was sold on 7/2/08 and the investment proceeds were invested in a US Government Money Market and remain in this investment vehicle at year end 12/31/10.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>See Part V</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>522015750</IssuerEIN>
        <CUSIPNumber>012440LT8</CUSIPNumber>
        <DateIssued>2008-01-30</DateIssued>
        <IssuePrice>20250744</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
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        <TotalProceeds>20250744</TotalProceeds>
        <AmountInReserveFund>1557700</AmountInReserveFund>
        <CapitalizedInterest>1031506</CapitalizedInterest>
        <IssuanceCostsFromProceeds>323519</IssuanceCostsFromProceeds>
        <CapitalExpenditures>14711605</CapitalExpenditures>
        <OtherSpentProceeds>456627</OtherSpentProceeds>
        <AmountUnspent>2169787</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
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        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
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        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Times Union</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>George Hearst, Board Member/Treasurer</Relationship>
        <AmountOfTransaction>991094</AmountOfTransaction>
        <DescriptionOfTransaction>Publisher</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <AmountOfTransaction>62400</AmountOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Capital Region Urological Surgeons PLLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Stuart Rosenberg,Board Member/Physician</Relationship>
        <AmountOfTransaction>325000</AmountOfTransaction>
        <DescriptionOfTransaction>Physician Service</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Line 16b:</ReturnReference>
        <Explanation>We follow CHE policy 213 and a specific policy for St. Peter's Hospital was adopted in 2009. The hospital has an interest in a joint venture. The Vice President of operations and the CFO/Treasurer of the hospital participate regularly in monthly meetings of the joint venture to evaluate the hospital's particpation in the venture.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The hospital is sponsored by the Institute of the Sisters of Mercy of the Americas, Northeast Community through St. Peters Health Care Services in accordance with the provisions of the laws of the state of New York and the teaching, laws and disciplines of the Roman Catholic Church, including the canon law of the Church. The sole member of the hospital is St. Peter's Health Care Services ("SPHCS"). The sole member of SPHCS is Catholic Health East ("CHE"), a not-for-profit corporation organized and existing under the laws of the Commonwealth of Pennsylvania.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The Board recommends to SPHCS the election and removal of the Trustees of the Corporation and SPHCS has the reserved power to approve the election and/or removal of the St. Peter's Hospital trustees. The sponsoring organization, Religious Sisters of Mercy and the Medical Staff shall both nominate two of its members as candidates, and the bishop nominate one designee as a candidate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>CHE and SPHCS have limited reserved powers to approve decisions of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The Form 990 is reviewed by the Governance Committee of the Board of Trustees of St. Peter's Hospital. The Board of Trustees are updated on all major areas including the filing. In addition, an update and a review of the annual filing is provided to the entire board of Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>St. Peter's Hospital follows it's own policy #AD-002 and has adopted CHE's Policy 103 which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving St. Peter's Health Care Services in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO, board's Chair and Governance committee. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict-of-interest is made by the board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>St. Peter's Hospital has a process for determining compensation which includes the following: The Board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. For Vice Presidents and CFO an independent compensation consultant reviews salaries to ensure they are within market. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. For the CEO and CIO, this process is undertaken by CHE's compensation committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy and IRS Form 990 are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A:</ReturnReference>
        <Explanation>Sisters: Gail Waring &amp; Kay Graber - All money paid on behalf of the Sisters goes directly to their religious order on their behalf.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A:</ReturnReference>
        <Explanation>Individuals compensated by a related organization have responsibilities and perform services for several related organizations including the filing organization. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for this organization and its affiliates.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 1,945,000. Equity in earnings of unconsolidated organization 1,150,000. Change in fair value of derivative financial instruments -344,000. Other gains 9,000. Transfers to affiliates -155,000. Contribution for capital expenditures 355,000. Pension adjustment -4,179,000. Other adjustments -31,989. Contributions 464,000. Change in beneficial restricted interest of the Foundation 2,205,000. Net assets released from restrictions for operations -444,000. Realized gains of investments 126,000. Total to Form 990, Part XI, Line 5: 1,100,011.</Explanation>
      </GeneralExplanation>
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        <PercentageOwnership>0.50000</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Amerihealth Mercy of Indiana LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 Stevens Drive Suite 350</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
        </AddressUS>
        <EIN>204948091</EIN>
        <PrimaryActivity>Prepaid Health Care Services</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>East Norriton Medical Associates</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2701 Dekalb Pike</AddressLine1>
          <City>Norristown</City>
          <State>PA</State>
          <ZIPCode>19401</ZIPCode>
        </AddressUS>
        <EIN>232319531</EIN>
        <PrimaryActivity>Medical Office Building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.12560</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>East Norriton Medical Associates</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2701 Dekalb Pike</AddressLine1>
          <City>Norristown</City>
          <State>PA</State>
          <ZIPCode>19401</ZIPCode>
        </AddressUS>
        <EIN>232319531</EIN>
        <PrimaryActivity>Medical Office Building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.40930</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gateway Health Plan</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>300 Grant Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15219</ZIPCode>
        </AddressUS>
        <EIN>251691945</EIN>
        <PrimaryActivity>Medicaid &amp; Medicare/Special Needs Managed Care Organization</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Keystone Mercy Health Plan</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Stevens Drive</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
        </AddressUS>
        <EIN>232842344</EIN>
        <PrimaryActivity>Medicaid Managed Care Organization</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Langhorne MOB Partners LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
          <City>Langhorne</City>
          <State>PA</State>
          <ZIPCode>19047</ZIPCode>
        </AddressUS>
        <EIN>232622772</EIN>
        <PrimaryActivity>Investment and operation of a medical building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.28956</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SMMC MOB II LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
          <City>Langhorne</City>
          <State>PA</State>
          <ZIPCode>19047</ZIPCode>
        </AddressUS>
        <EIN>364559869</EIN>
        <PrimaryActivity>Investment and operation of a medical building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.74520</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MercyManor Partnership</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 10086</AddressLine1>
          <City>Toledo</City>
          <State>OH</State>
          <ZIPCode>436990086</ZIPCode>
        </AddressUS>
        <EIN>521931012</EIN>
        <PrimaryActivity>Nursing Home</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Nazareth Medical Office Building Associates LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19152</ZIPCode>
        </AddressUS>
        <EIN>232388040</EIN>
        <PrimaryActivity>Medical Office Building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.01000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Nazareth Medical Office Building Associates LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19152</ZIPCode>
        </AddressUS>
        <EIN>232388040</EIN>
        <PrimaryActivity>Medical Office Building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.47460</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Agnes Long Term Intensive Care LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1900 S Broad Street</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19145</ZIPCode>
        </AddressUS>
        <EIN>200984882</EIN>
        <PrimaryActivity>Long Term Intensive Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.60000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Agnes Long Term Intensive Care LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1900 S Broad Street</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19145</ZIPCode>
        </AddressUS>
        <EIN>200984882</EIN>
        <PrimaryActivity>Long Term Intensive Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.40000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Peter's Ambulatory Surgery Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1375 Washington Avenue Ste 201</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12206</ZIPCode>
        </AddressUS>
        <EIN>460463892</EIN>
        <PrimaryActivity>Surgery</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>Investment</PredominantIncomeType>
        <ShareOfTotalIncome>811307</ShareOfTotalIncome>
        <ShareOfEOYAssets>112400</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.34750</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Outpatient Surgical Management LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5673 Peachtree Dunwoody Rd Ste 550</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30342</ZIPCode>
        </AddressUS>
        <EIN>208004929</EIN>
        <PrimaryActivity>Outpatient Medical Services</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CV Partners LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5665 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421764</ZIPCode>
        </AddressUS>
        <EIN>263881202</EIN>
        <PrimaryActivity>Outpatient Medical Services</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gwinnett Cardiovascular Services LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Medical Center Boulevard</AddressLine1>
          <City>Lawrenceville</City>
          <State>GA</State>
          <ZIPCode>30045</ZIPCode>
        </AddressUS>
        <EIN>263870307</EIN>
        <PrimaryActivity>Cardiology</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Central New Jersey Heart Services LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>10720 Sikes Places Ste 300</AddressLine1>
          <City>Charlotte</City>
          <State>NC</State>
          <ZIPCode>28277</ZIPCode>
        </AddressUS>
        <EIN>208525458</EIN>
        <PrimaryActivity>Cardiac Program</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.63905</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Outpatient Surgery Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 NE 56th</AddressLine1>
          <City>Oakland Park</City>
          <State>FL</State>
          <ZIPCode>33334</ZIPCode>
        </AddressUS>
        <EIN>352325646</EIN>
        <PrimaryActivity>Ambulatory Surgery Center</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.73000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Center for Surgery &amp; Digestive Orders</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3641 South Miami Avenue</AddressLine1>
          <City>Miami</City>
          <State>FL</State>
          <ZIPCode>33133</ZIPCode>
        </AddressUS>
        <EIN>510438152</EIN>
        <PrimaryActivity>Outpatient Medical Services</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJV Management LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 Century Pkwy Ste 200E</AddressLine1>
          <City>Mount Laurel</City>
          <State>NJ</State>
          <ZIPCode>08054</ZIPCode>
        </AddressUS>
        <EIN>202273476</EIN>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Catherine Horan Building Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>042938180</EIN>
        <PrimaryActivity>Building Management</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Diversified Community Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>043128890</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Mercy Inpatient Medical Associates Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>043029829</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Providence Home Care Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>043317426</EIN>
        <PrimaryActivity>Health Care Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>System Coordinated Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>042938181</EIN>
        <PrimaryActivity>Lab Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Medical Office Building Condominium Trust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1221 Main Street Room 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>046608649</EIN>
        <PrimaryActivity>Property Management</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJM Properties</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>411 Canisteo Street</AddressLine1>
          <City>Hornell</City>
          <State>NY</State>
          <ZIPCode>148482104</ZIPCode>
        </AddressUS>
        <EIN>161294991</EIN>
        <PrimaryActivity>Property Holdings</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Carbondale Area Physicians' Association PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Lincoln Ave</AddressLine1>
          <City>Carbondale</City>
          <State>PA</State>
          <ZIPCode>18407</ZIPCode>
        </AddressUS>
        <EIN>232801677</EIN>
        <PrimaryActivity>Medical Insurance Contracting</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carbondale Area Physicians' PHO Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Lincoln Ave</AddressLine1>
          <City>Carbondale</City>
          <State>PA</State>
          <ZIPCode>18407</ZIPCode>
        </AddressUS>
        <EIN>232801676</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carbondale Physicians' Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Lincoln Ave</AddressLine1>
          <City>Carbondale</City>
          <State>PA</State>
          <ZIPCode>18407</ZIPCode>
        </AddressUS>
        <EIN>232365077</EIN>
        <PrimaryActivity>Pharmacy</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Chestnut Risk Services Ltd</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>11 Victoria Street</AddressLine1>
          <City>Hamilton</City>
          <Country>BD</Country>
        </AddressForeign>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LifeCare Physicians PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>601 Hamilton Avenue</AddressLine1>
          <City>Trenton</City>
          <State>NJ</State>
          <ZIPCode>086291986</ZIPCode>
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        <EIN>261649038</EIN>
        <PrimaryActivity>Health Care Services</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Multicare Plus Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>601 Hamilton Avenue</AddressLine1>
          <City>Trenton</City>
          <State>NJ</State>
          <ZIPCode>086291986</ZIPCode>
        </AddressUS>
        <EIN>223435844</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Langhorne Services II Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
          <City>Langhorne</City>
          <State>PA</State>
          <ZIPCode>190470000</ZIPCode>
        </AddressUS>
        <EIN>253795549</EIN>
        <PrimaryActivity>General Partner of LMOB Partners, II</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Langhorne Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
          <City>Langhorne</City>
          <State>PA</State>
          <ZIPCode>190470000</ZIPCode>
        </AddressUS>
        <EIN>232625981</EIN>
        <PrimaryActivity>General Partner of LMOB Partners</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMHP Holdings Corp</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 Stevens Drive</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
        </AddressUS>
        <EIN>261144363</EIN>
        <PrimaryActivity>Behavioral Health</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Select Health of South Carolina Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4390 Belle Oaks Drive Suite 400</AddressLine1>
          <City>Charleston</City>
          <State>SC</State>
          <ZIPCode>29405</ZIPCode>
        </AddressUS>
        <EIN>571032456</EIN>
        <PrimaryActivity>Health Maintenance Organization</PrimaryActivity>
        <LegalDomicileState>SC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gateway Health Plan Inc</BusinessNameLine1>
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          <AddressLine1>600 Grant Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15219</ZIPCode>
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        <EIN>251505506</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gateway Health Plan Inc of Ohio</BusinessNameLine1>
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          <AddressLine1>600 Grant Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15219</ZIPCode>
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        <EIN>300282076</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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          <City>Conshohocken</City>
          <State>PA</State>
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        <PrimaryActivity>Medical Office Buildings</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Community Behavioral Healthcare Network of PA Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>8040 Carlson Road</AddressLine1>
          <City>Harrisburg</City>
          <State>PA</State>
          <ZIPCode>17112</ZIPCode>
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        <EIN>251765391</EIN>
        <PrimaryActivity>Behavioral Health</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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          <BusinessNameLine1>Health Management Services Org Inc</BusinessNameLine1>
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          <AddressLine1>500 Grove Street Suite 100</AddressLine1>
          <City>Haddon Heights</City>
          <State>NJ</State>
          <ZIPCode>08035</ZIPCode>
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        <EIN>223366580</EIN>
        <PrimaryActivity>Health Care Billing</PrimaryActivity>
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        <TypeOfEntity>C</TypeOfEntity>
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          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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        <EIN>251787334</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
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          <BusinessNameLine1>Jeannette OBGYN Group 1 Inc</BusinessNameLine1>
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          <AddressLine1>3805 West Chester Pike</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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        <EIN>232890748</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
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          <BusinessNameLine1>Jeannette Primary Care Group 1 Inc</BusinessNameLine1>
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          <AddressLine1>3805 West Chester Pike</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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        <EIN>232890743</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Saint Joseph's Service Corporation Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5673 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421769</ZIPCode>
        </AddressUS>
        <EIN>581750815</EIN>
        <PrimaryActivity>Service Provider</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Saint Joseph's Real Estate Management Corp</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5673 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421769</ZIPCode>
        </AddressUS>
        <EIN>581657768</EIN>
        <PrimaryActivity>Investment Company</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Magnetic Resonance Imaging Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>5673 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421769</ZIPCode>
        </AddressUS>
        <EIN>581609308</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ACTx</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5673 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421769</ZIPCode>
        </AddressUS>
        <EIN>830345672</EIN>
        <PrimaryActivity>Research</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Georgia Health Enterprises LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>11440 Commerce Park Drive</AddressLine1>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
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        <EIN>541806329</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
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          <BusinessNameLine1>St Mary's Highland Hills Village Inc</BusinessNameLine1>
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          <AddressLine1>1660 Jennings Mill Road</AddressLine1>
          <City>Bogart</City>
          <State>GA</State>
          <ZIPCode>30622</ZIPCode>
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        <PrimaryActivity>Assisted Living</PrimaryActivity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GHE Physicians PC</BusinessNameLine1>
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          <AddressLine1>3500 Piedmont Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
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          <BusinessNameLine1>Mercy Physician Group Inc</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Stella Maris Insurance Company Limited</BusinessNameLine1>
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        <AddressForeign>
          <AddressLine1>PO Box 69</AddressLine1>
          <City>Grand Cayman</City>
          <ProvinceOrState>Cayman Islands</ProvinceOrState>
          <Country>CJ</Country>
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        <EIN>980078266</EIN>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
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        <TypeOfEntity>C</TypeOfEntity>
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          <BusinessNameLine1>Catholic Health East Senior Services</BusinessNameLine1>
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          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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        <EIN>371572595</EIN>
        <PrimaryActivity>Senior Services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
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      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
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          <BusinessNameLine1>St Peters Nursing and Rehab</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Mercy Cares for Kids</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>The Community Hospice Inc</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>The Community Hospice Inc</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Peters Licensed Home Care Agency</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <ReturnReference>Schedule R, Part V</ReturnReference>
        <Explanation>Intercompany transaction with related parties.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>