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        <DescriptionOfAsset>Real Estate - Martin Payne</DescriptionOfAsset>
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        <DescriptionOfAsset>Cancer Center</DescriptionOfAsset>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>It is available upon request.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>All employees and medical staff who are considered to be "Key Employees" because of their ability to influence substantive business decisions (e.g. Purchases, Contracts, Leases, etc.) and members of the Board of Directors are required to annually complete a conflict of interest disclosure form that is reviewed by the Compliance Officer. If there are any potential conflicts identified by key empmloyees, the Board of Directors is informed. For Board Members, a summary of all completed conflict of interest informatioin is compiled and circulated to all Board Members for their review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>All employees and medical staff who are considered to be "key employees" becasue of their ability to influence substantive business decisions (e.g. Purchase, Contracts, Leases, etc.) and members of the Board of Directors are required to annually complete a complete a conflict of interest disclosure form that is reviewed by the compliance officer. If there are any potential conflicts indentified by key employees, the Board of Directors is informed. Once all potential conflict information is gathered, the Board of Directors, in conjunction with the Compliance Officer and Audit/Compliance Committee, shall make a determination whether actual conflicts exist. When a conflict is identified, corrective action shall be taken in accordance with the type and extent of conflict. In all situations, the relevant idividual shall be removed or recused from any decision making related to the potential conflict. Key employees and members of the Board of Directors are further instructed to disclose throughout the year if any new or previously unidentified conflicts arise. At that time, a revised disclosure form must be completed and sent to the Compliance Officer for review and corrective action taken in accordance with the process described above. A summary of all completed conflict of interest information is compiled. This summary is then circulated to all Board Members for thier review.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Unable to provide a copy to each of the Board of Directors at time of filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>Yes, the Organization delegated control over management duties customarily perfomred by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person.</Explanation>
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      <GeneralExplanation>
        <Explanation>Client Note 1 - Due to closure of the Manhattan Campus prior to 12-31-10, the NYSDOH did not require a certified cost report. As a result, an audit of the SVCMC's financial statements was not performed. Accordingly, no audited financial statements exist for the year ended December 31, 2010.</Explanation>
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        </DirectControllingEntityName>
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        </NameOfDisregardedEntity>
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          <AddressLine1>450 West 33rd Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
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        </AddressUS>
        <EIN>133455797</EIN>
        <PrimaryActivities>Fees charged for caring patients</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVCMC</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Saint Elizabeth Anns Health Care</BusinessNameLine1>
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          <State>NY</State>
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        </AddressUS>
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        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVCMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Emergency Care Associates of SVCMC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <City>New York</City>
          <State>NY</State>
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        </AddressUS>
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        </DirectControllingEntityName>
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        </AddressUS>
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        <LegalDomicileState>NY</LegalDomicileState>
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        <NameOfRelatedOrg>
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          <AddressLine1>West 33rd Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>133539761</EIN>
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        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Queensbrook Insurance New York</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
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        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Queensbrook Insurance Limited</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>West 33rd Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>134077886</EIN>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVCMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
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        <ShareOfEOYAssets>16315867</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CMC Professional Registry</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>West 33rd Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>061256983</EIN>
        <PrimaryActivity>Staffing</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
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          <BusinessNameLine1>SVCMC</BusinessNameLine1>
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        <PercentageOwnership>1.00000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Saint Jeromes Health Services Corp</BusinessNameLine1>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Bishop Mugavero Center for Geriatric</BusinessNameLine1>
        </NameOfOtherOrganization>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>