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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD FELDFOGEL DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY LUBATKIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL A PERLMAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MECCHELLA</PersonNm>
        <TitleTxt>TRUSTEE (RESIGNED 6/28/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN FRANCIS</PersonNm>
        <TitleTxt>TRUSTEE (EFFECTIVE 4/26/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARISA BARBIERI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MERNA BINNS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MAHON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MITCHELL D COHN MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL ADLER ESQ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHYLLIS B FRANK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD GOLDMAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICK BORELLI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN WALSH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN SILVERSTEIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN GREEN-LORENZEN RN</PersonNm>
        <TitleTxt>TRUSTEE (RESIGNED 6/28/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>59.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>3093931</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24250</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA DRAKE RN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT ABBATECOLA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM M TRUST JR</PersonNm>
        <TitleTxt>TRUSTEE (CHAIR-EMERITUS)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM SHUM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN S BURKE</PersonNm>
        <TitleTxt>VP, CHIEF FINANCIAL OFFICER/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>48.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>783525</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>65231</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL NOVAK</PersonNm>
        <TitleTxt>VP, CHIEF OPERATING OFFICER/ASSISTANT SECRETARY</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>675394</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14902</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY MATEJICKA DO</PersonNm>
        <TitleTxt>VP, CHIEF MEDICAL OFFICER</TitleTxt>
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        <ReportableCompFromOrgAmt>828258</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>M KATHLEEN LUNNEY</PersonNm>
        <TitleTxt>VP, CHIEF NURSING OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>475731</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID B SOUTHREN</PersonNm>
        <TitleTxt>PHYSICIAN ADVISOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES P KELLEHER MD</PersonNm>
        <TitleTxt>MEDICAL DIR BEHAVIORAL HLTH</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>64442</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY E JONES</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF CARE MANAGEMENT/ORTHOPEDIC PATIENT NAVIGATOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>54946</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL B JACKSON MD</PersonNm>
        <TitleTxt>ASSOC. DIR PSHYCHIATRY SERV.</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VANESSA K BIJLANI</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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        <ReportableCompFromOrgAmt>330375</ReportableCompFromOrgAmt>
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      <TotReportableCompRltdOrgAmt>3093931</TotReportableCompRltdOrgAmt>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUEST DIAGNOSTICS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 829864</AddressLine1Txt>
            <CityNm>PHILADEPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19182</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSIDE LAB TESTING</ServicesDesc>
        <CompensationAmt>9066344</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 850737</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55485</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTING SERVICES</ServicesDesc>
        <CompensationAmt>6389250</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUND PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 742936</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90074</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>5322210</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACCURAY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 204793</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753204793</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTING SERVICES</ServicesDesc>
        <CompensationAmt>1660001</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LRS HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 850781</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>554850781</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL STAFFING</ServicesDesc>
        <CompensationAmt>1642247</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>87</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>555064</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>16380507</GovernmentGrantsAmt>
      <TotalContributionsAmt>16935571</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>356375812</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>356375812</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER HEALTHCARE RELATED SERVICES</Desc>
        <BusinessCd>621999</BusinessCd>
        <TotalRevenueColumnAmt>678088</TotalRevenueColumnAmt>
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      <TotalOthProgramServiceRevGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>357053900</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1003412</TotalRevenueColumnAmt>
        <ExclusionAmt>1003412</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>118288</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>89750</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>28538</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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        <TotalRevenueColumnAmt>28538</TotalRevenueColumnAmt>
        <ExclusionAmt>28538</ExclusionAmt>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>5150000</BookValueAmt>
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        <DepreciationAmt>57120249</DepreciationAmt>
        <BookValueAmt>78090412</BookValueAmt>
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        <DepreciationAmt>47543900</DepreciationAmt>
        <BookValueAmt>26983597</BookValueAmt>
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        <BookValueAmt>579</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>110224588</TotalBookValueLandBuildingsAmt>
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        <Desc>RIGHT OF USE OPER LEASE ASSETS</Desc>
        <BookValueAmt>2321181</BookValueAmt>
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        <BookValueAmt>4674063</BookValueAmt>
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      <OtherAssetsOrgGrp>
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        <Desc>EST MALPRACTICE INS CLAIMS LIAB.</Desc>
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      <OtherRevenueAmt>0</OtherRevenueAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENDED USE OF THE HOSPITAL'S ENDOWMENT IS TO PROVIDE FUNDS TO BE USED AT THE DISCRETION OF THE MEDICAL COUNCIL FOR SMALL INSTRUMENTS AND OR EQUIPMENT FOR HOSPITAL USE THAT THE COUNCIL DEEMS DESIRABLE AND NECESSARY.</ExplanationTxt>
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
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      <PhysicalImprvAndHousingGrp>
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      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
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        <OwnWebsiteURLTxt>HTTPS://WWW.MONTEFIORENYACK.ORG/COMMUNITY-ASSESSMENT-%26-SERVICE-PLAN</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.MONTEFIORENYACK.ORG/COMMUNITY-ASSESSMENT-%26-SERVICE-PLAN</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
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        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
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        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY</FAPSummaryOnWebsiteURLTxt>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MONTEFIORE NYACK HOSPITAL. THE PROCESS FOR PREPARING THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT WAS AN INTER-ORGANIZATIONAL AND COMMUNITY COLLABORATIVE PROCESS, INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT WAS REFLECTIVE OF THE NEEDS OF THE COMMUNITY. THE MONTEFIORE NYACK HOSPITAL COMMUNITY THE HEALTH NEEDS ASSESSMENT WAS COMPILED USING SPECIFIC DATA PROVIDED FROM MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT 2022-2024 AND USED AS MONTEFIORE NYACK HOSPITAL PRIMARY DATA COLLECTION SOURCE. THE MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT WAS A COLLABORATIVE EFFORT WITH THE ROCKLAND COUNTY DEPARTMENT OF HEALTH IN PARTNERSHIP WITH THE SIX OTHER MID-HUDSON REGION LOCAL HEALTH DEPARTMENT AND MULTIPLE HEALTH SYSTEMS AND HOSPITALS ACROSS THE NEW YORK STATE INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT WAS REFLECTIVE OF THE NEEDS OF THE COMMUNITY INCLUDING BOTH CLINICAL AND SOCIAL DETERMINANTS OF HEALTH. ON BEHALF OF THE MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT COLLABORATIVE, THE ROCKLAND COUNTY DEPARTMENT OF HEALTH WORKED ON A PUBLIC OPINION SURVEY CREATED AND ADMINISTERED BY SIENNA RESEARCH INSTITUTE IN THE SUMMER OF 2022. SURVEY PARTICIPANTS WERE CONTACTED VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, AND OTHER ONLINE RECRUITMENT AT VARIOUS IN-PERSON EVENTS AND OTHER COMMUNITY PARTNERSHIP TO ENHANCE REPRESENTATION AND MEET BUDGET CONSTRAINTS. THE DESIGN OF THE LANDLINE SAMPLE WAS CONDUCTED TO ENSURE THE SELECTION OF BOTH LISTED AND UNLISTED TELEPHONE NUMBERS, USING RANDOM DIGIT DIALING. THE CELL PHONE SAMPLE WAS DRAWN FROM A SAMPLE OF DEDICATED WIRELESS TELEPHONE EXCHANGES WITHIN EACH OF THE MID-HUDSON COUNTIES. RESPONDENTS WERE SCREENED FOR RESIDENCE IN NEW YORK STATE AND SPECIFIED COUNTIES. DATA FROM ALL FOUR SOURCES WERE COMBINED AND WEIGHTED AS ONE TO PROVIDE A REPRESENTATIVE SAMPLE OF MID-HUDSON REGION RESIDENTS. TO FURTHER ASSESS THE BROAD INTERESTS OF THE COMMUNITY, COMMUNITY-BASED ORGANIZATIONS AND COLLABORATIVE GROUPS INPUT WAS CRITICAL IN CONDUCTING THIS ASSESSMENT. THEIR FEEDBACK ON THE FACTORS MOST INFLUENCING HEALTH AND THE LEADING BARRIERS TO CARE AT THE NEIGHBORHOOD LEVEL ALLOWED FOR A UNIQUE HEALTH PERSPECTIVE. THE SURVEY OF THESE GROUPS PROVIDED A MEANS TO GATHER INFORMATION ON SUB-POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED IN RANDOM DIGIT DIAL SURVEYS. THESE PUBLIC AND COMMUNITY ORGANIZATIONS WERE INVITED AND ASKED TO PARTICIPATE IN A SELECTION PROCESS TO DETERMINE THE PRIORITY AREAS TO FOCUS INTERVENTION WITHIN ROCKLAND THROUGH 2024. MONTEFIORE NYACK HOSPITAL IS AN ACTIVE MEMBER OF DIFFERENT COMMUNITY GROUPS AND STEERING COMMITTEES. THESE COMMITTEES INCLUDE ROCKLAND COUNTY HEALTH CARE PRIORITIES (HCP), ROCKLAND COUNTY IMMUNIZATION COALITION, EMS OF ROCKLAND, ROCKLAND COUNTY EMERGENCY RESPONSE TEAM, LOCAL CHAPTER OF THE AMERICAN CANCER SOCIETY, AND THE SUSAN G. KOMEN FUND AMONG OTHERS. IN ORDER TO AFFECT CHANGE IN THE COUNTY, A COALITION OF ORGANIZATIONS HAS MOBILIZED TO DEVELOP AND EMPLOY A WIDE ARRAY OF INTERVENTIONS. PLANS ARE IN PLACE TO PRIMARILY UTILIZE FACILITIES AND STAFF AT BON SECOURS GOOD SAMARITAN HOSPITAL, MONTEFIORE NYACK HOSPITAL, AND ROCKLAND COUNTY DEPARTMENT OF HEALTH TO SUPPORT THE COMMUNITY HEALTH IMPROVEMENT STRATEGIES. ADDITIONALLY, THE PATIENT AND COMMUNITY EDUCATION DEPARTMENT AT THE HOSPITAL IDENTIFIES CONCERNS FROM THE PUBLIC BASED ON FEEDBACK THAT IT RECEIVES FROM LECTURES, PUBLIC CONTACT VIA THE HOSPITAL WEBSITE AND PHONE CONVERSATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MONTEFIORE NYACK HOSPITAL. BASED ON THE FINDING OF THE PROVIDER SURVEY AND THROUGH FOLLOW-UP MEETINGS WITH THE KEY LOCAL MEDICAL FACILITIES, IT WAS DETERMINED THAT ROCKLAND PARTNERS WOULD FOCUS ON AND TRACK PROGRESS TOWARDS REDUCING CONCERNS AROUND THE TWO PRIORITY AREAS OF 1) PREVENTING CHRONIC DISEASES AND THE PROMOTING WELL-BEING AND 2) PREVENTING COMMUNICABLE DISEASES. MONTEFIORE NYACK HOSPITAL HAS PARTNERED WITH ROCKLAND COUNTY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, COMMUNITY-BASED ORGANIZATIONS AND MEMBERS OF THE COMMUNITY IN ITS PLANS TO DEVELOP INITIATIVES AIMED AT IMPROVING THE HEALTH OF THE PEOPLE OF ROCKLAND BASED ON THESE NEEDS. THE GREATEST INFLUENCE ON OVERALL MORBIDITY AND MORTALITY AMONG ROCKLAND RESIDENTS CONTINUES TO BE CHRONIC ILLNESSES, AS HAS BEEN THE CASE FOR SEVERAL YEARS. A WIDE VARIETY OF FACTORS PLAY A ROLE IN THE OCCURRENCE OF THESE CONDITIONS, AND IT IS AN EXPRESSED GOAL AMONG THE COUNTY HEALTH PARTNERS TO ADDRESS THE CORE ISSUE DRIVING THE CURRENT TREND. THE RATE OF CHILDHOOD AND ADOLESCENT OBESITY CONTINUES TO WORSEN IN ROCKLAND OVER THE LAST FEW YEARS. THIS WAS NOTED IN THE LAST COMMUNITY HEALTH ASSESSMENT AND REMAINS A PROBLEM TO FOCUS ON IN THE CURRENT ASSESSMENT. ADDITIONALLY, THERE IS A CLEAR DISPARITY ALONG RACIAL AND ETHNIC LINES FOR BROAD CATEGORIES OF CHRONIC CONDITIONS, SUCH AS DIABETES, STROKE, AND ASTHMA, WHEN IT COMES TO THE RATIO OF PREVENTABLE HOSPITALIZATIONS AND PREMATURE DEATHS BETWEEN NON-HISPANIC WHITE RESIDENTS AND THOSE THAT ARE EITHER NON-HISPANIC BLACK OR HISPANIC. PREVENTION PROGRAMS TO REDUCE THE IMPACT OF HEART DISEASE, DIABETES, CANCER, AND STROKE WILL CONTINUE AND BE ENHANCED DURING THIS HEALTH IMPROVEMENT CYCLE TO DECREASE THE CONTINUOUS DETRIMENTAL INFLUENCES OF THESE CONDITIONS. THE INTERVENTIONS ARE BEING DEVELOPED TO REACH THESE SPECIAL POPULATIONS WITH CULTURALLY TAILORED PROGRAMS, SUCH AS INNOVATIVE SCHOOL-BASED WELLNESS ENHANCEMENT, MULTI-LINGUAL DISEASE PREVENTION, AND SELF-MANAGEMENT CLASSES. NYS IS CURRENTLY FIFTH IN THE TOP 10 STATES WITH THE HIGHEST RATE OF NEW HIV DIAGNOSES IN ADOLESCENTS. FROM 2017-2019, WESTCHESTER COUNTY FOLLOWED BY ROCKLAND AND ORANGE COUNTY HAD THE HIGHEST AGE-ADJUSTED RATE OF NEWLY DIAGNOSED HIV INFECTIONS. ROCKLAND COUNTY HAD ALSO EXPERIENCED A RISE IN STIS, NAMELY SYPHILIS, GONORRHEA, AND CHLAMYDIA. VARIOUS INTERVENTIONS ARE BEING DEVELOPED BY THE HOSPITAL AND ITS COMMUNITY PARTNERS TO INCREASE THE NUMBER OF PERSONS LIVING WITH HIV WHO RECEIVE CARE AND TO REDUCE THE ANNUAL RATE OF GROWTH FOR STIS. MONTEFIORE NYACK HOSPITAL OPENED THE JACOB'S FAMILY PRIDE WELLNESS CENTER IN NOVEMBER 2021, A SAFE SPACE FOR INDIVIDUALS FROM THE LGBTQ+ COMMUNITY TO DO HIV AND STI TESTING AND RECEIVE TREATMENT BY EXPERIENCED PROFESSIONALS AND SPECIALISTS THAT UNDERSTAND THE NEEDS OF THIS HIGH-RISK COMMUNITY. OTHER INTERVENTIONS INCLUDE EDUCATION, MAKING CONDOMS WIDELY AVAILABLE IN PUBLIC SPACES SUCH AS SCHOOLS, COMMUNITY COLLEGES, LIBRARIES, BARS, AND OTHER FREQUENTED BY ADULTS AND COMMUNITIES AT RISK, AND AT COMMUNITY EVENTS. THE NEW YORK STATE PREVENTION AGENDA HEALTH IMPROVEMENT PLAN FOR 2019-2024 ESTABLISHED FIVE PREVENTION AGENDA PRIORITY AREAS FROM WHICH THE ROCKLAND COUNTY DEPARTMENT OF HEALTH HAS SELECTED TWO OF THE FIVE AREAS AS A RESULT OF ITS COLLABORATION WITH MONTEFIORE NYACK HOSPITAL AND SEVERAL OTHER COMMUNITY PARTNERS. MONTEFIORE NYACK HOSPITAL, IN PARTNERSHIP WITH THE ROCKLAND COUNTY DEPARTMENT OF HEALTH AND OUR COMMUNITY PARTNERS WILL WORK COLLABORATIVELY TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. WHILE THE PROGRAMS SELECTED FOR THE COMMUNITY HEALTH NEED ASSESSMENT-IMPLEMENTATION STRATEGY REPORT DO NOT ADDRESS ALL IDENTIFIED HEALTH CONCERNS, THERE ARE EXISTING AND PLANNED PROGRAMS ACROSS THE MONTEFIORE HEALTH SYSTEM TO ADDRESS THESE OTHER COMMUNITY-IDENTIFIED PRIORITIES. WITHOUT OUR VARIOUS COMMUNITY PARTNERSHIPS, MONTEFIORE NYACK HOSPITAL WOULD NOT BE ABLE TO ADDRESS ALL THE NEEDS OF THE COMMUNITY. ALTHOUGH THE HOSPITAL COUNTS WITH AN ARRAY OF PROGRAM AND RESOURCES, THE RESOURCES OF OUR COMMUNITY PARTNERS ARE ESSENTIAL FOR THE SUCCESSFUL INTERVENTION IN MEETING THE NEEDS OF THE COMMUNITY AND CREATING COMMUNITY-BASED SERVICES TO PREVENT DISEASE, ENHANCE WELL-BEING AND ENACT SOCIAL CHANGES THAT GO BEYOND THE TRADITIONAL HEALTH CARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MONTEFIORE NYACK HOSPITAL. FAMILY SIZE IS FACTORED INTO THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 15 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MONTEFIORE NYACK HOSPITAL. MONTEFIORE NYACK HOSPITAL HAS INTERNAL RESOURCES AVAILABLE FOR ASSISTANCE WITH THE FAP APPLICATION PROCESS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST ANY INDIVIDUAL REQUIRING HELP IN COMPLETING THE FINANCIAL AID APPLICATION. THE PHONE NUMBER FOR FINANCIAL COUNSELING IS GIVEN IN THE FAP AND AT THE BOTTOM OF ALL HOSPITAL BILLS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>12</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK HOSPITAL PERINATAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>258 HIGH AVENUE</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10960</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALTY CARE EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK CERTIFIED HOME HEALTH AGENCY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>17 SQUADRON BLVD</AddressLine1Txt>
            <CityNm>NEW CITY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10956</ZIPCd>
          </USAddress>
          <FacilityTxt>CERTIFIED HOME HEALTH CARE AGENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK HOSPITAL ALCOHOL AND DRUG REHAB CL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>THE HUB 312 ROUTE 59</AddressLine1Txt>
            <CityNm>CENTRAL NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10960</ZIPCd>
          </USAddress>
          <FacilityTxt>SUBSTANCE USE DISORDER CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK RHEUMATOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2 CROSFIELD AVENUE</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALTY CARE EXTENSION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK AMBULATORY SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 CENTEROCK ROAD</AddressLine1Txt>
            <CityNm>WEST NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT AMBULATORY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 CENTEROCK ROAD</AddressLine1Txt>
            <CityNm>WEST NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK DEPARTMENT OF HEMATOLOGY ONCOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>255 FIFTH AVENUE</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK BREAST IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 NORTH HIGHLAND AVENUE</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK DEPARTMENT OF RADIATION ONCOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 NORTH HIGHLAND AVENUE</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT RADIATION ONCOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK PET CT IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 NORTH HIGHLAND AVENUE</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NYACK DEPARTMENT OF UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16-24 NORTH HIGHLAND AVENUE</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MULTIPLE SCLEROSIS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>160 NORTH MIDLAND</AddressLine1Txt>
            <CityNm>NYACK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10994</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 22</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DETERMINES THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE BASED ON THE TYPE OF SERVICE RENDERED. THE MEDICAID DRG RATE IS USED FOR ADMISSIONS WHILE THE MEDICARE APC RATE IS USED FOR AMBULATORY SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST-TO CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM THE RATIO OF PATIENT CARE COST-TO-CHARGE. IN CALCULATING THE PATIENT CARE COST FOR THE RATIO, THE ORGANIZATION REDUCED ITS OPERATING EXPENSES FOR ITS NON-PATIENT CARE COSTS AND COST OF ITS COMMUNITY BENEFITS AND BUILDING ACTIVITIES NOT RELYING ON THE RCC FACTOR FOR COSTING PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS REPORTED A PHYSICIAN CLINIC AS PART OF ITS SUBSIDIZED HEALTH SERVICES. THE CLINIC IS PART OF THE INTEGRATED HEALTH CARE SERVICES PROVIDED BY MONTEFIORE NYACK HOSPITAL TO THE COMMUNITY AND OPERATED BY THE HOSPITAL AT A SUBSTANTIAL LOSS TO THE ORGANIZATION. THIS CLINIC PROVIDES MUCH NEEDED HEALTH CARE SERVICES TO THE HOSPITAL'S LARGE MEDICARE AND MEDICAID POPULATIONS HELPING TO ALLEVIATE A GAP IN SERVICES DUE TO PHYSICIANS WHO ARE UNWILLING TO ACCEPT THESE PAYORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSE TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSE TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTED TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON THE RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICE INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT HAS INSURANCE OR IF THE BILL WILL EVER BE PAID.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>AS REPORTED IN MONTEFIORE HEALTH SYSTEM, INC. AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS, BAD DEBT IS DESCRIBED AS FOLLOWS: "SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEAR ENDED DECEMBER 31, 2024 AND 2023, CHANGES IN THE HOSPITAL'S ESTIMATES OF EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED DECEMBER 31, 2024 AND 2023, WAS NOT SIGNIFICANT".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED ON LINE 6 WAS DERIVED USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT, SINCE THE ORGANIZATION IS RENDERING MUCH NEEDED HEALTH SERVICES TO A POPULATION, FOR THE MOST PART, THAT IS POOR WITH LIMITED MEANS. OVER TIME, THE MEDICARE REIMBURSEMENT HAS NOT KEPT PACE WITH RISING MEDICARE COSTS THUS SHIFTING THE BURDEN FOR THE DIFFERENCE TO THE ORGANIZATION FOR SERVICES RENDERED MAINLY TO A FRAIL, ELDERLY POPULATION THAT HAS GREAT HEALTH NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS HALTED AND THE PATIENT IS REFERRED FOR FINANCIAL AID. IF AN ACCOUNT IS IN COLLECTION AND THE PATIENT REQUESTS FINANCIAL AID OR IF THE AGENCY DETERMINES THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS REFERRED BACK TO THE HOSPITAL WHERE THE PATIENT IS PROVIDED ASSISTANCE WITH COMPLETING AN APPLICATION FOR ASSISTANCE. HOSPITAL CLINIC PATIENTS ARE EVALUATED FOR FINANCIAL ASSISTANCE UPON INITIAL REGISTRATION. APPLICATIONS FOR HOSPITAL CLINIC PATIENTS ARE COMPLETED AND DETERMINATIONS MADE AS PART OF THE REGISTRATION PROCESS UNLESS ADDITIONAL INFORMATION IS NEEDED. THE ORGANIZATION ALSO USES PREDICTIVE ANALYSIS TO ASSIST IN CHARITY CARE DETERMINATION IN THE ABSENCE OF COMPLETED FINANCIAL AID APPLICATION. FINANCIAL SCREENING/PRESUMPTION CHARITY USED FINANCIAL INFORMATION THAT IS CONTAINED IN A PATIENT'S CREDIT REPORT AND OTHER PATIENT SPECIFIC ATTRIBUTES TO ESTIMATE A PATIENT INCOME LEVEL AND WHERE THEY ARE IN RELATION TO THE FEDERAL POVERTY LEVEL TO QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY. IF A PATIENT IS A MEDICAID RECIPIENT RECEIVING MEDICALLY NECESSARY NON-COVERED SERVICES OR INPATIENT SERVICES FOR NON-COVERED CHARGES FOR DAYS EXCEEDING A LENGTH-OF STAY LIMIT, THE PATIENT'S MEDICAID ENROLLMENT WILL BE PROOF OF FINANCIAL NEED AND THE PATIENT WILL BE PRESUMPTIVELY ELIGIBLE FOR CHARITY CARE/FINANCIAL AID.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- MONTEFIORE NYACK HOSPITAL: Line 16a URL: HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- MONTEFIORE NYACK HOSPITAL: Line 16b URL: HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- MONTEFIORE NYACK HOSPITAL: Line 16c URL: HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTEFIORE NYACK HOSPITAL ASSESSES COMMUNITY NEEDS BY WORKING CLOSELY WITH THE LOCAL HEALTH DEPARTMENTS AS WELL AS ITS COMMUNITY PARTNERS. MONTEFIORE NYACK HOSPITAL IS AN ACTIVE MEMBER OF THE ROCKLAND COUNTY HEALTHCARE PRIORITIES COMMITTEE, WHICH REPRESENTS 22 COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY. THE GROUP MEETS MONTHLY TO SET HEALTH CARE PRIORITIES FOR THE ROCKLAND COUNTY. MONTEFIORE NYACK HOSPITAL ALSO PARTICIPATED IN THE MID-HUDSON REGIONAL COMMUNITY HEALTH ASSESSMENT 2022-2024 WITH SEVEN LOCAL HEALTH DEPARTMENTS ACROSS THE MID-HUDSON VALLEY IN ASSESSING THE HEALTH CARE NEEDS OF THE MID-HUDSON COMMUNITIES FROM PRIMARY AND SECONDARY DATA COLLECTIONS. IN ADDITION, SEVERAL FOCUS GROUPS WERE CREATED TO FURTHER ASSESS THE BROAD INTEREST THE COMMUNITY AND GAIN THE INSIGHTS OF THE UNDER REPRESENTATIVE POPULATION IN THE COMMUNITY INCLUDING THOSE WHO ARE SENIORS, LOW INCOME, VETERANS, LGBTQ MEMBERS, THOSE EXPERIENCING HOMELESSNESS AND RESIDENTS WITH A MENTAL HEALTH CAPACITY. ADDITIONALLY, THE PATIENT AND COMMUNITY EDUCATION DEPARTMENT AT THE HOSPITAL IDENTIFIES CONCERNS FROM THE PUBLIC BASED ON FEEDBACK IT RECEIVES FROM LECTURES, PUBLIC CONTACT VIA THE HOSPITAL WEBSITE AND PHONE CONVERSATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL INTAKE, REGISTRATION AND COLLECTION STAFF ARE TRAINED ON THE HOSPITAL'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. AN IN-SERVICE IS PROVIDED TO ALL AREAS WITH INSTRUCTIONS ON WHERE TO SEND PATIENTS THAT NEED ASSISTANCE. FOR APPROPRIATE PERSONNEL, SUCH TRAINING EMPHASIZES, AMONG OTHER THINGS, THE IMPORTANCE OF DETERMINING THE ELIGIBILITY OF PATIENTS FOR CHARITY CARE/FINANCIAL AID AT THE INTAKE, BILLING AND COLLECTION PROCESS, THE CONDITIONS UNDER WHICH PATIENT FINANCIAL INFORMATION WILL BE SOUGHT FROM THIRD PARTIES, AND THE NEED TO TREAT PATIENT INFORMATION IN CONFIDENTIAL AND PROFESSIONAL MANNER. THE HOSPITAL MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING INFORMATION REGARDING THE HOSPITAL CHARITY POLICY AT PATIENTS SERVICE AREAS, INFORMATION POSTED ON THE INTERNET AND INFORMATION SENT OUT ON PATIENT'S BILLS. THE INFORMATION IS AVAILABLE IN SEVERAL LANGUAGES AND IS DISTRIBUTED TO THE ROCKLAND COUNTY PUBLIC HEALTH PRIORITIES COMMITTEE AND HEALTH-RELATED EVENTS IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTEFIORE NYACK HOSPITAL'S PRIMARY SERVICE AREA IS ROCKLAND COUNTY. ROCKLAND IS THE SMALLEST COUNTY BY LAND AREA AND THIRD MOST DENSE IN NYS, OUTSIDE OF THE FIVE BOROUGHS OF NYC. IT IS HOME TO AN INCREASINGLY DIVERSE POPULATION, WITH THE THIRD LARGEST PROPORTION OF HISPANIC RESIDENTS, AND THE HIGHEST PERCENTAGE OF NON-ENGLISH SPEAKERS AND JEWISH RESIDENTS IN THE MID-HUDSON REGION. THE ROCKLAND COUNTY IS LOCATED APPROXIMATELY 30 MILES NORTH OF MANHATTAN, AND ON THE WEST SIDE OF THE HUDSON RIVER AND BORDERED BY ORANGE COUNTY TO THE NORTH AND NEW JERSEY TO THE SOUTHWEST. IT IS COMPRISED OF 120,000 ACRES WITH MORE THAN 35,000 ACRES OF PRESERVED OPEN SPACE AND PARKLANDS. THE UNITED STATES CENSUS BUREAU ESTIMATED ROCKLAND COUNTY'S 2020 POPULATION AT 338,329, REPRESENTING AN 8.5% INCREASE IN POPULATION FROM 2010. THE COUNTY'S LARGEST ETHNIC GROUPS ARE WHITE NON-HISPANIC (62.7%), BLACK OR AFRICAN AMERICANS (13.1%) AND HISPANIC (18.4%). THE ROCKLAND COUNTY HAS A HIGHER PROPORTION OF INDIVIDUALS LIVING IN POVERTY (12.5%) THAN ITS FIVE PEER COUNTIES. THE GENERAL ISOLATION AND LACK OF AVAILABLE SERVICES DURING THE COVID-19 PANDEMIC, ALLOWED FOR UNFORTUNATE ADVANCEMENTS IN CERTAIN ILLNESSES AND CONDITIONS OF CONCERN. MOST NOTABLE THERE HAS BEEN A STEADY RISE IN STIS AND A DECREASE IN PREVENTIVE CARE VISITS, IMPACTING ALREADY TROUBLED VACCINATION RATES, CANCER SCREENING RATE, AND CHRONIC ILLNESS PREVENTION AND MAINTENANCE VISITS. IN 2021 ROCKLAND COUNTY WAS NOTED AS HAVING THE WORST BASIC CHILDHOOD IMMUNIZATION RATES IN NYS. DESPITE THIS TURNAROUND, ROCKLAND COUNTY STILL RANKED #1 FOR HEALTH OUTCOMES IN NEW YORK STATE COUNTY HEALTH RANKINGS IN 2021. THIS CATEGORY IS BASED ON AN EQUAL WEIGHTING OF LENGTH AND QUALITY OF LIFE. ROCKLAND COUNTY RANKED #9 FOR HEALTH FACTORS, BASED ON WEIGHTED SCORES FOR HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS AND THE PHYSICAL ENVIRONMENT. DESPITE ITS OVERALL HIGH RANKING, THERE IS CONSIDERABLE ROOM TO IMPROVE POPULATION HEALTH IN ROCKLAND COUNTY, WHILE ALSO REDUCING HEALTH DISPARITIES THROUGHOUT THE MULTIPLE MUNICIPALITIES WHICH ARE HOTSPOTS FOR BOTH HIGH-NEED POPULATIONS AND POORER HEALTH OUTCOMES. SPECIALIZED ATTENTION IS NEEDED IN SEVERAL HEALTH FOCUS AREAS TO ADVANCE GENERAL WELLNESS AND IMPROVE OVERALL HEALTH CONDITIONS THROUGHOUT THE COUNTY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTEFIORE NYACK HOSPITAL PROMOTES COMMUNITY HEALTH IN A VARIOUS OF WAYS. THE HOSPITAL'S COMMUNITY HEALTH AND EDUCATION DEPARTMENT RESPONDS TO REQUESTS FROM THE COMMUNITY FOR LECTURES AND BLOOD PRESSURE SCREENINGS. RECENTLY VARIOUS HEALTH FAIRS/LECTURES WERE CONDUCTED FOR THE FOLLOWING ORGANIZATIONS LOCATED THROUGHOUT THE SERVICE AREA: HEART DAY BY MONTEFIORE HOSPITAL, TEDDY BEAR HOSPITAL AT RCC, DIABETES SYMPOSIUM, RP CONNOR FIT DAY, REDEEMING LORD CHRISTIAN CENTER, NICE PAK SAFETY, VISIONS, SENATOR CARLUCCI'S SENIOR AWARENESS EVENT, MONTEBELLO HEALTH FAIR AND ST THOMAS AQUINAS COLLEGE. THE BREAST CENTER AT MONTEFIORE NYACK HOSPITAL CONTINUES TO OFFER COMPREHENSIVE SERVICES TO WOMEN OF ROCKLAND COUNTY. THE BREAST CENTER PROMOTES SELF-BREAST AND BONE-HEALTH AWARENESS FOR BOTH WOMEN AND MEN AND PROVIDES SCREENINGS FOR BREAST AND CERVICAL CANCER FOR UNINSURED AND UNDERINSURED WOMEN AND MEN. IN ADDITION, THE BREAST CENTER PROVIDES PUBLIC EDUCATION THROUGH LECTURES, HEALTH FAIRS, AND OTHER VENUES THROUGHOUT THE COUNTY. STROKE IS ONE OF THE LEADING CAUSES OF DEATH AND LONG-TERM DISABILITY IN THE UNITED STATES. THE NYACK HOSPITAL STROKE COMMITTEE, WHICH MEETS MONTHLY IS DEDICATED TO RAISING AWARENESS OF THE NEED TO SEEK MEDICAL ATTENTION F.A.S.T. WHEN SIGNS AND SYMPTOMS ARE NOTED. OUR EDUCATIONAL TEAM DELIVERS LECTURES TO VARIOUS COMMUNITY MEMBERS ON STROKE AWARENESS AND PREVENTION AND CONDUCTS BLOOD PRESSURE SCREENING AT VARIOUS SITES. SCREENING INCLUDES COUNSELING ON REDUCED RISKS OF STROKES THROUGH LIFESTYLE CHANGES INCLUDING ACCESS TO HEALTHCARE, BLOOD PRESSURE MANAGEMENT, NUTRITION, AND PHYSICAL ACTIVITY AND RECOGNITION OF STROKE SIGNS AND SYMPTOMS. THE BEHAVIORAL HEALTH CENTERS AT MONTEFIORE NYACK HOSPITAL PROVIDES COMMUNITY OUTREACH PROGRAMS THAT INCLUDES EDUCATING GENERAL PRACTITIONERS IN DISCUSSING THE AVAILABILITY OF MENTAL HEALTH SERVICES TO THEIR PATIENTS, RAISING AWARENESS OF MENTAL HEALTH ISSUES IN THE COMMUNITY AND TAKING STEPS TO REDUCE THE STIGMA, SHAME AND BARRIERS IN SEEKING HELP. MONTEFIORE NYACK HOSPITAL PROVIDES SCREENING TOOLS AND RESOURCES FOR DEPRESSION AWARENESS AND SUICIDE ASSESSMENT. PROMOTING MENTAL HEALTH AWARENESS AND INFORMATION ON SEEKING HELP IS ALSO PROVIDED AT HEALTH FAIRS AND SCHOOLS THROUGHOUT OUR COMMUNITY. A FOCUS IS ON DISSEMINATING INFORMATION ON THE B4STAGE4 PROGRAM, AN ANONYMOUS, FREE, AND CONFIDENTIAL SCREENING TO START A CONVERSATION WITH A PRIMARY CARE PROVIDER OR A TRUSTED FRIEND AND BEGIN TO PLAN A COURSE OF ACTION FOR ADDRESSING MENTAL HEALTH. OTHER COMMUNITY HEALTH PROGRAMS INCLUDES THE AADE DIABETES SELF-MANAGEMENT TRAINING PROGRAM, THE DIABETES SELF-MANAGEMENT TRAINING PROGRAM FOR THE BLIND, THE LOSE TO WIN PROGRAM TO COMBAT OBESITY, AMONG OTHERS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTEFIORE NYACK HOSPITAL IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM. THE HEALTH SYSTEM IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG-STANDING HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND CREATING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. THESE INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: COMMUNITY SERVICE PLAN, COMMUNITY SERVICE STRATEGY, ACCOUNTABLE CARE ORGANIZATION, PATIENT-CENTERED MEDICAL HOME, DISEASE MANAGEMENT PROGRAMS AND COMMUNITY OUTREACH. THE INTEGRATION OF THESE INNOVATIVE APPROACHES SUPPORTS THE HEALTH SYSTEM WELL IN ITS PROVISION OF SERVICE TO THE COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>POOLED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DISTRIBUTION BASED ON MULTIPLE YEARS OF SERVICE TO A RELATED ORGANIZATION PAID TO A BOARD MEMBER BY THE RELATED ORGANIZATION AND REFLECTED IN PART II, COLUMN (B)(III) OF SCHEDULE J FOR THEIR REPORTABLE COMPENSATION: SUSAN GREEN-LORENZEN, R.N. - $1,119,761. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES EXPRESSLY REVIEWED AND APPROVED ALL COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING THESE RETIREMENT BENEFIT ARRANGEMENTS FOR SENIOR EXECUTIVES, IN A MANNER THAT QUALIFIED UNDER THE INTERMEDIATE SANCTIONS RULES OF THE FEDERAL TAX LAW, AND IN RECOGNITION OF (A) THE EXECUTIVES' YEARS OF SERVICE TO THE ORGANIZATION AND (B) THE SIGNIFICANT CONTRIBUTIONS TO ENHANCING THE ABILITY OF THE ORGANIZATION TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT WITH FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD BE VIEWED AS APPLYING TO YEARS OF SERVICE FOR THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTEFIORE HEALTH SYSTEM, INC., ACTING THROUGH ITS BOARD OF TRUSTEES, IS THE SINGLE CORPORATE MEMBER OF MONTEFIORE NYACK HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF MONTEFIORE NYACK HOSPITAL, HAS THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ELECTED MEMBERS OF THE BOARD OF TRUSTEES AND HONORARY TRUSTEES OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER MONTEFIORE NYACK HOSPITAL, HAS THE POWER TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION AS WELL AS CERTAIN RESOLUTIONS OF THE NYACK HOSPITAL BOARD OF DIRECTORS. THESE RESOLUTIONS INCLUDE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF THE OPERATING AND CAPITAL BUDGETS AND ANY STRATEGIC PLANS OF THE CORPORATION, MANAGED CARE CONTRACTING, AND CERTAIN ADMINISTRATIVE PROCEDURES, AMONG OTHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY THE MONTEFIORE'S TAX DEPARTMENT WORKING CLOSELY WITH NYACK'S FINANCE TEAM AND ASSISTED BY VARIOUS DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM. THE FORM 990 WAS REVIEWED AND APPROVED BY MONTEFIORE'S VICE PRESIDENT-FINANCE AND THE NYACK'S HOSPITAL SENIOR LEADERSHIP INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE MONTEFIORE NYACK HOSPITAL'S AUDIT/COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE AUDIT/COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE NYACK HOSPITAL'S GOVERNING BODY PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM THAT ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES OF THE MONTEFIORE NYACK HOSPITAL ARE REQUIRED TO COMPLETE. SHOULD A POSSIBLE CONFLICT OF INTEREST ARISE IN THEIR RESPONSIBILITIES TO THE HOSPITAL, THE EMPLOYEE OR BOARD MEMBER IS REQUIRED TO NOTIFY THEIR SUPERVISOR OR THE DIRECTOR OF COMPLIANCE, IF AN EMPLOYEE, OR THE CHAIR OF THE BOARD, IF A BOARD MEMBER, AND ABSTAIN FROM ANY PARTICIPATION IN THE MATTER UNTIL THE HOSPITAL CAN DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS AND HOW THAT CONFLICT SHALL BE RESOLVED. ALL IDENTIFIED CONFLICTS ARE PRESENTED TO THE BOARD OF TRUSTEE'S AUDIT AND COMPLIANCE COMMITTEE FOR THEIR REVIEW AND DECISION WHEN AN ACTUAL CONFLICT IS DETERMINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTEFIORE NYACK HOSPITAL IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND CORPORATE GOVERNANCE. THE BOARD OF TRUSTEES HAS CHARGED THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD (WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARDS TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR THE CORPORATION'S EXECUTIVES. ALL DECISIONS MADE BY THE COMPENSATION COMMITTEE ARE APPROPRIATELY AND TIMELY DOCUMENTED IN MEETING MINUTES. THE COMPENSATION COMMITTEE'S REVIEW PROCESS FOLLOWS THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IT WITH THIS PROCESS. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING DATA FOR COMPARABLE ORGANIZATIONS, AN ASSESSMENT OF MANAGEMENT PERFORMANCE (INCLUDING THE SERVICES PROVIDED TO THE COMMUNITY), AND OTHER BUSINESS JUDGEMENT FACTORS, CONSISTENT WITH NYACK'S EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTEREST OF NYACK, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SCOPE, MISSION AND COMPLEXITY. ON AN ANNUAL BASIS, THE COMMITTEE PROVIDES THE FULL BOARD OF TRUSTEES WITH A DESCRIPTION OF THE COMMITTEE'S REVIEW AND APPROVAL PROCESS AND ITS DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER - Total Revenue: 69091, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 69091;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>DEFINED PENSION AND OTHER POSTRETIREMENT PLAN LIABILITIES - 894142; TRANSFER TO AFFILIATES FOR IT SYSTEM, BUSINESS TRANSFORMATION AND CONSTRUCTION COSTS - -4784902; Total - -3890760;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="24020961" softwareVersionNum="2024v5.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MMC CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 EAST 210TH STREET</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10467</ZIPCd>
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        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MMC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 EAST 210TH STREET</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10467</ZIPCd>
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        <EIN>131740114</EIN>
        <PrimaryActivitiesTxt>ACAD MED CTR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MMC RESIDENTIAL CORP I INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3411 WAYNE AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10467</ZIPCd>
        </USAddress>
        <EIN>911943271</EIN>
        <PrimaryActivitiesTxt>STAFF HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE HOSPITAL HOUSING SECT IIINC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3450 WAYNE AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10467</ZIPCd>
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        <EIN>237160641</EIN>
        <PrimaryActivitiesTxt>STAFF HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOSHOLU PRESERVATION CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3400 RESERVOIR OVAL EAST</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10467</ZIPCd>
        </USAddress>
        <EIN>133109387</EIN>
        <PrimaryActivitiesTxt>COMMUNITY SER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 SOUTH BROADWAY BLDG A FL 1</AddressLine1Txt>
          <CityNm>TARRYTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10591</ZIPCd>
        </USAddress>
        <EIN>201615393</EIN>
        <PrimaryActivitiesTxt>PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ME</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE MOUNT VERNON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>12 NORTH SEVENTH AVENUE</AddressLine1Txt>
          <CityNm>MOUNT VERNON</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10550</ZIPCd>
        </USAddress>
        <EIN>462916938</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SCHAFFER EXTENDED CARE CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>16 GUION PLACE</AddressLine1Txt>
          <CityNm>NEW ROCHELLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10801</ZIPCd>
        </USAddress>
        <EIN>462929888</EIN>
        <PrimaryActivitiesTxt>NURSING HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE EINSTEIN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 SOUTH BROADWAY BLDG A FL 1</AddressLine1Txt>
          <CityNm>TARRYTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10591</ZIPCd>
        </USAddress>
        <EIN>471582973</EIN>
        <PrimaryActivitiesTxt>SYSTEM PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WHITE PLAINS HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>41 EAST POST ROAD DAVIS AVE</AddressLine1Txt>
          <CityNm>WHITE PLAINS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10601</ZIPCd>
        </USAddress>
        <EIN>131740130</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 EAST 210TH STREE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10467</ZIPCd>
        </USAddress>
        <EIN>471600439</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ME</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE NEW ROCHELLE HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>16 GUION PLACE</AddressLine1Txt>
          <CityNm>NEW ROCHELLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10801</ZIPCd>
        </USAddress>
        <EIN>462931956</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AECOM STUDENT HOUSING CO INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 MORRIS PARK AVENUE</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10461</ZIPCd>
        </USAddress>
        <EIN>237075620</EIN>
        <PrimaryActivitiesTxt>STUDENT HOU</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AECOM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE CERC OPERATIONS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 EAST 210TH STREET</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10467</ZIPCd>
        </USAddress>
        <EIN>474853506</EIN>
        <PrimaryActivitiesTxt>REHAB CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WHITE PLAINS HOSPITAL CTR FDN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>41 EAST POST RD DAVIS AVE</AddressLine1Txt>
          <CityNm>WHITE PLAINS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10601</ZIPCd>
        </USAddress>
        <EIN>133281507</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WPHMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTEFIORE NYACK HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>160 NORTH MIDLAND AVENUE</AddressLine1Txt>
          <CityNm>NYACK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10960</ZIPCd>
        </USAddress>
        <EIN>133245804</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NYACK HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE WINIFRED MASTERSON BURKE REHAB HOSP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>785 MAMARONECK AVENUE</AddressLine1Txt>
          <CityNm>WHITE PLAINS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10605</ZIPCd>
        </USAddress>
        <EIN>131739937</EIN>
        <PrimaryActivitiesTxt>REHAB HOSP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LUKE'S CORNWALL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>70 DUBOIS STREET</AddressLine1Txt>
          <CityNm>NEWBURGH</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12550</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>MONTEFIORE MED ACAD HLTH SYS SELF INS TR</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>ALBERT EINSTEIN COLLEGE OF MEDICINE</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>MONTEFIORE EINSTEIN ADVANCED CARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>555 SOUTH BROADWAY</AddressLine1Txt>
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          <BusinessNameLine1Txt>DAVIS AVENUE CORP</BusinessNameLine1Txt>
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          <AddressLine1Txt>DAVIS AVENUE AT EAST POST ROAD</AddressLine1Txt>
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          <AddressLine1Txt>41 EAST POST ROAD</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>WHITE PLAINS MEDICAL SERVICES PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>DAVIS AVENUE AT EAST POST ROAD</AddressLine1Txt>
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