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            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>3 O/P BoneJoint, Spine, Rheumatology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Columbia Medical Complex - Specialty</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 Prospect Avenue</AddressLine1Txt>
            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>2 O/P Womens Health Surgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Columbia Medical Complex - Surgical Associates</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 Prospect Avenue</AddressLine1Txt>
            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>1 O/P Surgical Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Columbia Medical Complex - Family Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 Prospect Avenue</AddressLine1Txt>
            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>2 O/P Family Care Practices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Columbia Memorial Bone &amp; Joint</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 Fish and Game Road</AddressLine1Txt>
            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>3 O/P Ortho, PT OT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Columbia Memorial Valatie Campus</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>OSJ Plaza - 2827 Route 9</AddressLine1Txt>
            <CityNm>Valatie</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>3 O/P Rapid Care, Family Care, Draw</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Valatie Medical Arts Building - Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 River Street</AddressLine1Txt>
            <CityNm>Valatie</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>4 O/P Medical Imaging Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Valatie Medical Arts Building - Specialty</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 River Street</AddressLine1Txt>
            <CityNm>Valatie</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>1 O/P Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Valatie Medical Arts Building - Family Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 River Street</AddressLine1Txt>
            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Family Care Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Columbia Memorial Pediatrics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>813 Warren Street</AddressLine1Txt>
            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Pediatric Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Callan Family Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>358 Mountain View Road</AddressLine1Txt>
            <CityNm>Copake</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12516</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Family Care Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Chatham Family Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>31 Dardess Drive</AddressLine1Txt>
            <CityNm>Chatham</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12037</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Family Care Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Broadway Family Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7385 South Broadway</AddressLine1Txt>
            <CityNm>Red Hook</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12571</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Family Care Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Cairo Family Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4383 Route 23</AddressLine1Txt>
            <CityNm>Cairo</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12413</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Family Care Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Windham Medical Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>345 State Route 296</AddressLine1Txt>
            <CityNm>Hensonville</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12439</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Family Care Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Coxsackie Medical Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9 Law Street</AddressLine1Txt>
            <CityNm>West Coxsackie</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12192</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Family Care Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CMH Dental Van</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>71 Prospect Avenue</AddressLine1Txt>
            <CityNm>Hudson</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>Mobile Care Unit</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CMH Rapid Care - Copake</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>283 Mountain View Road</AddressLine1Txt>
            <CityNm>Copake</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12516</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Rapid Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>For the purposes of calculating the Hospitals total community benefits expense at cost, the Hospital used a cost to charge ratio, consistent with the calculation derived from Worksheet 2, Ratio of Patient Care Cost to Charges.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospitals community building activities consist of ongoing workforce development and community training sessions, for which the Hospital receives a very nominal fee, if any. These free or low-cost programs increase community awareness of health issues, provide an opportunity for ongoing education of community providers and caregivers, and support improved health habits for the community the Hospital serves.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization evaluates aged accounts receivable on an ongoing basis, and records bad debt expense when management deems it probably that the revenue will not be collected.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization utilizes a presumptive eligibility tool to identify patients eligible for financial assistance who have unpaid account balances, and does not record bad debt expense associated with this patient activity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Benefit, Charity Care and Uncompensated Care Footnote from Combined Audited Financial Statements. NOTE The Center reports information regarding bad debt on a combined basis with Albany Medical Center Hospital. a Community Benefit The Hospital offers numerous community benefit programs and services in community-based settings in response to the needs of the communities it serves. They include community health fairs, health screenings, health education lectures and workshops for community groups and the general public, consumer health information, facilitated insurance plan enrollment services and clinical services such as outpatient clinics, adult and pediatric care services and behavioral health services. Staff members of the Hospital also participate in community leadership efforts by donating significant hours of board service to other not-for-profit organizations. The Hospital supports graduate medical education and offers health professions education support for community members through continuing education programs and scholarships. b Charity and Uncompensated Care The Hospitals net cost of charity care, including payments to and receipts from the statewide pool was approximately 136,000 in 2017 and 484,000 in 2016 as follows 2017-Charity care at cost 1,375,000, Payments to Statewide Pool 491,000, Receipts from Statewide Pool 1,730,000, Total 136,000. 2016-Charity care at cost 735,000, Payments to Statewide Pool 506,000, Receipts from Statewide Pool 757,000, Total 484,000. The cost of charity care provided was determined using direct and indirect costs to provide services based on the application of the ratio of the Hospitals overall cost to patient charges. The Hospital also subsidizes services to Medicaid patients, which are paid at reimbursement levels below the Hospitals cost of rendering the related services. In addition, during 2017 and 2016, the Hospital incurred approximately 3,028,000 and 4,212,000 in provisions for uncollectable accounts, respectively.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospitals costing methodology used to determine the Medicare allowable costs reported in the organizations Medicare Cost Report is based upon the ratio of patient care cost to charges.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital follows a consistent collections policy for all patients. For patients eligible for financial assistance, the Hospital ensures collection actions are consistent with NYS Laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital continuously monitors changes in the demographics of the 2 counties it serves, through community outreach, discussions with local political and business leaders, and working with a variety of state and local agencies to assess the needs of the community. The Community Service Plan is continually updated and available on the Hospitals public website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospitals written bad debt and Charity Care policy broadly applies to the outstanding balance for the patient or insurer. The Hospital advertises throughout the facility, discusses with patients directly during the registration process, and again during the collections process, about the availability for charity care. As patients are enrolled in the charity care program, adjustments to their outstanding balance is charged against net patient service revenue, and not considered a component of bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital serves the people of Columbia and Greene Counties and part of Northern Dutchess County, with a combined population of approximately 115,000 people, which is distributed between one small city and 32 towns. The two counties combined cover an area of nearly 1,300 square miles, most of which is agricultural or rural. Columbia County is located in the northeastern region of the Mid-Hudson Valley of New York State. It is bordered on the north by Rensselaer County, on the south by Dutchess County, on the east by Berkshire County of the Commonweatlh of Massachusetts and on the west by the Hudson River, opposite Greene County. Columbia County is rural in nature and includes the City of Hudson and 18 towns. Greene County is situated between the Hudson River on the east and the Catskill Mountains at the Southern and Western ends. It is bordered by Albany County to the north, Rensselaer County to the northeast, Columbia County to the east, Ulster County to the south, Delaware County to the west and Schoharie County to the northwest. Greene County is located 2 hours north of the major metropolitan areas of New York City and a half-hour south of Albany, New York States Capital District.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>A majority of the Hospital Board of Trustees reside in Columbia and Greene County, as do most of the Hospitals employees. In recent years, the Hospital has significantly increased the access provided to local, previously unaffiliated doctors, and has further provided access and support for these practitioners to an electronic health exchange.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is part of an affiliated health care system, with Albany Medical Center, Saratoga Hospital, and their related entities. The organizations within the Albany Med System individually and collaboratively coordinate with multiple community health organizations, such as the respective County Departments of Mental Health and others, to understand, respond to and promote the health of the communities served. This occurs through Board representation, collaborative community health meetings, and development of the Community Health Needs Assessment and annual strategic plans to respond to the needs of the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NY</ExplanationTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Greater New York Hospital FDN</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>555 West 57th Street</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10019</ZIPCd>
        </USAddress>
        <RecipientEIN>132954140</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <ValuationMethodUsedDesc>Other</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Puerto Rico Hurricane Relief Fund</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CMH made one donation to provide assistance due to the devastation in Puerto Rico from Hurricane damage. Puerto Rico houses the largest supplier of intravenous fluids of which are an integral component for patient needs.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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        <PersonNm>Steven Frisch MD</PersonNm>
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        <PersonNm>Hiral Amin MD</PersonNm>
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        <PersonNm>Karen Tassey</PersonNm>
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        <PersonNm>Bryan T Mahoney</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Ellen Plass</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Gorczynski MD</PersonNm>
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        <PersonNm>Ersno Eromo MD</PersonNm>
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        <PersonNm>Louis Digiovanni MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <OtherCompensationFilingOrgAmt>650</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Manoj Subudi MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ian Atlas MD</PersonNm>
        <TitleTxt>Physican</TitleTxt>
        <BaseCompensationFilingOrgAmt>504881</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10859</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>516490</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1 Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the Hospitals CEO is determined by the Compensation Committee of the Board of Trustees. The Compensation Committee bases their proposal on CEO compensation surveys from the healthcare industry organizations, IRS Form 990 for comparable organizational data and general industry knowledge. The CEO compensation package is formalized in a written employment contract and approved by the Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1 Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO, Jay Cahalan is a participant in a supplemental non-qualified retirement plan held by CMH. In 2017, his retirement account was credited 87,500. Steven Frisch, MD is a participant in a supplemental non-qualified plan held by Albany Medical Center. In 2017, his retirement account was credited 78,938.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 5a 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization administers incentive compensation program under which members of Hospital management are eligible to earn incentive compensation. Overall incentive compensation is based on measurable achievement against a menu of organizations goals, which include financial results such as revenues and net earnings, as well as patient satisfaction, quality of care, employee satisfaction, and growth in services.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Columbia County Industrial Development Agency</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>141636496</BondIssuerEIN>
        <CUSIPNum>197511AR9</CUSIPNum>
        <BondIssuedDt>2008-01-30</BondIssuedDt>
        <IssuePriceAmt>11730000</IssuePriceAmt>
        <PurposeDesc>Refinancing</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
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      <TaxExemptBondsIssuesGrp>
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        <IssuerName>
          <BusinessNameLine1Txt>Columbia County Capital Resource Corp</BusinessNameLine1Txt>
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        <BondIssuerEIN>271072117</BondIssuerEIN>
        <CUSIPNum>197505AA8</CUSIPNum>
        <BondIssuedDt>2010-03-01</BondIssuedDt>
        <IssuePriceAmt>12945000</IssuePriceAmt>
        <PurposeDesc>Refinancing New Construction</PurposeDesc>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <WorkingCapitalExpendituresAmt>3852910</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>7273421</CapitalExpendituresAmt>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>6400000</RetiredAmt>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1Txt>HSBC</BusinessNameLine1Txt>
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        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The arbitrage rebate calculation for both the 2008 and 2010 bonds were completed as of December 31, 2017 with no Arbitrage Rebate due on either issuance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3a</FormAndLineReferenceDesc>
        <ExplanationTxt>CMH only has incidental management and service contracts in various financed areas. Therefore, no contracts are considered to result in private business use within the bond-financined property group.</ExplanationTxt>
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    <IRS990ScheduleO documentId="990O" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Combined total of 1,432,832 adjustment due to the following Pension valuation 1,197,286 Interest rate swap of 354,439 Net assets released from restrictions 118,903 Change in net assets of Auxilliary not booked by CMH 10.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Draft IRS and NYS tax filings, including the Form 990 and 990T and supporting schedules, are provided to the Board of Trustees for their review in advance of filing. Any agreed upon changes are incorporated into the filings prior to submission.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All members of the Board of Trustees are required to complete and execute the Hospital policy on Organization Ethics as well as a Conflict of Interest questionaire for Trustees and a Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, prior to appointment, they are also required of all incumbent trustees on an annual basis. The Audit Committee reviews, monitors enforces conflict of interest issues and reports the same to all members at the General Board Meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Performance review and recommendations related to salary are undertaken by the Compensation Committee of the Board of Trustees on an annual basis. The Compensation Committee is comprised of select members of the Board of Trustees who may employ outside consultants, use industry standards, benchmarking data, etc. to formulate conclusions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Columbia Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6, 7a, 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Albany Medical Center AMC is the Hospitals sole corporate member. AMC retains seats on the Hospitals Board of Trustees and provides a seat on the AMC Board of Governors to a Hospital representative. As sole corporate member, AMC approves the Hospitals annual operating budget in addition to other significant governance decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Fees for Services includes 13,055,619 for Professional Fees 8,561,502 for Purchased Services 1,214,075 for Agency Personnel 253,006 for Collection Fees 193,450 for Dues and 99,242 for Recruiting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Columbia Memorial Hospital amended its ByLaws, effective January 1, 2016, to recognize Albany Medical Center as the co-operator for the Hospital and sole corporate member.</ExplanationTxt>
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          <BusinessNameLine1Txt>Columbia-Greene Hospital Foundation</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Kaaterskill Commons Inc</BusinessNameLine1Txt>
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          <CityNm>Catskill</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12414</ZIPCd>
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        <PrimaryActivitiesTxt>Low Income Housing</PrimaryActivitiesTxt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <ZIPCd>12866</ZIPCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Saratoga Care Inc</BusinessNameLine1Txt>
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          <CityNm>Saratoga Springs</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>141775218</EIN>
        <PrimaryActivitiesTxt>Promoting Health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 type 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Saratoga Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Healthcare Partners of Saratoga Ltd</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>211 Church Street</AddressLine1Txt>
          <CityNm>Saratoga Springs</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
        </USAddress>
        <EIN>453303309</EIN>
        <PrimaryActivitiesTxt>Emergent Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Columbia-Greene Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>c/o CMH 71 Prospect Avenue</AddressLine1Txt>
          <CityNm>Hudson</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12534</ZIPCd>
        </USAddress>
        <EIN>141758524</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>Columbia-Greene Hospital Foundation</BusinessNameLine1Txt>
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        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>35241</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Columbia-Greene Hospital Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>206616</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Second Show Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>68231</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Kaaterskill Commons Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>1333</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Kaaterskill Commons Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>5500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Albany Medical Center</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>4809461</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>