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      <Form990PartVIISectionAGrp>
        <PersonNm>YVONNE M MOWATT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHELIA JONES HESLIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER J CAVALLARO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD A NEWHOUSE JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>GEORGE PAPPAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>SHEPARD T POOLE</PersonNm>
        <TitleTxt>DIRECTOR-Vice Chair</TitleTxt>
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        <PersonNm>MICHELLE L CLARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>NICHOLAS J ROSATO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>CHARLES RUOFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>STEPHEN RUSHMORE</PersonNm>
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        <PersonNm>THOMAS E SULLIVAN</PersonNm>
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        <PersonNm>CHARLES M STRAIN</PersonNm>
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        <PersonNm>HARRIETTE PEPER THAYER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>EDWARD TRAVAGLIANTI</PersonNm>
        <TitleTxt>DIRECTOR-Vice Chair</TitleTxt>
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        <PersonNm>JOHN H TREIBER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>MARY BETH TULLY</PersonNm>
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        <PersonNm>JOHN F COLLINS</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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        <PersonNm>JOHN D CATALANO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>LEE A ISRAEL</PersonNm>
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        <PersonNm>MICHAEL RAFFERTY</PersonNm>
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        <PersonNm>STEVEN CARSONS MD</PersonNm>
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        <PersonNm>PETER BREITSTONE JUNE 2016</PersonNm>
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        <PersonNm>HARRY KASSEL JUNE 2016</PersonNm>
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        <PersonNm>VERONICA RENKEN</PersonNm>
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        <PersonNm>ANTHONY CANCELLIERI</PersonNm>
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        <PersonNm>STEVEN GOLD</PersonNm>
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        <PersonNm>JOHN D MILLER</PersonNm>
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        <PersonNm>IRENE B FISHER</PersonNm>
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        <PersonNm>JAMES GIORGIO SR</PersonNm>
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        <PersonNm>PALMIRA M CATALIOTTI</PersonNm>
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        <PersonNm>ALFRED GLOVER</PersonNm>
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        <PersonNm>STACEY PFEFFER</PersonNm>
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        <PersonNm>SCOTT L SCHUBACH MD</PersonNm>
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        <PersonNm>ANTHONY GAMBINO MD</PersonNm>
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        <PersonNm>PHILIP RAGNO MD</PersonNm>
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        <PersonNm>MICHAEL KHALIFE MD</PersonNm>
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            <AddressLine1Txt>125 LASER COURT</AddressLine1Txt>
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        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>4874362</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CERNER HEALTH SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1005 CONVENTION PLAZA</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED SYS UPGRADE</ServicesDesc>
        <CompensationAmt>12186924</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>G CAFARELLA INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9 BRUCE LANE SOUTH</AddressLine1Txt>
            <CityNm>KINGS PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11754</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>2111380</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>E-4 SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>411 GREEN VALLEY ROAD</AddressLine1Txt>
            <CityNm>SINKING SPRINGS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19608</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>10177560</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>KZSW ADVERTISING</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>19 BENNETTS ROAD</AddressLine1Txt>
            <CityNm>SETAUKET</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11733</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING</ServicesDesc>
        <CompensationAmt>5320722</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>25</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1961497</FundraisingAmt>
      <AllOtherContributionsAmt>3386305</AllOtherContributionsAmt>
      <NoncashContributionsAmt>639906</NoncashContributionsAmt>
      <TotalContributionsAmt>5347802</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1119890529</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1119890529</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACEUTICAL RESEARCH</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2325815</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2325815</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>858514</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>858514</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1123074858</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2681179</TotalRevenueColumnAmt>
        <ExclusionAmt>2681179</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>1844744</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>2067521</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-222747</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-222747</TotalRevenueColumnAmt>
        <ExclusionAmt>-222747</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>35423841</SecuritiesAmt>
        <OtherAmt>10437</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>34953155</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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        <OtherAmt>10437</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>481124</TotalRevenueColumnAmt>
        <ExclusionAmt>481124</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>548510</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1961497</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>800812</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-252302</TotalRevenueColumnAmt>
        <ExclusionAmt>-252302</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>EQUIPMENT RENTAL REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6044563</TotalRevenueColumnAmt>
        <ExclusionAmt>6044563</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PURCH VOLUME DISCOUNTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4535962</TotalRevenueColumnAmt>
        <ExclusionAmt>4535962</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OUTSIDE LAB &amp; DIALYSIS REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>3287825</UnrelatedBusinessRevenueAmt>
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        <ExclusionAmt>4979518</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>3340521</UnrelatedBusinessRevenueAmt>
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      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>5071088</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1116547</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>368713730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82231063</ManagementAndGeneralAmt>
        <FundraisingAmt>1632487</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>27252582</ProgramServicesAmt>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>35253258</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7860873</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1720592</TotalAmt>
        <ManagementAndGeneralAmt>1720592</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>364412</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>113496</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>13508032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11850087</ManagementAndGeneralAmt>
        <FundraisingAmt>26258</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>4218494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2928593</ManagementAndGeneralAmt>
        <FundraisingAmt>4495</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>94743080</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7441749</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>13567354</ProgramServicesAmt>
        <ManagementAndGeneralAmt>526453</ManagementAndGeneralAmt>
        <FundraisingAmt>16539</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>15814102</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11861036</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
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        <ProgramServicesAmt>1780691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>206379</ManagementAndGeneralAmt>
        <FundraisingAmt>2035</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ProgramServicesAmt>6980032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>178266</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>40972917</ProgramServicesAmt>
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      </DepreciationDepletionGrp>
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        <ProgramServicesAmt>17614993</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>135492726</TotalAmt>
        <ProgramServicesAmt>134437424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1055302</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUBSIDY OF PRIVATE PRACT LOSS</Desc>
        <TotalAmt>75189787</TotalAmt>
        <ProgramServicesAmt>75189787</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>33262248</TotalAmt>
        <ProgramServicesAmt>33262248</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE CONTRACTS</Desc>
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        <ProgramServicesAmt>13490387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3676663</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>18556126</ManagementAndGeneralAmt>
        <FundraisingAmt>321184</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>174372485</ManagementAndGeneralAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <LandBldgEquipCostOrOtherBssAmt>1053809128</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>584540990</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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      <IntangibleAssetsGrp>
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      <DeferredRevenueGrp>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>0</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>380084354</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>878437817</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>129096244</BOYAmt>
        <EOYAmt>151360414</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>964546467</BOYAmt>
        <EOYAmt>1029798231</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>16017368</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>12584949</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-6338147</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>113496</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>113496</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule C, Part II-B, Line 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS A MEMBER OF THE FOLLOWING ORGANIZATIONS: GREATER NY HOSPITAL ASSOC, AMERICAN HOSPITAL ASSOC, NASSAU SUFFOLK COUNCIL, HANYS, LIHN, NY PRESBYTERIAN AND NATIONAL ASSOC OF CHILDREN HOSPITAL. THE HOSPITAL PAYS DUES TO THESE ORGANIZATIONS, A PORTION OF WHICH RELATES TO LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <FormAndLineReferenceDesc>schedule D, ParT V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USE OF ENDOWMENT FUNDS THE PERMANENT ENDOWMENTS ARE ENDOWMENT FUNDS MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THAT THE PRINCIPAL BALANCE MUST BE INVESTED AND KEPT INTACT IN PERPETUITY, WHILE ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION. THE TERM ENDOWMENTS ARE ENDOWMENT FUNDS THAT ARE MAINTAINED TO PROVIDE A SOURCE OF INCOME FOR EITHER A SPECIFIED PERIOD OF TIME OR UNTIL A SPECIFIC EVENT OCCURS. Schedule D, Part X, LINE 2 Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements.</ExplanationTxt>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCHED H, PART V, SECT C</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>SEE SCHED H, PART V, SECT C</OtherWebsiteURLTxt>
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        <StrategyWebsiteURLTxt>SEE SCHED H, PART V, SECT C</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>WWW.WINTHROP.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.WINTHROP.ORG</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>WWW.WINTHROP.ORG</FAPSummaryOnWebsiteURLTxt>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION C</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 5 The broad interests of the community were reflected quantitatively by the distribution and promotion of a regional survey called the Long Island Health Assessment Survey, which was available online and in paper format. Distribution and promotion occurred throughout a wide range of social service locations including hospital websites and educational programs, social media outlets, doctors offices, health departments, libraries, schools, insurance enrollment sites, community-based organizations, and more. The interests of the community are also reflected qualitatively, through a facilitated summit of community-based organizations (CBOs) that occurred on February 2, 2016. Representatives from CBOs shared valuable information about the health issues faced by their clients, barriers to care and other issues recognized as the social determinants of health -- citing poverty, housing, job losses, and food insecurities as problematic. Participants included: American Cancer Society Syosset, NY 1. Director of Patient and Family Services 2. Assistant Professor Adelphi University Garden City, NY 1. Director 2. Bilingual Outreach Coordinator American Red Cross New York, NY 1. Disaster Health Services Regional Advisor Angela's House Hauppauge, NY 1. Supervisor of Case Management Coordinating Agency for Spanish Americans (CASA) Hempstead, NY 1. Administrative Aide Catholic Health Services of Long Island Farmingdale, NY 1. Account Manager Coloki, Inc. Merrick, NY 1. Executive Director Community Care HHS Hicksville, NY 1. Account Executive 2. Public Relations Representative Cornell Cooperative Extension Jericho, NY 1. Regional Program Director 2. Nutrition Educator (2) Docs for Tots Melville, NY 1. Project Director EAS Network Hempstead, NY 1. Division Director The Epilepsy Foundation of Long Island East Meadow, NY 1. Community Education Coordinator Family and Children's Association Mineola, NY 1. VP &amp; COO 2. AVP, Senior Programs 3. AVP, Preventive Services Family First Home Companions Bohemia, NY 1. Director of Marketing Fidelis Care Westbury, NY 1. Community Relations Specialist Girls Incorporated of Long Island Deer Park, NY 1. Operations Manager Hispanic Counseling Center Hempstead, NY 1. Therapist LI Cares Hauppauge, NY 1. Nutrition Resourse Manager 2. Chief Network Officer Life Trusts Cendarhurst, NY 1. Trust Outreach Long Island Crisis Center Bellmore, NY 1. Supervising Social Worker Memory &amp; Music Mineola, NY 1. Northeast Regional Director Mental Health Association of Nassau County Hempstead, NY 1. Community Health Educator 2. Director of Education and Training MOMMAS House Wantagh, NY 1. Executive Director National Aging in Place Council Long Island, NY 1. CEO, The Crisis Planner Nassau University Medical Center East Meadow, NY 1. Community Outreach Coordinator (2) Nassau University Medical Center Pediatric Specialty Clinic East Meadow, NY 1. MD, PGY-3 New York City Poison Control Center New York, NY 1. Health Educator Department of Services for the Aging Town of North Hempstead, NY 1. Deputy Commissioner Northwell Health Long Island Jewish Medical Center New Hyde Park, NY 1. Health Educator Northwell Health Glen Cove Hospital Glen Cove, NY 1. Outreach Coordinator Options for Community Living, Inc Smithtown, NY 1. Executive Director Planned Parenthood of Nassau County Hempstead, NY 1. Sexuality Educator 2. Family Planning Benefits Coordinator PULSE of Long Island Wantagh, NY 1. President Right at Home Long Island Hicksville, NY 1. Owner Society of St. Vincent de Paul Bethpage, NY 1. Program Support Associate The American Cancer Society Hauppauge, NY 1. Health Systems Manager, Primary Care United Way of Long Island Deer Park, NY 1. Vice President, Community Impact Utopia Homecare Kings Park, NY 1. Certified Senior Advisor, Age in Place Specialist Input was also obtained from the following public health experts: Nassau County Dept. of Health 1. Director, Quality Improvement, Epidemiology &amp; Research 2. Epidemiologist SCHEDULE H, PART V, SECTION B, LINE 6A The hospitals CHNA was conducted with the following hospital facilities: Catholic Health Services of Long Island: Mercy Medical Center 1000 N Village Ave., Rockville Centre, NY 11571 St. Francis Hospital 100 Port Washington Blvd., Roslyn, NY 11576 St. Joseph Hospital 4295 Hempstead Turnpike, Bethpage, NY 1 1714 Northwell Health System: Glen Cove Hospital 101 St. Andrews Lane, Glen Cove, NY 11542 Long Island Jewish Valley Stream 900 Franklin Ave., Valley Stream, NY 11580 North Shore University Hospital 300 Community Drive, Manhasset, NY 11030 Plainview Hospital 888 Old Country Road, Plainview, NY 11803 South Oaks Hospital 400 Sunrise Highway, Amityville, NY 11701 Syosset Hospital 221 Jericho Turnpike, Syosset, NY 11791 Nassau University Medical Center 2201 Hempstead Turnpike, East Meadow, NY 11554 South Nassau Communities Hospital 1 Healthy Way, Oceanside, NY 11572 Winthrop-University Hospital 259 First Street, Mineola, NY 11501 SCHEDULE H, PART V, SECTION B, LINE 6B Organizations other than hospitals included: * Adelphi University * Data Gen Healthcare Analytics * Long Island Populations Health Improvement Program (organized by the Nassau-Suffolk Hospital Council) * Nassau Country Department of Health * St. Josephs College * Stony Brook School of Medicine, Dept. of Family, Population &amp; Preventative Medicine * Suffolk County Department of Health * Tri-Care Systems DBA LIAAC SCHEDULE H, PART V, SECTION B, LINE 7D In addition to listing the CHNA on the hospitals website and making a hard copy available upon request, Winthrop also included an article about the CHNA report in its Cornerstone publication that was mailed out to more than 100,000 community residents. SCHEDULE H, PART V, SECTION B, LINE 11 Winthrop ranked priorities based on the burden, scope and urgency of the health need across the service area, health disparities in select communities, resources, and the importance the community placed on addressing the needs. As stated in the 2016 CHNA, among the most identified pressing needs of the community that will be targeted include: 1. Prevention and management of chronic disease 2. Reduce obesity in children and adults 3. Cancer Prevention &amp; Screening 4. Healthy &amp; Safe Environment (Fall Prevention) These will be addressed through educational programs, screenings, and various community outreach activities. Plan revisions, resource limitations and re-prioritization of goals may impact individual programs. Two additional identified needs include 1) Mental Health and Substance Abuse and 2) women &amp; childrens Health. Due to limited resources, Winthrop will not address these two initiatives formally, however, please see the following: Mental Health Winthrop has expanded its psychiatric division and maintains a strong referral system. We are in the stages of investigating Mental Health stress management initiatives that will be introduced to the community at Hospital-based educational programs. Women &amp; Childrens Health Issues such as pediatric asthma and low birth weight babies in underserved communities will continue to be addressed, but not formally. SCHEDULE H, PART V, SECTION B, LINE 13B Winthrop extends discounts for financial assistance to patients based upon FPG levels for family size and household income up to 500% of the FPG. Winthrop also reserves the right to review and approve financial assistance to patients on a case-by-case basis.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, Part I, Line 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop-University Hospital uses FPG to determine eligibility for free and discounted care. Part I, Line 7 The Hospital utilized a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, of Form 990. Part I, Line 7g There are no subsidized health service costs attributable to physician clinics in the amount reported. Part I, Line 7, Column (f) A total of $33,262,248 was removed from the total expenses used in calculating the percentages of community benefit. Part II Winthrop-University Hospital provides Community Support through the Adopt-A-Family and the Meals on Wheels programs. Advocacy for Community Health Improvement/Safety is provided through the Brooklyn-Queens-Long Island Area Health Education Centers Summer Internship Program which grants healthcare shadowing opportunities for high school and college students from minority communities. Part III, Line 2 The total bad debt expense shown on this line represents actual amounts written off during the year related to balances due on patients accounts for which payment was expected and pursued by the Hospital and/or it collection agencies but never received. Part III, Line 3 The Hospital utilizes a process to identify amounts that are in a bad debt status but could qualify for financial assistance under the Hospitals financial assistance policy. These accounts are removed from bad debt and reviewed. If the criteria for financial assistance are met then they are reclassified from bad debt. These amounts are included in Part I of Schedule H. Part III, Line 4 Per page 11 of the Audited Financial Statements, the Hospital presents the provision for bad debt expense, net totaling $33,262,248 and $29,101,831 for the year ended December 31, 2016 and 2015, respectively, as a reduction of net patient service revenue in the consolidated statement of activities. For the Form 990 bad debt expense has been reclassified from revenues to expenses. Part III, Line 8 Medicare cost and charge information was extracted from the Medicare cost report and an RCC methodology was applied. The shortfall represents Unreimbursed costs incurred in providing services to Medicare recipients and therefore should be treated as a community benefit. Part III, Line 9b Patients identified as being eligible for consideration of financial assistance are referred by the debt collector to the Credit and Collection Department of the Hospital for review; Debt collection activities are suspended. 2) Needs Assessment Community needs are based on assessments conducted by Federal, State, and County agencies as well as studies performed by the Hospital and community organizations. 3) Patient Education of Eligibility for Assistance Notification is provided on the Hospitals website, through signage posted at all access points, through notification on hospital bills, and through counseling during the intake and discharge processes. 4) Community Information Winthrop University Hospital serves primarily Nassau County, which is located on Long Island in New York. Nassau County is home to 1.3 million people and makes up 6.9% of the State of New Yorks total population. Nassau is comprised of, 60.8% of White persons (not Hispanic), 16.8% persons of Hispanic or Latino origin, 12.8% Black persons, and 9.7% Asian persons based on census data. 5) Promotion of Community Health The Board of Directors of Winthrop-University Hospital is comprised of community members who are not compensated for their duties. Winthrop extends medical staff privileges to all qualified physicians in its service area. The hospital provides an array of educational seminars and preventive health services to the community including a smoking cessation program, diabetes education, health fairs, free blood pressure screenings, fall prevention programs, cancer care programs, prostate screenings, genetic counseling, health updates for seniors, Meals on Wheels, and other programs. Surpluses are reinvested into Winthrops operations, research, medical education and capital improvement initiatives to enhance its abilities to provide quality health care to its service areas. 6) Affiliated health care system The Winthrop South Nassau University Health System is the sole member of Winthrop-University Hospital and South Nassau Communities Hospital. Both hospitals provide services to their respective communities and collaborate to ensure that their communities are provided a full array of inpatient and outpatient services of the highest quality. 7) State filing of Community Benefit Report New York</ExplanationTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT L SCHUBACH MD</PersonNm>
        <TitleTxt>CHAIRMAN, TCV SURGERY</TitleTxt>
        <BaseCompensationFilingOrgAmt>1357490</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>145812</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>75000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>42876</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29898</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25051</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1530315</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>145812</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALFRED GLOVER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>480663</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>95000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>49673</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25275</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>663861</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY GAMBINO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1465474</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>151923</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>43523</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32903</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24415</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1718238</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILIP RAGNO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1430166</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>151923</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>42805</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24415</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1662559</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD SCHWARTZ MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1488268</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>151923</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24558</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24415</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1702414</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL KHALIFE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1470185</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11181</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15845</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1497211</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4B THE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FOR THE SENIOR AND LONG-TERM EXECUTIVES OF THE ORGANIZATION, INCLUDING MR. COLLINS. THIS PLAN SEEKS TO PROVIDE A REPLACEMENT INCOME AT RETIREMENT EQUAL TO 60% OF THE EMPLOYEE'S BASE SALARY, WHEN CONSIDERING ALL ORGANIZATION-SPONSORED RETIREMENT INCOME SOURCES, AFTER 20 YEARS OF SERVICE. THE BENEFITS UNDER THIS PLAN ARE FORFEITABLE IN THE EVENT OF VOLUNTARY TERMONATION BEFORE RETIREMENT AGE. THE ORGANIZATION'S OUTSIDE COMPENSATION CONSULTANT HAS OPINED THAT THIS PLAN IS WITHIN MARKET NORMS. WINTHROP ADOPTED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP II") FOR 3 EXECUTIVES WHO WERE NOT ELIGIBLE UNDER THE SERP DESCRIBED IN THE PREVIOUS PARAGRAPH BUT WHO WERE NEGATIVELY IMPACTED BY LIMITS UNDER WINTHROP'S STANDARD RETIREMENT PLANS (LIMITS NOT APPLICABLE TO EMPLOYEES GENERALLY). TWO OF THE 3 EXECUTIVES ARE INCLUDED IN PART VII AND SCHEDULE J. THE PRIMARY PURPOSES OF SERP II ARE TO PROVIDE A SUPPLEMENT TO THE STANDARD RETIREMENT PLAN AND TO ENCOURAGE RETENTION. SERP II COVERS MS. CATALIOTTI AND MS. PFEFFER AND THE 2016 CONTRIBUTION AMOUNTS FOR THEM WERE $63,678 AND $77,312, RESPECTIVELY. SERP II IS FORFEITABLE BY THE EXECUTIVES IF THEY TERMINATE EMPLOYMENT VOLUNTARILY BEFORE THE RETIREMENT DATE SET FORTH IN THE PLAN (GENERALLY AGE 65 OR 20 YEARS OF SERVICE) (AND ADDITIONAL SERVICE REQUIREMENTS MAY APPLY). PART 1, LINE 7 THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE ORGANIZATION AND THE EXECUTIVE, IF AND TO THE EXTENT SATISFIED, OF PRE-ESTABLISHED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. THE INCENTIVE COMPENSATION PROGRAM AWARDS ARE MADE BY THE COMPENSATION COMMITTEE IN ITS DISCRETION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>274291221</BondIssuerEIN>
        <CUSIPNum>63166LBEO</CUSIPNum>
        <BondIssuedDt>2012-10-23</BondIssuedDt>
        <IssuePriceAmt>140658451</IssuePriceAmt>
        <PurposeDesc>SEE SCHEDULE K PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>274291221</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2014-08-14</BondIssuedDt>
        <IssuePriceAmt>39750000</IssuePriceAmt>
        <PurposeDesc>SEE SCHEDULE K PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>10690000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>140806591</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2330048</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>67840572</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>70635940</OtherSpentProceedsAmt>
        <UnspentAmt>31</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>2628000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>39797023</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>432980</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>38692043</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>672000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.01700</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.01700</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.00000</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.01100</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.01100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.00000</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule K, Part I A Purpose: In 2012, Winthrop University Hospital Association, Series 2012 revenue bonds were issued through the Nassau County Local Economic Assistance Corporation to 1) Refund Winthrops prior bonds from 7/15/2001 and 5/1/2003, which were issued to raise funds for capital additions and improvements and 2) To finance a portion of the cost of a new medical research facility. Schedule K, Part II-A Line 3 The proceeds of the issue consist of the issue price of $140,658,451 and total investment income amounting to $148,140. Schedule K, Part I B Purpose: In 2014, Winthrop University Hospital Association, Series 2014 revenue bonds were issued through the Nassau County Local Economic Assistance Corporation to raise additional funds for construction related to the new research institute as well as various IT projects. Schedule K, Part II-B Line 3 The proceeds of the issue consist of the issue price of $39,750,000 and total investment income amounting to $47,023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KATHERINE M WALLACE-HARNICK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>see part V</RelationshipDescriptionTxt>
        <TransactionAmt>64050</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CLIFFORD FCOLLINS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>see part V</RelationshipDescriptionTxt>
        <TransactionAmt>81977</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HEATHER RUOFF</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>see part v</RelationshipDescriptionTxt>
        <TransactionAmt>49026</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINDA J MARTINEZ</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>see part v</RelationshipDescriptionTxt>
        <TransactionAmt>68706</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ALICIA C STRAIN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>42880</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JENNIFER L SULLIVAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>65686</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARIA C LOPES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>89423</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DIANE BENEDETTI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>43618</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 2</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>339314</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 3</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>142845</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 9</PersonNm>
        </NameOfInterested>
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        <FormAndLineReferenceDesc>FORM 990 SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI-A, LINE 6 ORGANIZATION MEMBERS The organization is organized as a not-for-profit corporation with a member which is known as Winthrop South Nassau University Health System, Inc. FORM 990, PART VI-A, LINE 7A ELECTION OF GOVERNING BODY Winthrop South Nassau University Health System, Inc. is the sole member of the corporation. This member can approve the election of the Board of Directors of the corporation in accordance with the bylaws. FORM 990, PART VI-A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL The governing body can approve and monitor the corporation's operating and capital expenditure plan on an annual basis provided, however, the operating and capital expenditure plan is reviewed and approved by the member to ensure that such budgets conform to the mission and philosophy of the corporation. FORM 990, PART VI-B, LINE 11A FORM 990 REVIEWED BEFORE FILING The Form 990 is reviewed by a voting member of the organization's governing body, an officer (CFO) of the corporation, outside legal counsel and tax consultant before it is filed with the IRS. The review is conducted independently by each person mentioned above. Questions, changes or recommendations are reported in writing or verbally. A copy of the Form 990 is provided to the organization's governing body before it is filed, together with an overview of relevant procedures (e.g. compensation, governance and due diligence, etc.) FORM 990, PART VI-B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY All Board Members and Key Employees are expected to read and understand the Conflict of Interest Policy which is mailed annually with the disclosure statement and posted on Winthrop University Hospital's Intranet site. Key Members include Senior Management and all Department Heads, Chairman of Departments, and other employees (including physicians) who are in a position to influence any substantive business decision between the Hospital and or a Vendor. In addition, all other Hospital Personnel are trained and educated as to their obligations to report any potential Conflict of Interest. Training and Education is conducted for all employees upon hire and annually thereafter. Annually the Conflict of Interest Policy and Disclosure Statement are sent to all Key Members of Winthrop University Hospital. Key Members are reminded of their continuing obligation to update the annual Disclosure Statement whenever new information arises. If the Compliance Officer believes a potential or actual conflict of interest exists, the Compliance Officer will seek outside counsel's advice and prepares a report stating the relevant facts with an explanation as to why an actual or potential conflict of interest exists. The actual or potential conflict will be reported to the Compliance Committee for review. Once a final decision is made on how to proceed, the Personnel will be instructed as to the appropriate corrective action.</ExplanationTxt>
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        <FormAndLineReferenceDesc>form 990, ParT VI-B, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents are provided to the public upon management's discretion. Conflict of Interest policy is provided upon request and approval of management. Financial Statements are provided to the public upon request. PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN PENSION LIABILITY $(5,925,547) INTERCOMPANY TRANSFER OF ASSETS $ (412,600) ------------- TOTAL $(6,338,147) =============</ExplanationTxt>
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        <FormAndLineReferenceDesc>MISSION STATEMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSION STATEMENT FORM 990, PART III, LINE 1 It is the mission of Winthrop-University Hospital (referred to as "Winthrop"the Hospital")to provide high-quality, safe, culturally competent, and comprehensive healthcare services in a teaching and research environment, which improve the health and well-being of the residents of Nassau County and contiguous county areas...based on a profound commitment to an enduring guiding principle - "Your Health Means Everything."The Hospitals Community Service Plan is guided by and reflects its mission statement to improve the health and well-being of the residents it serves.</ExplanationTxt>
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        <FormAndLineReferenceDesc>COMMUNITY PARTNERSHIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop remains engaged with the community by maintaining relationships with community- and faith-based organizations, private organizations, local school districts, and legislators from the village, town, county, state and federal government. Our partnerships have been strengthened through quarterly Community Cultural Advisory Committee meetings addressing the needs of the underserved, as well as increased efforts to reach out to the community to achieve goals and objectives identified through the 2013 Community Needs Assessment.On a broader scale, Winthrop is also an active member of the Long Island Health Collaborative, a coalition that includes the Nassau and Suffolk County health departments, all Long Island hospitals, health and social service community-based organizations, health plans, academic institutions, local government, and other groups that are working together toward a healthier Long Island. By using the collective impact model to enhance the quality of work being pursued in Population Health efforts, it is hoped that public awareness and education will help motivate individuals to make the changes necessary to develop a healthy lifestyle and improve outcomes. Leading a healthy lifestyle (e.g., avoiding tobacco use, being physically active and eating well) reduces the risk for chronic disease.</ExplanationTxt>
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        <FormAndLineReferenceDesc>HEALTH INITIATIVES SUPPORTING THE NYS PREVENTION AGENDA</FormAndLineReferenceDesc>
        <ExplanationTxt>PREVENT CHRONIC DISEASE NATIONAL DIABETES PREVENTION PROGRAM Winthrop offered the National Diabetes Prevention Program at no cost at the Diabetes Education Center. It is important to note that approximately 28% of participants were from communities with health disparities. Participation involves a commitment for one year and includes classes held weekly during the first six months. It then transitions to every other week and then monthly during the second six months of the year. Six new diabetes prevention classes were started in 2016 a total of 242 individuals participated in the Diabetes Prevention Program in 2016. TAI CHI FOR ARTHRITIS Targeting Chronic Disease, Stress Management &amp; Fall Prevention Based on health trends and opportunities for training through a grant, Winthrop reviewed the above evidenced-based program at the end of 2015 and decided to pilot it in the community. Medical studies have shown that Tai Chi relieves pain and improves the quality of life for people living with arthritis, though participants do not need to have arthritis to participate.This program: Includes flexibility exercises which reduce pain and stiffness leading to increased mobility. Helps improve muscular strength (reduces pain and protects joints). Helps improve relaxation, balance, posture, and immunity. Winthrop implemented the free eight-week, twice a week program in January of 2016. It has been extremely successful. Since then, six programs have been offered four at the Welcome Center and two at the Yes We Can Community Center in Westbury, a community with health disparities. Approximately 200 people have participated. Evaluation of Impact The response to the program has been tremendous, with community members calling and requesting classes. Anonymous post-evaluation forms are collected as part of the program and submitted to QTAC-NY for evaluation. In addition, Winthrop distributes a post-satisfaction form to individuals who return for the refresher portion of the workshop. This form collects information regarding the impact the program has on participants over a longer period. CHILDHOOD OBESITY SCREENINGS IN THE COMMUNITY Winthrop collaborates with the Head Start communities located in Hempstead and Westbury to bring the 5-2-1-0 healthy lifestyle program to their families. The plan includes giving each child a packet of information about the program to share with their parents, documenting BMIs and providing nutritional counseling for families of children identified as having an unhealthy weight. The healthy lifestyle program was introduced at Head Start parent meetings, and encourages 5 servings of fruits and vegetables each day, no more than 2 hours of screen time, 1 hour of exercise and 0 sugary drinks. The program was implemented in 2016. Each child received a packet of information about the program, including printed forms where they track their food and activity level by coloring in the appropriate boxes. During 2016, 238 children were measured in Hempstead and 16.5% were in the high range; 18.9% in the very high range. In Westbury, 212 children were measured; 15.5% of children were in the high range and 19.3% were in the very high range. Evaluation of Impact This is a new program. Process measures involve the number of children weighed and sent home with educational packets. Administrators at both Hempstead and Westbury locations have praised the partnership and would like us to expand to other Head Start locations. More parental buy-in is needed. Although we offered nutritional counseling in the form of a support group, parents did not respond. Going forward, we hope to attend parent meetings during 2017 to explain the program more fully and encourage participation. PROMOTE EXCLUSIVE BREASTFEEDING Since breastfed infants are less likely to develop medical problems such as childhood obesity, respiratory and gastrointestinal infections and are at lower risk for childhood cancers, asthma and Sudden Infant Death Syndrome (SIDS), Winthrop developed a strategy in 2013 to achieve Baby-Friendly Designation and improve the percentage of newborns who only receive breast milk when discharged from the Hospital. Evaluation of Impact Winthrop was awarded Baby-Friendly Designation by Baby-Friendly, USA, in 2014. NYS Prevention Agenda Goal is 48.3% of women exclusively breastfeed upon hospital discharge. During 2016, 50% of babies were only receiving breast milk when discharged from Winthrop. In addition to the above, Winthrop offers a breastfeeding support group, led by a lactation consultant. Over 110 women attended the support group during 2016.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FALL PREVENTION PROGRAM</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrops robust Fall Prevention Program for seniors includes a beginner four-part fall prevention workshop, followed by exercise classes to improve balance, flexibility and strength. During 2016, a total of 21 beginner workshops were conducted, with 18 at the Winthrop Welcome Center and three out in the community at the Yes We Can Community Center in Westbury, a community with health disparities. Two hundred and fifty-four attendees completed the four-week sessions. A total of 95 follow-up exercise classes were offered at the Welcome Center and 35 classes were offered out in the community at the Yes We Can Center in Westbury.In addition to the four-part workshop and follow-up exercise classes, Winthrop added a balance assessment to the program. Evaluation of Impact Participants fill in post-satisfaction forms. They acknowledge that the classes have given them more confidence, make them more aware of their posture, have made modifications at home, see the eye doctor once a year, and review their medications. Feedback from the workshops inspired Winthrop to develop the exercise classes as a reinforcement to improve balance, flexibility and strength. Since their inception, approximately 140 follow-up exercise classes have been held. People noticed that the program helped create an awareness of what to do to prevent a fall.</ExplanationTxt>
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        <FormAndLineReferenceDesc>TOBACCO CESSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>The Tobacco Cessation Program is an interactive, four-session workshop offered over a four-week period; the program is free-of-charge and conducted by a registered nurse. A total of 8 four-week workshops were conducted, with a total of 49 people attending three out of the four workshops. Attendees were contacted via e-mail or phone calls periodically throughout the year. Of the 49 contacted, 17 responded; 11 out of the 17 have stopped smoking.Six have decreased the number of cigarettes smoked daily and two out of six have enrolled to attend the classes again. One support group was held with a total of seven attendees. Of the seven attending, four were no longer smoking.</ExplanationTxt>
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        <FormAndLineReferenceDesc>IMPROVING ACCESS TO CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>WOMENS HEALTH Winthrops Womens Wellness Center in Hempstead addresses the health disparities of this select community. They offer a wide variety of obstetrical and gynecological services, as well as on-site risk assessment, smoking cessation support, genetic counseling, nutritional counseling along with gestational diabetes education. Additional services include: psychosocial counseling, depression screening at each visit, postpartum depression screening and referrals, bereavement counseling, education on domestic relationship abuse/sexual abuse, assessment of living conditions and cultural diversity. To meet the needs of the community, the site features a Medicaid Enrollment Specialist for uninsured patients; Charity Care Application and self-pay rates are available as well. They participate with NYS Medicaid and most Medicaid Managed Care HMO plans. Evaluation of Impact - During 2016, the Center averaged 2200 visits per month with a total of 26,000 encounters a 47% increase from 2015. Financial services department met with over 375 patients at the Center during this time period; this does not include those already enrolled in Medicaid services. There are more patients insured now; no appointment is needed for Medicaid enrollment. CHILDRENS HEALTH SERVICES The Hempstead High School Health Center (HHHC) is a school-based Health Center in a community with health disparities. During 2016, there were 3,078 visits to the Center by approximately 1,500 students. Comprehensive preventive, episodic and confidential healthcare was provided. Winthrop includes specific programs needed by the schools population, including: Youth support groups in English and Spanish that address common adolescent issues such as acculturation, adolescent adjustment, alternative lifestyles, teen pregnancy and prevention, parenting teens, and violence prevention, including gang violence. An Asthma Management Program that monitors and tracks students with asthma. It includes quarterly asthma workshops. This effort is particularly significant in Hempstead, where asthma rates are nearly double those of adjacent neighborhoods. Both staff nurses in the HHHC are certified asthma educators. Collaboration with primary care physicians in the community facilitates treatment that meets current medical standards, trains high school nurses and staff about asthma, offers access to medications, and assists with obtaining health insurance for uninsured students. There is a noticeable difference among students with asthma, in that fewer students are presenting at the clinic with difficulties. An Oral Health Program that assesses dental needs and applies fluoride varnish. It also provides dental supplies: toothbrushes, paste, floss and referral to local dental providers. Comprehensive preventive, episodic and confidential healthcare was provided. The Winthrop Hempstead Pediatric Clinic, a Patient-Centered Medical Home since 2014, draws patients primarily from the Hempstead community but also serves children, from newborn to age 21, from the surrounding neighborhoods experiencing health disparities (Elmont, Freeport, Uniondale and Roosevelt). In 2016, a total of 19,009 patients were treated at the facility, an increase of 8.5% from 2015. In addition, Winthrops Pediatric Specialty Center in Mineola sends a Pediatric Pulmonologist and a Genetic Counselor to the Hempstead location on a regular basis to allow for easier access to these services.The practice focuses on four important conditions: obesity, asthma, 18 month well-check and the first month of life. To reduce obesity, the Clinic utilizes the 5-2-1-0 program as a way of teaching parents and children a healthy lifestyle. The objective is to teach children the basics of a healthy lifestyle; the intended goal is to achieve a long-term positive impact on their health. Providers are encouraged to consistently document Body Mass Index (BMI), provide lifestyle counseling, and develop individual care plans and follow-up measures. During 2016, counseling documentation rate was 90%. Statistics and quality monthly meetings review the impact of asthma education on the patient population.</ExplanationTxt>
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        <FormAndLineReferenceDesc>ADDITIONAL COMMUNITY-BENEFIT SERVICES AT WINTHROP</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop recognizes that a healthy lifestyle prevents or delays the onset of disease. A deep commitment to a healthy lifestyle through health maintenance and wellness is fundamental to the Hospitals Mission. The Hospital provides additional support through the following: Blood Drives In 2016, employees and community members donated 1,242 pints of blood. Community Education Approximately 1500 individuals attended free hospital-based lectures, addressing topics such as Heart Health, Diabetes, Stress Management, Stroke, Arthritis, Cancer Awareness, and more.Approximately 300 individuals attended free community-based wellness lectures that were requested by various organizations.Long Island is a large sports community. Approximately 150 young athletes, their parents and coaches attended lectures raising awareness about concussions, injury prevention and substance abuse. Center for Family Dental Medicine Developed to target communities with health disparities, the Center offers specialized diagnostic and oral care from preventive measures which range from routine care and cleanings to more complex oral and maxillofacial surgery. During 2016, the Center provided approximately 200 free screenings to participants at various events. Center for Advanced Care of Chronic Conditions Winthrop offers a free service to the community to help individuals with a number of chronic conditions navigate the healthcare system. A nurse navigator customizes a plan of care, coordinates treatment and follow-up care, and promotes awareness of Winthrops various preventive and health screening programs. During 2016, the Center assisted 3,723 individuals. Health Fairs Winthrop participates in community-based health fairs and events. During 2016, Winthrop encountered approximately 2,000 individuals at local community fairs, providing educational material about nutrition, blood pressure, cholesterol, nutrition, stroke and more. Health Screenings Fifty-six individuals were screened at a free Stroke Risk Assessment. Winthrop partnered with LI Cruzin car show for a prostate cancer screening during 2016 that was open to all of Long Island. The Hospital provided free PSA screenings to 345 participants. Winthrop also provided an additional 216 free PSA screenings at additional sites throughout 2016. Meals on Wheels During 2016, Winthrop provided 23,400 meals for homebound community residents. Supporting Mental Health and Addressing Substance Abuse Expanded Services in the Department of Behavioral Health During 2016, Winthrop added the following staff to the Department: two adult psychiatrists, one adult psychologist, one nurse practitioner, one registered nurse and two social workers (one is per diem). Referrals to Community Resources - Winthrop has a solid referral base for community members in need of assistance for both mental health and substance abuse. Support Groups During 2016 Winthrop held nearly 200 support group sessions that are free and open to the public, on topics such as pain management, cancer support, stroke, breastfeeding, epilepsy and more. Winthrop Welcome Center The Welcome Center at the Winthrop Wellness Pavilion in Garden City serves as a resource for written educational material, lectures and wellness programs, including New Parent Education and support groups. Also, Community residents calling the 1-866-WINTHROP number for information are directly linked to clinical departments as well as given referrals to community physicians and services as needed. Winthrop Winnebago Winthrops Winnebago is used to bring health education information and screenings to various locations throughout the community.</ExplanationTxt>
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          <AddressLine1Txt>4271 Hempstead Turnpike</AddressLine1Txt>
          <CityNm>Bethpage</CityNm>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>Island Wide Medical Associates PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1401 Franklin Avenue</AddressLine1Txt>
          <CityNm>Garden City</CityNm>
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          <BusinessNameLine1Txt>Long Island Primary Care Associates PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>700 Hicksville Road</AddressLine1Txt>
          <CityNm>Bethpage</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>Greenport Primary Medical Care PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>234 4th Avenue</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Patchogue Cardiology Associates PC dba</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>285 Sills Road Building 14</AddressLine1Txt>
          <CityNm>East Patchogue</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Peter Kelt MD PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>44 South Ferry Road</AddressLine1Txt>
          <CityNm>Shelter Island</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Pisciotto and Pisciotto Medical PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>6835 Myrtle Avenue</AddressLine1Txt>
          <CityNm>Glendale</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Plainview Internal Medicine PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1097 Old Country Road</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Richard I Roberts MDPC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 Northern Blvd Suite 106</AddressLine1Txt>
          <CityNm>Great Neck</CityNm>
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          <ZIPCd>11021</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>Robert Mucciolo MD PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>20 Hicksville Road Suite 3</AddressLine1Txt>
          <CityNm>Massapequa</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11758</ZIPCd>
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          <BusinessNameLine1Txt>Shoreham Medical Services PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>45 Route 25A</AddressLine1Txt>
          <CityNm>Shoreham</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11786</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>South Shore Cardiovascular Medicine PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>137 Broadway Suite A</AddressLine1Txt>
          <CityNm>Amityville</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11701</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSH Cardiology PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>242 Merrick Road Suite 402</AddressLine1Txt>
          <CityNm>Rockville Centre</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11570</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Suffolk CardioVascular ConsultantsPC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1920 Deer Park Avenue Suite 104</AddressLine1Txt>
          <CityNm>Deer Park</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11729</ZIPCd>
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        <EIN>800683996</EIN>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Vincent Anzalone Physician PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>847 Broadway</AddressLine1Txt>
          <CityNm>Massapequa</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11758</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>William J Kornrich MD PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>715 Roanoke Ave</AddressLine1Txt>
          <CityNm>Riverhead</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11901</ZIPCd>
        </USAddress>
        <EIN>462275951</EIN>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Winthrop Cardiology Associates PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>120 Mineola Blvd</AddressLine1Txt>
          <CityNm>Mineola</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11501</ZIPCd>
        </USAddress>
        <EIN>113028843</EIN>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Winthrop Cardiovascular &amp; Thoracic Surg</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>120 Mineola Blvd Suite 300</AddressLine1Txt>
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        <EIN>113038306</EIN>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Winthrop Child Neurology Associates PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>173 Mineola Blvd Suite 101</AddressLine1Txt>
          <CityNm>Mineola</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11501</ZIPCd>
        </USAddress>
        <EIN>205682886</EIN>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Winthrop Community Endocrinology Service</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1401 Franklin Ave</AddressLine1Txt>
          <CityNm>Garden City</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11530</ZIPCd>
        </USAddress>
        <EIN>454367224</EIN>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Winthrop Dental PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>700 Hicksville Road</AddressLine1Txt>
          <CityNm>Bethpage</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11714</ZIPCd>
        </USAddress>
        <EIN>454055800</EIN>
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      </IdRelatedOrgTxblCorpTrGrp>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Winthrop First Care Medical Services PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>259 First Street</AddressLine1Txt>
          <CityNm>Mineola</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11501</ZIPCd>
        </USAddress>
        <EIN>462271522</EIN>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Winthrop Gastroenterology PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>222 Station Plaza North Suite 428</AddressLine1Txt>
          <CityNm>Mineola</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11501</ZIPCd>
        </USAddress>
        <EIN>113018561</EIN>
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