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        <TotalRevenueColumnAmt>315321597</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>315321597</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SRH PATIENT SRVC AT COST</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>3022856</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3022856</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722212</BusinessCd>
        <TotalRevenueColumnAmt>1821942</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1821942</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PARKING GARAGE</Desc>
        <BusinessCd>812930</BusinessCd>
        <TotalRevenueColumnAmt>560125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>560125</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME</Desc>
        <BusinessCd>531390</BusinessCd>
        <TotalRevenueColumnAmt>568138</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>568138</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>321294658</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>269368</TotalRevenueColumnAmt>
        <ExclusionAmt>269368</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>4000</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>4000</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>4000</TotalRevenueColumnAmt>
        <ExclusionAmt>4000</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>PREMIER PURCHASING</Desc>
        <BusinessCd>423450</BusinessCd>
        <TotalRevenueColumnAmt>2660496</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>14780</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2645716</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL STUDENT EDUC REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1239999</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1239999</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INTEREST INCOME ON ACCESS LOAN</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>968403</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>968403</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>3320067</TotalRevenueColumnAmt>
        <ExclusionAmt>3320067</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>8188965</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>335543872</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>322534657</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>14780</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7207554</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>800000</TotalAmt>
        <ProgramServicesAmt>800000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>5303528</TotalAmt>
        <ProgramServicesAmt>5290769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12759</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>107190086</TotalAmt>
        <ProgramServicesAmt>101938238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5251848</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1056997</TotalAmt>
        <ProgramServicesAmt>1056997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>10396542</TotalAmt>
        <ProgramServicesAmt>10396542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>7665930</TotalAmt>
        <ProgramServicesAmt>7665930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>38934310</TotalAmt>
        <ProgramServicesAmt>18431452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20502858</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>283537</TotalAmt>
        <ProgramServicesAmt>36237</ProgramServicesAmt>
        <ManagementAndGeneralAmt>247300</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>423710</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>423710</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>277192</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>277192</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>12414413</TotalAmt>
        <ProgramServicesAmt>11899703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>514710</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>4890</TotalAmt>
        <ProgramServicesAmt>4890</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>7850577</TotalAmt>
        <ProgramServicesAmt>4504833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3345744</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>66871</TotalAmt>
        <ProgramServicesAmt>66871</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>6059288</TotalAmt>
        <ProgramServicesAmt>6057985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1303</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>76572</TotalAmt>
        <ProgramServicesAmt>67194</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9378</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>157250</TotalAmt>
        <ProgramServicesAmt>127334</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29916</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4628089</TotalAmt>
        <ManagementAndGeneralAmt>4628089</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>10021976</TotalAmt>
        <ProgramServicesAmt>102564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9919412</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4051243</TotalAmt>
        <ProgramServicesAmt>4051243</ProgramServicesAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>50122570</TotalAmt>
        <ProgramServicesAmt>50122570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS &amp; SUPPLIES</Desc>
        <TotalAmt>35326707</TotalAmt>
        <ProgramServicesAmt>35326707</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER ASSESSMENT</Desc>
        <TotalAmt>16852824</TotalAmt>
        <ProgramServicesAmt>16852824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LABORATORY SERVICES</Desc>
        <TotalAmt>1430123</TotalAmt>
        <ProgramServicesAmt>1430123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3244779</TotalAmt>
        <ProgramServicesAmt>3244779</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>324640004</TotalAmt>
        <ProgramServicesAmt>279475785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45164219</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <TotalJointCostsGrp>
        <TotalAmt>0</TotalAmt>
      </TotalJointCostsGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3544218</BOYAmt>
        <EOYAmt>874002</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5733313</BOYAmt>
        <EOYAmt>2314915</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>39522596</BOYAmt>
        <EOYAmt>55430081</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>547</BOYAmt>
        <EOYAmt>3500000</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>3468492</BOYAmt>
        <EOYAmt>3278982</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1648116</BOYAmt>
        <EOYAmt>11578392</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>266623261</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>187730405</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>76322691</BOYAmt>
        <EOYAmt>78892856</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>8675747</BOYAmt>
        <EOYAmt>9047346</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>8000916</BOYAmt>
        <EOYAmt>10830761</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>10416333</BOYAmt>
        <EOYAmt>13084485</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>157332969</BOYAmt>
        <EOYAmt>188831820</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>50512154</BOYAmt>
        <EOYAmt>58198551</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>60626811</BOYAmt>
        <EOYAmt>60467672</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4142554</BOYAmt>
        <EOYAmt>19141954</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>50828013</BOYAmt>
        <EOYAmt>48595062</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>166109532</BOYAmt>
        <EOYAmt>186403239</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-13911756</BOYAmt>
        <EOYAmt>-2010671</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>5135193</BOYAmt>
        <EOYAmt>4439252</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-8776563</BOYAmt>
        <EOYAmt>2428581</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>157332969</BOYAmt>
        <EOYAmt>188831820</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>10903868</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>163097</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>0</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>0</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>138179</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>true</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MediaAdvertisementsAmt>0</MediaAdvertisementsAmt>
      <MailingsMembersInd>false</MailingsMembersInd>
      <MailingsMembersAmt>0</MailingsMembersAmt>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <PublicationsOrBroadcastAmt>0</PublicationsOrBroadcastAmt>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>0</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>277192</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <RalliesDemonstrationsAmt>0</RalliesDemonstrationsAmt>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <OtherActivitiesAmt>0</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>277192</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part II-B, Lines 1B &amp; 1H</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE A DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY MOUNT SINAI HOSPITAL ENGAGES IN EDUCATION AND OTHER ACTIVITIES TO INFLUENCE LEGISLATORS REGARDING FEDERAL AND STATE POLICIES RELATED TO MEDICAID, MSH'S MAJOR PAYER AND THE SAFETY NET OF MANY OF ITS PATIENTS. MSH'S LOBBYING ACTIVITIES ARE COORDINATED THROUGH ROBERTA RAKOVE, SENIOR VICE PRESIDENT FOR SINAI HEALTH SYSTEM. LOBBYING IS CONDUCTED ON BEHALF OF THE ENTIRE SINAI SYSTEM, THEREFORE REGISTERED STATE LOBBYISTS ARE REGISTERED TO REPRESENT SINAI HEALTH SYSTEM. SOME EXPENSES ARE ALLOCATED TO MOUNT SINAI HOSPITAL AND HOLY CROSS HOSPITAL BUT THE EXPENSES ARE PAID BY SINAI HEALTH SYSTEM. AT THE FEDERAL LEVEL, MOUNT SINAI HOSPITAL DOES NOT UTILIZE CONTRACT LOBBYISTS. SINAI HEALTH SYSTEM COLLABORATES WITH THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, THE PREMIER HOSPITAL ALLIANCE, AND THE JEWISH FEDERATION OF METROPOLITAN CHICAGO/JEWISH UNITED FUND. A PORTION OF DUES FROM THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HOSPITAL ASSOCIATION SUPPORT FEDERAL LOBBYING. AT THE STATE LEVEL, MOUNT SINAI HOSPITAL UTILIZES TWO OUTSIDE LOBBYING FIRMS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <Amt>2796176</Amt>
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      <OtherLiabilitiesOrgGrp>
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      <TotalLiabilityAmt>48595062</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Intended Uses Of Endowment Fund</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Sch D, Part V, Line 4 The funds are used for general operating purposes. The interest from the fund is utilized for unrestricted purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FIN 48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part X, Line 2 Income taxes: Mount Sinai, Schwab, Holy Cross, SMG, and SCI are tax-exempt organizations under Internal Revenue Code Section 501(c)(3) and each, as required, files a form 990 (Return of Organization Exempt from Income Tax) annually. PRO files Federal and Illinois forms 1120 (U.S. Corporation Income Tax Return) annually. The Corporation adopted Financial Accounting Standards Board (FASB) issued guidance for uncertainty in income taxes. The guidance prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Examples of tax positions common to health systems include such matters as the following: the tax-exempt status of each entity, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBIT). UBIT is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. As of June 30, 2016 and 2015, there were no unrecognized tax benefits identified and recorded. Forms 990 and 1120 filed by the Corporation are subject to examination by the Internal Revenue Service (IRS) for up to three years from the extended due date of each return. Forms 990 and 1120 filed by the Corporation are no longer subject to examination for the years ended June 30, 2012 and prior.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital partnered with community-based organizations to facilitate focus groups with community members in North and South Lawndale. The purpose of the focus groups were to gain insight on the most pressing health conditions affecting each community, the barriers to overcoming those conditions, and how a community hospital such as MOUNT SINAI HOSPITAL might help improve the community's health. These groups were held in both English and Spanish, as appropriate. Many people contributed to the CHNA report, including the staff of the Sinai urban health institute. These are all people trained in public health (most are graduates of schools of public health with MPH or PhD degrees). We thus believe that the public health credentials of the authors of this report are substantial and notable. PART V, LINE 11 - EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED Mount Sinai Hospital is now using the implementation plan that was created as part of the 2016 CHNA. The CHNA identifies significant health needs and barriers to care faced by the communities served by MOUNT SINAI HOSPITAL. MOUNT SINAI HOSPITAL leaders developed an implementation plan and rollout strategy that aligns with the hospitals strategic plan and will be implemented over the course of three years. In the last iteration of the CHNA, we implemented projects such as providing community education around asthma, breast health, diabetes, maternal and child health, and violence prevention. In the hospital, we have conducted HIV screening programs, worked on a quality improvement project to address COPD readmissions, and assisted patients with social service needs. It is our goal to provide the best care possible to address the needs of our community. The CHNA and its implementation plan have assisted in guiding our work on how to address the needs of our community. Sinai completed its first implementation plan in June 2016 and is now working on implementing the strategies and actions as identified within the 2016 CHNA. Mount Sinai Hospital remains fully engaged in implementing the strategies and expects to substantially complete the identified plans by the time of the next CHNA.</ExplanationTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>HAWTHORNE MRI</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>4701 W CERMACK</AddressLine1Txt>
            <CityNm>CICERO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60804</ZIPCd>
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          <FacilityTxt>MAGNETIC RESONANCE IMAGING &amp; OB ULTRASOUND SERVICES</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>CALIFORRNIA AVE 15TH STREET</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60608</ZIPCd>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>2907 W TOUGHY AVENUE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
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          <FacilityTxt>PHARMACY DRUGS AND PHARMACEUTICALS</FacilityTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 6A - RELATED ORGANIZATION COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BENEFIT REPORT IS PREPARED BY PARENT CORPORATION SINAI HEALTH SYSTEM (36-3166895).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital utilized the cost to charge rations based on the Medicare cost reports. TOTAL COST PER THE MEDICARE COST REPORT WORKSHEET 2, PTI COLUMN 27 DIVIDED BY TOTAL INPATIENT AND OUTPATIENT GROSS REVENUE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN F - EXPLANATION OF BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense was subtracted from the total expense to obtain the percentage of the community benefit to total expenses amounted to $50,122,570.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital estimates bad debt expense based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health coverage and other collection indicators. Management assesses the allowance for uncollectible accounts based upon historical write-off experience.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3 - METHODOLOGY OF ESTIMATED AMOUNT &amp; RATIONALE FOR</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDING COMMUNITY BENEFIT Mount Sinai Hospital first determines if a patient qualifies for charity care. If a patient is classified as charity care, they would not be included as bad debt. Some patients do not desire to complete the charity care applications and as such can be included in the bad debt amounts. One example of a patient population that does not complete charity care applications is undocumented workers.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4 - BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>Per Audited Financial Statements Note 1 Patient Accounts Receivable - The Corporation maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The corporation estimates the allowance for uncollectible accounts based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. The corporation recognizes a significant amount of patient service revenue at the time services are rendered even though the corporation does not assess the patient's ability to pay at that time. As a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). For uninsured patients that do not qualify for charity care, the corporation establishes an allowance to reduce the carrying value of such receivable to their accounts based upon historical write-off experience. After satisfaction of amounts due from insurance, the corporation follows established guidelines for placing certain past-due balances with collection agencies, subject to the term of certain restrictions on collection efforts as determined by the corporation. A significant portion of the corporation's provision for doubtful accounts relates to self-pay patients, as well as co-payments and deductibles owed to the corporation by patients with insurance.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>There was no shortfall this year. The costing methodology is consistent with Medicare guidelines, rules &amp; regulations; non-allowable costs are offset on Worksheet A via A-8 adjustments. General overhead cost centers costs are step down on Worksheet B using various approved statistics such as square footage, gross salaries, pounds, FTS's and etc.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Prov. On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital's collection process includes both letter and calls to inform patients of their outstanding balances and to explain available payment options. If the patient is uninsured a discount is applied to the patient's account in accordance with Illinois Patient Uninsured Act. In addition, resources are made available to patients throughout the collections process. These resources include: a charity program targeted to low income individuals residing in Sinai Health System core service area, and non-interest bearing payment plans that start as low as $25 amonth. The debt collection practices only apply to charity patients to the extent of the copayments or patient portion balances and not to amounts that have been approved as charity or financial assistance.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2 - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the community and hospital/office-based healthcare surveys, focus groups, and data analyses described in the Community Health Needs assessment plan for Mount Sinai Hospital, the Hospital utilizes the following channels to gain greater insight into the health needs of its communities: 1)Community and hospital/office-based health screenings 2)Presentation of patients in the Emergency Department and needs noted during the visit 3)Partnership activities with community-based organizations and health Mount Sinai Hospital focused on the health and social services needs of the populations served. Mount Sinai Hospital begins outreach and assessment of community health by first evaluating which health conditions and diseases are prevalent among its inpatients and outpatients. Determination of prevalence then guides the design of community services and also assures there is no bias based on race, gender, or patients' ability to pay. Mount Sinai Hospital is related to organizations such as Sinai Community Institute, Mount Sinai Community Foundation and Sinai Urban Health Institute (SUHI) who partner with neighborhood groups and the community overall to understand health and well-being needs. SUHI, in particular, conducts comprehensive door-to-door health needs assessment. Mount Sinai Hospital shared the health assessment findings with local residents and community groups, forging interventional partnerships. Together they confirmed the need for education and other interventions for asthma, obesity, diabetes and breast cancer. Mount Sinai Hospital also supports Sinai Community Institute and SUHI by providing clinicians and health educators to provide community education series "How Healthy is Your Zip Code". These forums arm participants with knowledge about the chronic diseases that can affect them and action plans for avoiding or managing those diseases.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital informs patients of the charity care policy through signage in the hospital, written communication, statements and related corporation Sinai Health System website. Each hospital bill, invoice, or other summary of charges to an uninsured patient shall include with it, or on it, a prominent statement that an Uninsured Patient who meets certain income requirements may qualify for an Uninsured Discount along with information regarding how the patient may apply for financial assistance.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital as a part of Sinai Health System serves a population base of over one million people located on the west side of Chicago. One outlying facility, Sinai's Touhy Clinic on the north side of Chicago, sees refugees from many nations (for example Sudan, Iraq and Burma) as well as resident Orthodox Jewish and Russian populations. Otherwise, Sinai Health System serves primarily African-American and Latino patients. Over 52.7% of Mount Sinai Hospital's patients are Medicaid recipients and 4.6% are uninsured. Mount Sinai Hospital's interpreter services support 150 different languages including American Sign Language making Sinai one of the strongest medical programs in the nation for Deaf and Hard of Hearing patients. Mount Sinai Hospital treats more Medicaid patients than any other hospital in Illinois. Mount Sinai admits 3,533 inpatients to Sinai Children's Hospital inclusive of pediatric visits for asthma and diabetes. Sinai's neonatal intensive care unit sees approximately 332 neonatal patients per year and obstetrics cares for 2,460 mothers. Mount Sinai Hospital Emergency Department has 50,136 patient visits per year.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital, as a part of Sinai Health System, has a board comprised of respected leaders in banking, finance, manufacturing, legal, health care and other industries. Mount Sinai hospital extends medical staff privileges to all qualified physicians for all departments. Mount Sinai Hospital invests any surplus funds into improving patient care.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 6 - Affiliated Health Care System Roles and Promotion</FormAndLineReferenceDesc>
        <ExplanationTxt>Mount Sinai Hospital is part of the Sinai Health System. The Sinai Health System is a unique health care delivery system on the West and Southwest sides of Chicago. Mount Sinai Hospital was founded in 1919 to provide care to Eastern European Jewish immigrants in the area as well as to create a place for Jewish doctors to practice. The Sinai Health System now serves predominantly Black and Latino communities, but our mission has remained the same. This mission addresses our desire to make a difference in both the individuals and the communities we serve. As we develop innovative and effective ways to do this, we strive to become the national model for the delivery of urban health care. Along with Mount Sinai Hospital, the system includes Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Childrens Hospital, Sinai Medical Group, the Sinai Community Institute, and the Sinai Urban Health Institute. For more information on the Sinai Health System, visit http://www.sinai.org/. Part VI - States Where Community Benefit Report Filed Illinois</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Procedures for Monitoring Use of Grants Funds in U.S. This is an extension of our mission to help this agency provide services to the underserved and uninsured individuals within our primary service area. All awarded grant usage is monitored annually. The recipient reports to Sinai Health System the allocations and expenditures of the application and usage of disbursed grant awards. The awarded grant funds the uncompensated services which the recipient provides.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, QUESTION 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SINAI HEALTH SYSTEM, FOR BUSINESS PURPOSES IS A CORPORATE MEMBER OF THE STANDARD CLUB AND THE UNIVERSITY CLUB. THE MEMBERSHIP PROVIDED TO KAREN TEITELBAUM IS TREATED BY THE ORGANIZATION AS A WORKING-CONDITION FRINGE BENEFIT AND IS, THEREFORE, EXCLUDED FROM THE INDIVIDUAL'S TAXABLE INCOME. FORM 990, Part I, LIne 3 - Methods Used By Related Org to Establish CEO/Exc Dir Comp THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM HAS AN EXECUTIVE COMPENSATION COMMITTEE TO SUPPORT THE ORGANIZATION PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON: a) DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO; b) EACH ELEMENT OF COMPENSATION, DATA OF THE COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS; AND c) ANNUAL REVIEW OF CEO PERFORMANCE IS CONDUCTED AGAINST MSH'S ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. FORM 990, PART I, LINE 4A - SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO SUZETTE MAHNEKE, Vice President Nursing Adm. &amp; CNO, IN THE AMOUNT OF $139,076. THE TERMS AND CONDITIONS OF SEVERANCE AGREEMENTS VARY. FORM 990, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MOUNT SINAI HOSPITAL'S SUPPLEMENTAL EARLY RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES; SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. UNLIKE NON-QUALIFIED PLANS, IN WHICH THE KEY EXECUTIVES ELECT TO DEFER THEIR COMPENSATION IN ORDER TO RECEIVE THAT COMPENSATION AT A LATER DATE, MOUNT SINAI HOSPITAL'S SUPPLEMENTAL EARLY RETIREMENT PLAN IS ENTIRELY FUNDED BY THE EMPLOYER (MOUNT SINAI HOSPITAL AND MEDICAL CENTER). THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'S SERP PLAN OUTLINES THE YEARLY EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. Aaron Austin $26,080 Charles Weis Jr. $49,966 David Berkey $33,042 Karen Teitelbaum $58,720 Loren Chandler $44,345 Mark Multach $31,108 Rachel Dvorkel $39,432 Tanvir Mangat $35,675 FORM 990, PART I LINE 7 - NON-FIXED PAYMENTS THE ORGANIZATION PAYS OUT BONUSES BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM HAS AN EXECUTIVE COMPENSATION COMMITTEE TO SUPPORT THE ORGANIZATION PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Describe the Organization's Mission or Most Sign. Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part I, Line 1 As a member of Sinai Health System, Mount Sinai Hospital Medical Centers mission is to improve the health of the individuals and communities it serves by providing comprehensive medical, surgical, pediatric, psychiatric, and intensive care services. The vision is to be a national model for the delivery of urban healthcare. Briefly Describe the Organizations Mission Form 990, Part III, Line 1 As a member of Sinai Health System, Mount Sinai Hospital Medical Centers mission is to improve the health of the individuals and communities it serves by providing comprehensive medical, surgical, pediatric, psychiatric, and intensive care services. The vision is to be a national model for the delivery of urban healthcare. Program Service Accomplishments Form 990, Part III, Line 4a Patient Care Mount Sinai Hospital Medical Center (Mount Sinai Hospital) is a 319-licensed bed acute care and teaching hospital affiliated with the Jewish federation of metropolitan Chicago. The medical center is an integral part of the Sinai Health System's core mission to improve the health of the individuals and communities it serves. Founded in 1919 to provide health care to Lawndale's Eastern European Jewish immigrant population, the hospital continues to provide care to diverse communities throughout the Chicago area. Mount Sinai Hospital is located on a campus of approximately eight acres at the intersection of Ogden and California avenues on Chicago's near west side, and provides a significant portion of the total medical services available to west side residents. These services include a full spectrum of care, including medical, surgical, pediatric, level III perinatal, intensive care and psychiatric services. Mount Sinai Hospital provides excellent emergency and maternal child health care. In 2003, the state of Illinois officially recognized Mount Sinai hospital medical center's pediatric service as a "children's hospital within a hospital". Meanwhile, the hospital's emergency department is one of only four level I trauma centers in Chicago. Mount Sinai Hospital's community service orientation is well known and was recognized in 1992 by the American hospital association's prestigious foster G. McGraw prize. Charity Care Mount Sinai Hospital provided $15,463,350 of charity care at cost and reduced or no fee to patients who are unable to pay for services. Since so many of our patients are uninsured or otherwise unable to afford care, charity care is a vital part of our mission to improve the health of the communities we serve. As part of our mission to improve the health of our communities, Mount Sinai Hospital has launched several initiatives to study and address specific health issues. The Sinai Urban Health Institute (SUHI) is a nationally recognized research organization funded and operated through Mount Sinai hospital. SUHI has published groundbreaking research on racial disparities, HIV, smoking rates, asthma, diabetes, breast cancer, and other health threats facing low-income minority populations. North Lawndale has the highest HIV death rate in Chicago. In addition to the full spectrum of medical care for the disease, Mount Sinai Hospital has pioneered a peer education program intended to reduce the rate of complications and mortality in North Lawndale. Asthma is a major health problem among low-income urban populations like Mount Sinai Hospital's. Research conducted by SUHI prompted a state-funded effort to reduce asthma rates through community education in the emergency department. This initiative was so successful the Illinois department of public health expanded it into the statewide controlling pediatric asthma through collaboration and education program. Mount Sinai hospital worked with community leaders to help our neighbors to gain health coverage by enrolling in the Illinois kid care insurance plan. The plan is intended to benefit low-income children and pregnant women. Also, the Mount Sinai children's hospital recently launched Sinai fit, an expansion of the pediatric weight management clinic to engage youth in physical exercise while also teaching parents to create healthy family lifestyle changes in diet and exercise. Mount Sinai Hospital is sensitive to the health care needs of deaf and hard-of-hearing people in the community. Our deaf access program, which won the deaf Illinois award for best health, provides a full complement of ASL interpreters, doctors and supporting staff fluent in sign language. Mount Sinai Hospital was the first hospital in the U.S. to offer a videophone booth that gives Mount Sinai Hospital patients and the deaf community of Chicago a new way to communicate within the hearing community. Program Service Accomplishments Form 990, Part III, Line 4b Patient Service - Therapy &amp; Diagnostics With an aging population, reaching and providing health care to our seniors on a timely basis has become critical. Sinai home health through its trained nurses keeps in contact with seniors through periodic home visits. Such visits provide an opportunity to do a general checkup on their health, ensure the patients are taking the prescribed medication and to discuss their health concerns. This program has been well received in the community. Sinai is also developing a dedicated geriatric service line in order to provide superior continuity of care. For oncology patients, the Sinai Health System cancer care center was established in 2008. With the support of the Coleman foundation, an integrated oncology center was created that links physicians' offices, a chemotherapy center and an inpatient unit all in one area. Other services provided by mount Sinai hospital include: the level I trauma center; level III neonatal center; comprehensive substance-abuse treatment; church, school and community- based health education and screening servicesa comprehensive home health agency. Sinai also provides a wide array of dedicated programs, including community mental health, occupational health, diabetes education, obesity prevention, breast cancer prevention, screening, and education, and teen pregnancy among others. An overview of Mount Sinai Hospitals performance during fiscal year 2016 is given below: * Patient days: 70,616 * Average length of stay: 4.32 days * Emergency room visits: 48,069 outpatient surgeries: 4,540 * Charity care (at cost): $15,463,350 Accreditations and certifications: * Palliative Medicine Program recognized for outstanding achievement by the Coleman Foundation * Outpatient psychiatry programs accredited by CARF * National Excellence in Healthcare 2014 award winner for overall quality care from Professional Research Consultants * Get with the guidelines stroke gold-plus quality achievement award winner from the American Heart Association and American Stroke Association * Oncology practice initiative certification program, an affiliated program of the American Society of Clinical Oncology * OB ultrasound department accredited by the American Institute of Ultrasound Medicine * Mammography accredited by the American College of Radiology * The Joint Commission gold seal of approval * Emergency department approved for pediatrics certification (EDAP) * American College of Surgeons Commission on Cancer * Accredited chest pain center by the Society of Chest Pain Centers * Primary stroke center awards: * Innovation in Quality Award (Illinois Hospital Association) * Illinois Hospital Association pledge quality achievement award * Deaf Illinois award for best health services in 2007, 2009 and 2011 * Organ and Tissue Donor Network's Gift of Hope Silver Medal of Honor Program Service Accomplishments Form 990, Part III, Line 4c Teaching &amp; Research Mount Sinai Hospital provides undergraduate training for medical students in six major specialties - medicine, surgery, obstetrics/gynecology, pediatrics, psychiatry and physical medicine as well as a number of sub-specialties. The house staff program provides training for residents and fellows in major clinical areas. In 2008, relationships with academic medical centers were expanded that enrich the patient care resources available through affiliations with Northwestern Memorial Hospital, the University of Chicago Medical Center, Rush University Medical Center, the University of Illinois-Chicago and Rosalind Franklin University. Research programs at Mount Sinai Hospital are ongoing in several fields including cancer detection and treatment, child abuse, trauma and emergency medicine, pediatric HIV/AIDS, urology, rheumatology, hematology and neonatology. Other Program Services Form 990, Part III, Line 4d Laboratory Accreditations and certifications: * Laboratory is accredited by the College of American Pathologists and holds a clinical laboratory improvement amendments certification of accreditation from CMS * Certified primary stroke center by the Joint Commission * 2013 top performer on key quality measures by the Joint Commission for heart attack, heart failu</ExplanationTxt>
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          <BusinessNameLine1Txt>SINAI COMMUNITY INSTITUTE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2653 West OGDEN AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>363932824</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SCHWAB REHABILITATION HOSPITAL &amp; CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>CALIFORNIA AVE AT 15TH ST</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>362179802</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>CALIFORNIA AVE AT 15TH ST</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>363166895</EIN>
        <PrimaryActivitiesTxt>Parent Corp</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A-TYPE 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOLY CROSS HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2701 West 68TH ST</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60629</ZIPCd>
        </USAddress>
        <EIN>362170133</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mt Sinai Hosp Med Cntr Endowment Ftion</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>30 South Wells No 4049</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60606</ZIPCd>
        </USAddress>
        <EIN>364310820</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A-TYPE 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sinai Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HAWTHORNE WORKS MEDICAL IMAGING LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>747 ASH ST</AddressLine1Txt>
          <CityNm>WINNETKA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60093</ZIPCd>
        </USAddress>
        <EIN>203364703</EIN>
        <PrimaryActivitiesTxt>IMAGING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MT SINAI HSPTL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>253869</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>272630</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROGRESS HEALTH INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2701 W 68th Street</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60629</ZIPCd>
        </USAddress>
        <EIN>364109153</EIN>
        <PrimaryActivitiesTxt>Mgmt Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sinai Hlth Sys</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MOUNT SINAI COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>j</TransactionTypeTxt>
        <InvolvedAmt>513732</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MOUNT SINAI COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>20104076</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SCHWAB REHABILITATION HOSPITAL AND CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>1333476</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SCHWAB REHABILITATION HOSPITAL AND CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>855000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLY CROSS HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>j</TransactionTypeTxt>
        <InvolvedAmt>992516</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLY CROSS HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>1154935</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>