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    <ReturnTs>2017-06-20T12:16:48-07:00</ReturnTs>
    <TaxPeriodEndDt>2015-12-31</TaxPeriodEndDt>
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        <CityNm>Bayside</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
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    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
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      <Desc>INPATIENT SKILLED NURSING FACILITY: FOLLOWING ACCUTE CARE HOSPITALIZATION FOR SERIOUS ILLNESS OR INJURY OR WHEN SPECIALIZED SUB-ACUTE AND LONG TERM CARE IS NEEDED, CHILDREN AND THEIR FAMILIES COME TO ST. MARY'S HOSPITAL FOR CHILDREN TO RECEIVE EXCEPTIONAL CARE TO HEAL AND TO THRIVE. CHILDREN WITH SPECIAL HEALTHCARE NEEDS FROM BIRTH TO AGE EIGHTEEN RECEIVE COMPLEX INPATIENT MEDICAL CARE AND INTENSIVE REHABILITATION AT ST MARY'S 97 BED FACILITY. ST MARY'S BROAD ARRAY OF INPATIENT PROGRAMS AND SERVICES ARE DESIGNED TO PROVIDE GOAL-ORIENTED MEDICAL CARE THAT ADDRESSES ALL ASPECTS OF THE HEALING PROCESS, WHILE ENCOURAGING GROWTH AND INDEPENDENCE. MULTIDISCIPLINARY TEAMS OF PEDIATRIC SPECIALISTS IN MEDICINE, NURSING, REHABILITATION, PSYCHOLOGY, SOCIAL WORK, AND CHILD DEVELOPMENT PARTICIPATE IN THE CREATION OF INDIVIDUALIZED CARE PLANS TO ENSURE OPTIMAL OUTCOMES FOR EACH CHILD. ST MARY'S STRIVES TO HELP KIDS BE KIDS. IN ADDITION TO RECEIVING MEDICAL CARE AND REHABILITATION THERAPIES WHILE AT OUR FACILITY, CHILDREN ATTEND SCHOOL, PARTICIPATE IN ONSITE AND OFF-CAMPUS RECREATIONAL ACTIVITIES, AND ARE ENCOURAGED TO SOCIALIZE, PLAY, AND REGAIN THEIR INDEPENDENCE. SERVICES INCLUDE REHABILITATION THERAPIES (PT, OT, SPEECH), COMPREHENSIVE PEDIATRIC/ADOLESCENT MEDICAL CARE, SPECIALIZED SKILLED NURSING, NUTRITIONAL/FEEDING THERAPY, PSYCHOLOGICAL SERVICES, NEUROPSYCHOLOGY, INFANT STIMULATION, SOCIAL WORK, EARLY EDUCATION (INCLUDING PS 23 ON-SITE PUBLIC SCHOOL AND SERVICES OFFERED THROUGH THE COMMITTEE ON PRE-SCHOOL EDUCATION), PARENT/FAMILY TRAINING PROGRAMS, HEALING ARTS AND THERAPEUTIC ACTIVITIES, PASTORAL CARE, PALLIATIVE CARE, RESPITE CARE, COMPLEMENTARY CARE AND WOUND CARE. DURING 2015, SMH PROVIDED 34,571 DAYS OF INPATIENT CARE WITH OCCUPANCY AVERAGING NEARLY 98%.</Desc>
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        <Desc>FACILITY-BASED PROGRAM AND SERVICES: ST MARY'S HOSPITAL FOR CHILDREN OPERATES AN ON-SITE EARLY EDUCATION PROGRAM AND A PEDIATRIC DAY HEALTH CARE (PDHC) PROGRAM. ST MARY'S EARLY EDUCATION PROGRAM IS FOCUSED ON AND DEDICATED TO PROVIDING CHILDREN WITH THE OPPORTUNITY TO INTERACT, SHARE IDEAS, AND LEARN. A WIDE RANGE OF EDUCATIONAL PROGRAMS AND OPPORTUNITIES, FROM BIRTH TO HIGH SCHOOL, HELPS CHILDREN WITH SPECIAL NEEDS MAXIMIZE THEIR POTENTIAL BY PROMOTING GROWTH, CONFIDENCE, AND INDEPENDENCE. ST MARY'S OFFERS AN ON-CAMPUS PUBLIC SCHOOL FOR INPATIENTS, ALLOWING THEM TO HAVE A CONTINUITY OF EDUCATION DURING THEIR STAY AT THE HOSPITAL. FOR YOUNGER CHILDREN, ST MARY'S OFFERS AN INCLUSIVE EARLY EDUCATION/PRESCHOOL PROGRAM FOR CHILDREN FROM THE COMMUNITY WITH SPECIAL NEEDS AND INPATIENTS. THE ST MARY'S TEAM IS COMMITTED TO THE ACHIEVEMENT OF BOTH EDUCATIONAL AND DEVELOPMENT MILESTONES. ST MARY'S PEDIATRIC DAY HEALTHCARE PROGRAM IS A MEDICAL PROGRAM THAT OFFERS THERAPEUTIC AND MEDICAL AFTER-SCHOOL,WEEKEND, AND SUMMER CAMP PROGRAMS FOR CHILDREN 5-18 YEARS OF AGE AND YOUNG ADULTS FROM 18-25 YEARS OF AGE WHO HAVE COGNITIVE AND PHYSICAL DISABILITIES. USING THERAPEUTIC, REHABILITATIVE AND RECREATIONAL TECHNIQUES AND TOOLS, ST MARY'S PDHC STAFF HELP EACH CHILD WITH SPECIAL HEALTHCARE NEEDS DEVELOP EVERY CAPABILITY TO HIS OR HER FULLEST. CHILDREN AND YOUNG ADULTS WHO ATTEND THE PDHC PROGRAM PARTICIPATE IN INDOOR AND OUTDOOR ACTIVITIES, RECEIVE A HOT MEAL, ARE PROVIDED WITH ROUND-TRIP TRANSPORTATION, AND ALSO HAVE THE OPPORTUNITY TO INTERACT WITH OTHER CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS. EDUCATIONAL ACTIVITIES ARE LED BY A LICENSED SPECIAL EDCUATION TEACHER. CAREGIVERS WORK WITH PARTICIPANTS TO PROMOTE SKILLS, CONFIDENCE, AND INDEPENDENCE IN A NURTURING AND FUN ENVIRONMENT. FAMILY MEMBERS ARE ALSO EDUCATED ON THE CRITICAL ROLES THEY PLAY IN THE PARTICIPANTS' SUCCESS. DURING 2015, SMH PROVIDED APPROXIMATELY 15,548 PDHC VISITS.</Desc>
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      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>71519</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>71519</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1i - Other Activities Description</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Marys Hospital for Children does not undertake any direct lobbying itself. The Hospital engaged law firms to lobby on its behalf regarding Medicaid rate setting and other regulatory and legislative issues.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="15000324" softwareVersionNum="2015v3.0">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>730256</OtherCostOrOtherBasisAmt>
        <BookValueAmt>730256</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>121943834</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>46940814</DepreciationAmt>
        <BookValueAmt>75003020</BookValueAmt>
      </BuildingsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>27897054</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>582922</DepreciationAmt>
        <BookValueAmt>27314132</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>103047408</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Asset Retirement</Desc>
        <Amt>290000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Third Party Payor Settlement</Desc>
        <Amt>7200425</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7490425</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more-likely-than-not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged.SMH is exempt from federal income tax under IRC section 501(c)(3), though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excluded by the Code. SMH has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which it was nexus; and to identify and evaluate other matters that may be considered tax positions. The tax years ending December 31, 2012, 2013, 2014, and 2015 are still open to audit for both federal and state purposes. SMH has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="15000324" softwareVersionNum="2015v3.0">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Audrey B Berman-Davidowitz</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>152116</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2128</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5412</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20274</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>179930</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Desiree Merrell</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>210000</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6637</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5694</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1662</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223993</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWIN F SIMPSER MD</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>472758</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>15345</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>30544</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>16442</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>20437</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>555526</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH M KUPETSKY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>225000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>16500</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>22409</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>3894</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>163</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>267966</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Linda S Volpe</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>175000</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4009</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4005</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20274</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>203288</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marianne Pavia</PersonNm>
        <TitleTxt>Dir. Infect. CTL</TitleTxt>
        <BaseCompensationFilingOrgAmt>144200</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5987</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5574</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7640</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>163401</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Moshe Yadoo</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>160000</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>7948</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4615</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20274</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>192837</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIVIAN FIGUEROA</PersonNm>
        <TitleTxt>AVP/ DIRECTOR OF PDHC</TitleTxt>
        <BaseCompensationFilingOrgAmt>146221</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6394</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5764</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7641</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166020</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM L MEAD</PersonNm>
        <TitleTxt>COO/CFO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>335000</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>32320</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>7151</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>7086</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>381557</TotalCompensationRltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="15000324" softwareVersionNum="2015v3.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Dormitory Authority State</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>146000293</BondIssuerEIN>
        <CUSIPNum>649905ZMI</CUSIPNum>
        <BondIssuedDt>2010-07-14</BondIssuedDt>
        <IssuePriceAmt>102200000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>10590000</RetiredAmt>
        <TotalProceedsAmt>102200000</TotalProceedsAmt>
        <InReserveFundAmt>4500000</InReserveFundAmt>
        <CapitalizedInterestAmt>13999771</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>851329</IssuanceCostsFromProceedsAmt>
        <WorkingCapitalExpendituresAmt>82848900</WorkingCapitalExpendituresAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital has engaged Grant Thornton to calculate its Arbitrage Rebate. The Report is being currently prepared and will be completed prior to the completion of St. Marys succeeding year Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="15000324" softwareVersionNum="2015v3.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Edwin F Simpser MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>President</RelationshipDescriptionTxt>
        <TransactionAmt>650194</TransactionAmt>
        <TransactionDesc>see Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH PROVIDES STAFFING, MANAGEMENT, OFFICE SPACE (SHARED OFFICE SPACE IN AN SMH FACILITY IN ROSLYN), AND BACK OFFICE FUNCTIONS (IT, HR AND ACCOUNTING) FOR EXTRAORDINARY PEDIATRICS PC, A PROFESSIONAL CORPORATION PROVIDING MEDICAL AND REHABILITATION SERVICES. IN HIS CAPACITY AS CHIEF MEDICAL OFFICER OF SMH, DR. SIMPSER ALSO SERVES AS THE SOLE SHAREHOLDER OF EXTRAORDINARY PEDIATRICS PC.</ExplanationTxt>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="15000324" softwareVersionNum="2015v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL FOR CHILDREN, INC. AMENDED ITS BYLAWS IN JUNE OF 2015 TO ACCOMPLISH THE FOLLOWING:1. TO STIPULATE THAT THE HOSPITAL'S ANNUAL FINANCIAL STATEMENT BE PRESENTED TO THE SOLE MEMBER AT THE ANNUAL MEETING.2. TO RESERVE THE POWER TO ITS SOLE MEMBER TO APPROVE THE SALE OR TRANSFER OF THE HOSPITAL'S ASSETS;3. TO REVISE THE QUORUM OF DIRECTORS REQUIRED TO APPROVE CERTAIN TRANSACTIONS RELATED TO THE ACQUISITION OR SALE OF REAL PROPERTY;4. TO MODIFY THE EXISTING COMMITTEES OF THE BOARD OF DIRECTORS;5. TO ADOPT A WRITTEN INVESTMENT POLICY THAT IS IN ACCORDANCE WITH NYPMIFA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S SOLE MEMBER IS ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. (SMHSC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S BYLAWS SPECIFICALLY RESERVE THE POWER TO APPOINT AND REMOVE ITS BOARD MEMBERS TO THE SMHSC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S BYLAWS SPECIFICALLY RESERVE THE FOLLOWING POWERS TO SMHSC: *MERGERS, *SALES OR DISSOLUTIONS, *AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND OR BYLAWS, *OPERATING AND CAPITAL BUDGETS, *UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000, *UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000, *A STRATEGIC PLAN AND HIRING AND FIRING OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL'S FORM 990 IS REVIEWED BY AN EXTERNAL ACCOUNTING FIRM PRIOR TO SUBMISSION TO THE FULL AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. ONCE THE CHANGES FROM BOTH THE ACCOUNTING FIRM AND AUDIT AND COMPLIANCE COMMITTEE'S REVIEW ARE IMPLEMENTED, A FINAL DRAFT OF THE 990 IS POSTED TO THE BOARD OF DIRECTORS' WEBSITE FOR ACCESS BY ALL BOARD MEMBERS PRIOR TO THE SUBMISSION OF THE 990 TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE A YEAR, EACH BOARD MEMBER, OFFICER OR KEY EMPLOYEE OF THE ORGANIZATION COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE, STATEMENT AND ACKNOWLEDGEMENT WHICH CONFIRMS THAT EACH INDIVIDUAL HAS DISCLOSED ANY POTENTIAL CONFLICT OF INTEREST; HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ, UNDERSTANDS, AND AGREES TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. DURING THE COURSE OF THE YEAR, EACH BOARD MEMBER, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO PROMPTLY ADVISE THE CHIEF EXECUTIVE OFFICER OR HIS/HER DESIGNEE, OF ANY CHANGES TO THE INFORMATION PROVIDED IN THAT INDIVIDUAL'S LAST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE.THE CHIEF EXECUTIVE OFFICER, OR HIS/HER DESIGNEE, REVIEWS ALL COMPLETED QUESTIONNAIRES AND ALL SUBSEQUENT ADVICE OF CHANGES, TAKING SUCH ACTION AS IS DEEMED APPROPRIATE TO ADDRESS AND ELIMINATE POTENTIAL CONFLICTS OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES.ALL DISCLOSURES OF INTERESTS IN COMPLETED QUESTIONNAIRES OR SUBSEQUENT ADVICE, UNLESS CLEARLY IRRELEVANT OR IMMATERIAL, SHALL BE COMPILED AND REPORTED BY MANAGEMENT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, TOGETHER, IN EACH CASE, WITH THE RESPONSE OR RECOMMENDATION OF MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE SHALL DETERMINE WHETHER THE REPORTED RESOLUTION OF ISSUES RAISED BY THE DISCLOSURES IS SATISFACTORY AND, IF NOT SHALL TAKE SUCH FURTHER ACTION AS IT DEEMS APPROPRIATE. EACH BOARD MEMBER, AND ANY OFFICER OR KEY EMPLOYEE REPRESENTING A PROPOSED TRANSACTION OR OTHER MATTER TO THE BOARD SHALL DISCLOSE PROMPTLY AND IN GOOD FAITH TO THE BOARD SUCH INDIVIDUAL'S INTEREST IN A PROPOSED TRANSACTION OR OTHER MATTER TO BE CONSIDERED BY THE BOARD. THE INDIVIDUAL MAY NOT PARTICIPATE IN ANY WAY IN THE BOARD'S DELIBERATIONS CONCERNING MATTERS IN WHICH HE/SHE HAS DISCLOSED AN INTEREST.FOLLOWING ANY SUCH DISCLOSURE, AND AFTER SUCH DUE DILIGENCE AND SUCH DEVELOPMENT AND CONSIDERATION OF OTHER ALTERNATIVES, IF ANY, AS THE BOARD SHALL DEEM APPROPRIATE, THE BOARD MAY, IN ITS DISCRETION, AUTHORIZE OR APPROVE THE PROPOSED TRANSACTION OR ACTIONS AS AT LEAST AS FAIR AND REASONABLE TO THE ORGANIZATION AS WOULD OTHERWISE BE OBTAINABLE BY THE ORGANIZATION. SUCH ACTIONS SHALL BE BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH INTERESTED PERSON OR PERSONS AND SUCH PERSON OR PERSONS MAY NOT PARTICIPATE IN, DETERMINING THE PRESENCE OF A QUORUM AT THE MEETING.ANY DISCLOSURE, NON-PARTICIPATION, AND BOARD ACTION TAKEN IN ACCORDANCE WITH THIS POLICY SHALL BE CLEARLY RECORDED IN THE MINUTES OF THE MEETING AT WHICH THE MATTER IS ADDRESSED AND RESOLVED.UPON REASONABLE BELIEF THAT A BOARD MEMBER, OFFICER OR KEY EMPLOYEE FAILED TO COMPLY WITH THE POLICIES AND DIRECTIVES SET FORTH IN ITS DISCLOSURE POLICY, THE BOARD OR THE AUDIT AND COMPLIANCE COMMITTEE SHALL IN FORM THE INDIVIDUAL OF THE BASIS OF THE BELIEF AND PROVIDE AN OPPORTUNITY TO EXPLAIN THE NONCOMPLIANCE. IF AFTER HEARING THE INDIVIDUAL'S RESPONSE AND MAKING FURTHER APPROPRIATE INVESTIGATIONS, THE BOARD OR AUDIT COMPLIANCE COMMITTEE DETERMINES THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO COMPLY WITH SUCH POLICIES AND DIRECTIVES, IT SHALL TAKE OR RECOMMEND APPROPRIATE CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES FOR THE HOSPITALS EXECUTIVE TEAM ARE PAID BY A RELATED ORGANIZATION, SMH ADMINISTRATIVE SERVICES. THE POLICIES FOR DETERMINING COMPENSATION ARE AS FOLLOWS: ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, THE SOLE MEMBER OF THE ORGANIZATION, REVIEWS MARKET PAY PRACTICES FOR SENIOR EXECUTIVES IN ORGANIZATIONS OF COMPARABLE SIZE AND TYPE. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE EXECUTIVE REVIEW/COMPENSATION COMMITTEE AND USED AS A FACTOR IN DETERMINING SALARY ADJUSTMENTS RELATIVE TO MARKET COMPETITIVENESS AND JOB PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OTHER EXECUTIVES IS MANAGED IN A SIMILAR MANNER, WITH THE HUMAN RESOURCES DEPARTMENT IN CONSULTATION WITH THE CEO, USING PERIODIC SURVEYS OF THE LOCAL MARKET TO ENSURE THAT ST. MARY'S COMPENSATION IS COMPETITIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY'S HOSPITAL MAKES ITS ORGANIZING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>113574493</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARYS FOUNDATION FOR CHILDREN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2901 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>112728736</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EXTRAORDINARY HOME CARE DBA ST MARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>272021133</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>St Marys Healthcare System for Childre</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Marys Community Care Professionals</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29-01 216th Street</AddressLine1Txt>
          <CityNm>Bayside</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>113360276</EIN>
        <PrimaryActivitiesTxt>Home Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SMH Administrative Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2901 216th Street</AddressLine1Txt>
          <CityNm>Bayside</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>271529374</EIN>
        <PrimaryActivitiesTxt>Management and Supporting Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>St Marys Healthcare System for Childre</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Marys Rehabilitation Center for Chi</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29-01 216th Street</AddressLine1Txt>
          <CityNm>Bayside</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>136163550</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>St Marys Healthcare system for Childre</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KIDNEEDSCOM INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>113539055</EIN>
        <PrimaryActivitiesTxt>INTERNET SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
