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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38041</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA IBERGER</PersonNm>
        <TitleTxt>VP OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>361362</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68064</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES OXLEY MD</PersonNm>
        <TitleTxt>VP MEDICAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>537847</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>59097</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOANNE RITTER-TEITEL</PersonNm>
        <TitleTxt>VP PATIENT CARE SVCS/CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>532644</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68064</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN SCHILLER</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>441581</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68064</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOANNE STURANS</PersonNm>
        <TitleTxt>CHIEF HR OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>413675</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60989</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN SUGRUE</PersonNm>
        <TitleTxt>VP COMPLIANCE, AUDIT &amp; RE</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>323586</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66953</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN TEW</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>389496</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50206</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID CORNELL</PersonNm>
        <TitleTxt>TRAUMA PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>300035</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33087</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HAI LUO</PersonNm>
        <TitleTxt>CHIEF PHYSICIST</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>259742</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23626</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE WALKER</PersonNm>
        <TitleTxt>ASSOC COUNSEL/DIRECTOR RISK</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>226068</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE GOODHART</PersonNm>
        <TitleTxt>HR OPERATIONS ADMINISTRATOR</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>200511</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27293</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK IBITOYE</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>191014</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>75351</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH CARR</PersonNm>
        <TitleTxt>FORMER VICE PRESIDENT OF HR</TitleTxt>
        <AverageHoursPerWeekRt>0.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>110868</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7294179</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>560097</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1022908</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>295</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SKANSKA USA BUILDING INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>350 5TH AVE 32ND FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONSTR</ServicesDesc>
        <CompensationAmt>11435030</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RESTORIXHEALTH INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>155 WHITE PLAINS ROAD SUITE 222</AddressLine1Txt>
            <CityNm>TARRYTOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10591</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SVCS</ServicesDesc>
        <CompensationAmt>3822306</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BOYCE EXCAVATING</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 367</AddressLine1Txt>
            <CityNm>SLATE HILL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10973</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EXCAVATING SVCS</ServicesDesc>
        <CompensationAmt>2880267</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>FORUM INC 2199 INNERBELT BUSINESS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>CENTER DRIVE</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63114</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCH &amp; ENGI DESIGN</ServicesDesc>
        <CompensationAmt>2834343</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CRYSTAL RUN HEALTHCARE LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>95 CRYSTAL RUN ROAD</AddressLine1Txt>
            <CityNm>MIDDLETOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10941</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>physicians</ServicesDesc>
        <CompensationAmt>1934021</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>81</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1185327</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>49500</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>375630</AllOtherContributionsAmt>
      <TotalContributionsAmt>1610457</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>425011456</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>424953092</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>58364</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MGMT FEE INCOME FROM RELATED ORG.</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>560004</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>560004</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCOME FROM JOINT VENTURE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>229242</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>229242</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>425800702</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1556371</TotalRevenueColumnAmt>
        <ExclusionAmt>1556371</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>227452</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>84661</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>142791</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>142791</TotalRevenueColumnAmt>
        <ExclusionAmt>142791</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>240302699</SecuritiesAmt>
        <OtherAmt>17631</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>240779140</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-476441</SecuritiesAmt>
        <OtherAmt>17631</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-458810</TotalRevenueColumnAmt>
        <ExclusionAmt>-458810</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA/COFFEE &amp; GIFT SHOP REVENUE</Desc>
        <BusinessCd>721110</BusinessCd>
        <TotalRevenueColumnAmt>2213495</TotalRevenueColumnAmt>
        <ExclusionAmt>2213495</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>395931</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>395931</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS, ABSTRACTS, XRAYS</Desc>
        <TotalRevenueColumnAmt>147125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>147125</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>701869</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>701869</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>3458420</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>432109931</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>426987263</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>58364</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3453847</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>720300</TotalAmt>
        <ProgramServicesAmt>720300</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>6573544</TotalAmt>
        <ManagementAndGeneralAmt>6573544</ManagementAndGeneralAmt>
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        <TotalAmt>86418</TotalAmt>
        <ManagementAndGeneralAmt>86418</ManagementAndGeneralAmt>
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        <TotalAmt>139623287</TotalAmt>
        <ProgramServicesAmt>102451401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37171886</ManagementAndGeneralAmt>
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        <TotalAmt>13735261</TotalAmt>
        <ProgramServicesAmt>9614683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4120578</ManagementAndGeneralAmt>
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        <TotalAmt>34212904</TotalAmt>
        <ProgramServicesAmt>23949033</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10263871</ManagementAndGeneralAmt>
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        <TotalAmt>10946619</TotalAmt>
        <ProgramServicesAmt>7662633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3283986</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>49842</TotalAmt>
        <ManagementAndGeneralAmt>49842</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>852567</TotalAmt>
        <ManagementAndGeneralAmt>852567</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>236434</TotalAmt>
        <ManagementAndGeneralAmt>236434</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>139758</TotalAmt>
        <ProgramServicesAmt>139758</ProgramServicesAmt>
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      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>173546</TotalAmt>
        <ManagementAndGeneralAmt>173546</ManagementAndGeneralAmt>
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        <TotalAmt>47264007</TotalAmt>
        <ProgramServicesAmt>40737855</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6526152</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>1433385</TotalAmt>
        <ProgramServicesAmt>1433385</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>14358871</TotalAmt>
        <ProgramServicesAmt>10049590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4309281</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>4162406</TotalAmt>
        <ProgramServicesAmt>2911816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1250590</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>10108793</TotalAmt>
        <ProgramServicesAmt>6056223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4052570</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>472811</TotalAmt>
        <ProgramServicesAmt>330858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141953</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>168191</TotalAmt>
        <ProgramServicesAmt>117734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50457</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>15577670</TotalAmt>
        <ProgramServicesAmt>15577670</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>26520975</TotalAmt>
        <ProgramServicesAmt>15912585</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10608390</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>4840657</TotalAmt>
        <ProgramServicesAmt>3388460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1452197</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>66837044</TotalAmt>
        <ProgramServicesAmt>66837044</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>14413006</TotalAmt>
        <ProgramServicesAmt>14413006</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NON MEDICAL SUPPLIES</Desc>
        <TotalAmt>6281243</TotalAmt>
        <ProgramServicesAmt>4396870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1884373</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER TAXES &amp; ASSESSMENTS</Desc>
        <TotalAmt>3115085</TotalAmt>
        <ProgramServicesAmt>3115085</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1165975</TotalAmt>
        <ProgramServicesAmt>815452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>350523</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>424070599</TotalAmt>
        <ProgramServicesAmt>330631441</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93439158</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>25344663</BOYAmt>
        <EOYAmt>41429322</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>13402734</BOYAmt>
        <EOYAmt>1650519</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
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      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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      <TotalDirectLobbyingGrp />
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        <FormAndLineReferenceDesc>PART II-B, LINE 1, LOBBYING ACTIVITIES:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI LINE 2D:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE DISCLOSURE IN PART V</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>13</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE DISCLOSURE IN PART V</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>350.</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE DISCLOSURE IN PART V</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE DISCLOSURE IN PART V</FAPAppAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2013 ORMC, IN CONJUNCTION WITH CATSKILL REGIONAL MEDICAL CENTER, CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. A COMPREHENSIVE CHNA WAS CONDUCTED AND INCLUDED A VARIETY OF QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS. THESE COMPONENTS INCLUDED THE FOLLOWING: 1. SECONDARY STATISTICAL DATA PROFILE OF ORANGE AND SULLIVAN COUNTIES 2. FOCUS GROUP DISCUSSIONS WITH 25 COMMUNITY STAKEHOLDERS 3. DATA COLLECTION SESSIONS WITH 175 COMMUNITY RESIDENTS 4. PRIORITIZATION OF COMMUNITY NEEDS 5. IMPLEMENTATION STRATEGY HOLLERAN COMPILED A SECONDARY DATA PROFILE USING DATA COLLECTED FROM SOURCES SUCH AS THE U.S. CENSUS BUREAU, NEW YORK STATE DEPARTMENT OF HEALTH, AND CENTERS FOR DISEASE CONTROL AND PREVENTION, AMONG OTHERS. THE REPORT DEPICTS THE MOST RECENT YEAR'S HEALTH INDICATORS, CENSUS FIGURES, HOUSEHOLD STATISTICS, MORBIDITY AND MORTALITY RATES, AND SOCIOECONOMIC MEASURES. HOLLERAN CONDUCTED FOUR DATA COLLECTION SESSIONS THAT WERE HELD WITH A TOTAL OF 125 COMMUNITY MEMBERS (53 PARTICIPANTS FROM ORANGE COUNTY AND 72 PARTICIPANTS FROM SULLIVAN COUNTY). PARTICIPANTS WERE ADMINISTERED A CUSTOMIZED SURVEY TOOL TO CAPTURE HEALTH BEHAVIORS AND PREFERENCES. RESPONSES WERE COLLECTED THROUGH WIRELESS KEYPAD TECHNOLOGY. THESE SESSIONS WERE ADVERTISED IN THE NEWSPAPER, DISTRIBUTED TO MEDIA VIA A PRESS RELEASE, EMAIL ANNOUNCEMENTS, FLYERS TO LOCAL ORGANIZATIONS, PUBLICIZED ON THE HOSPITAL WEBSITE AND SOCIAL MEDIA CHANNELS. HOLLERAN ALSO FACILITATED TWO FOCUS GROUPS THAT WERE HELD WITH 25 KEY STAKEHOLDERS IN JUNE 2013. ATTENDEES INCLUDED REPRESENTATIVES OF PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 6A &amp; B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNA WAS CONDUCTED IN CONJUNCTION WITH GREATER HUDSON VALLEY HEALTH SYSTEMS, INC., WHICH IS THE HOSPITAL'S PARENT ORGANIZATION, AND CATSKILL REGIONAL MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A &amp; 10A:</FormAndLineReferenceDesc>
        <ExplanationTxt>http://www.ormc.org/about-us/CommunityServicePlan.aspx</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIORITIZATION SESSION WAS HELD ON OCTOBER 21, 2013. APPROXIMATELY TEN INDIVIDUALS PARTICIPATED IN THE SESSION WITH REPESENTATIVES FROM ORANGE REGIONAL MEDICAL CENTER, CATSKILL REGIONAL MEDICAL CENTER, THE ORANGE AND SULLIVAN COUNTY HEALTH DEPARTMENTS, COMMUNITY AGENCIES AND ORGANIZATIONS. RESULTS OF THE 2013 CHNA WERE REVIEWED AND PRIORITIES OF THE KEY HEALTH NEEDS WERE LISTED. ORMC AND CRMC DEVELOPED AN IMPLEMENTATION STRATEGY TO OUTLINE WHAT COMMUNITY HEALTH NEEDS IT PLANS TO ADDRESS, AS WELL AS SPECIFIC GOALS AND MEASURES TO EVALUATE COMMUNITY HEALTH IMPROVEMENT INITIATIVES. ORMC AND CRMC WILL NOT FOCUS OF THE FOLLOWING TOPICS: PROMOTE HEALTHY AND SAFE ENVIRONMENTS - THE HOSPITAL WILL SUPPORT AREA ORGANIZATIONS IN ADDRESSING THIS NEED; HOWEVER, THE HOSPITAL FEELS THAT OTHER ORGANIZATIONS HAVE MORE RESOURCES AND EXPERTISE IN ENVIRONMENTAL INFLUENCES AND THEREFORE WILL NOT FOCUS ON THIS PRIORITY AREA. PREVENT HIV, STDS, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS - AS A WAY TO COORDINATE EFFORTS, THE HOSPITAL HAS ALIGNED WITH THE NEEDS BEING ADDRESSED BY COUNTY DEPARTMENT OF HEALTH, WHICH DOES NOT INCLUDE THIS FOCUS AREA. HOWEVER, THE HOSPITAL WILL CONTINUE TO MONITOR THESE TRENDS AND OTHER SERVICES TO SUPPORT THIS NEED. MENTAL HEALTH AND SUBSTANCE ABUSE - THE HOSPITAL WILL CONTINUE TO EXPAND PRIMARY CARE PRESENCE IN THE COMMUNITY TO ENCOURAGE PREVENTATIVE CARE FOR THOSE WITH MENTAL AND BEHAVIORAL HEALTH NEEDS. WE WILL ALSO WORK TOWARD THE POSSIBILITY OF COORDINATING MENTAL HEALTH ASSESSMENT TOOLS USED THROUGHOUT THE COUNTY TO BETTER SERVE RESIDENTS ACROSS PROVIDERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16A &amp; B:</FormAndLineReferenceDesc>
        <ExplanationTxt>http://www.ormc.org/patients/financial_assistance.aspx</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRYSTAL RUN AMBULATORY SURGERY CNTR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>95 CRYSTAL RUN ROAD</AddressLine1Txt>
            <CityNm>MIDDLETOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10941</ZIPCd>
          </USAddress>
          <FacilityTxt>JOINT VENTURE AMBULATORY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HUDSON VALLEY AMBULATORY SURGERY LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>75 CRYSTAL RUN RD SUITE 225</AddressLine1Txt>
            <CityNm>MIDDLETOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10941</ZIPCd>
          </USAddress>
          <FacilityTxt>JOINT VENTURE AMBULATORY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ORANGE REGIONAL MEDICAL PAVILION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>75 CRYSTAL RUN ROAD</AddressLine1Txt>
            <CityNm>MIDDLETOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10941</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GOSHEN PATIENT SERVICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>70 HATFIELD LANE</AddressLine1Txt>
            <CityNm>GOSHEN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10942</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT ANCILLARY SERVICE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GOSHEN RADIATION ONCOLOGY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>70 HATFIELD LANE</AddressLine1Txt>
            <CityNm>GOSHEN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10942</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIATION ONCOLOGY TREATMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OUTPATIENT REHABILITATION CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>110 CRYSTAL RUN RD</AddressLine1Txt>
            <CityNm>MIDDLETOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10941</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ORMC FAMILY PROGRAM FOR ALCOHOLISM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>420 EAST MAIN ST</AddressLine1Txt>
            <CityNm>MIDDLETOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10940</ZIPCd>
          </USAddress>
          <FacilityTxt>SUBSTANCE ABUSE COUNSELING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>CALCULATION OF COST IS DONE UTILIZING THE RATIO OF PATIENT CARE COST TO CHARGES DEVELOPED ON WORKSHEET 2. THIS AMOUNT IS APPLIED TO THE GROSS CHARGES IDENTIFIED FROM ALLOWANCE CODES USED IN THE PATIENT ACCOUNTING SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 COL (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST, WAS $14,413,006.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MAJORITY OF ORMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, ORMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE WAS CALCULATED BASED ON AN ANALYSIS OF PATIENT ACCOUNTS RECEIVABLE BY FINANCIAL CLASS AND AGE OF ACCOUNT. HISTORIC COLLECTIBILITY PERCENTAGES ARE APPLIED TO THESE BALANCES TO CALCULATE THE BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANALYSIS WAS COMPLETED OF CREDIT SCORING RESULTS FOR ACCOUNTS HELD BY A SECONDARY COLLECTION AGENCY. USING THEIR INTERNAL SCORE MODEL, SCORE DECILES WERE IDENTIFIED WHERE CONSUMERS WERE LEAST LIKELY TO PAY AND MOST LIKELY TO QUALIFY FOR CHARITY CARE. THIS PERCENTAGE WAS THEN APPLIED TO THE COST OF THE BAD DEBT FOR THE YEAR. IF THESE PATIENTS HAD COMPLETED THE CHARITY CARE APPLICATION PROCESS, THEIR BALANCES WOULD MOST LIKELY HAVE BEEN ADJUSTED FOR A CHARITY CARE ALLOWANCE, AND THEREFORE WOULD HAVE BEEN INCLUDED AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFS FOOTNOTE - PARAGRAPH 2D PAGE 8 ORMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. MANAGEMENT REGULARLY REVIEWS ACCOUNTS AND CONTRACTS AND PROVIDES APPROPRIATE CONTRACTUAL ALLOWANCES AND DISCOUNTS THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, ORMC ANALYSES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, ORMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH UNINSURED PATIENTS, MANAGEMENT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ORMC WROTE OFF APPROXIMATELY $5,200 AND $6,900 (IN THOUSANDS) FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY, OF WHICH A SIGNIFICANT PORTION RELATE TO UNINSURED PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE SHORTFALL OF $20,530,637 COULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE TO THE EXTENT THAT IT IS IN EFFECT A SUBSIDY OF A GOVERNMENTAL HEALTHCARE PLAN WHICH ENABLES THE RECIPIENTS OF THESE BENEFITS TO RECEIVE HEALTHCARE. THE AMOUNT INDICATED ON LINE 6 AS MEDICARE ALLOWABLE COSTS RELATED TO MEDICARE PAYMENTS HAS BEEN CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO GROSS CHARGES FOR MEDICARE AND MEDICARE ADVANTAGE PLAN LESS PAYMENTS. THIS RATIO IS CONSISTENT WITH THAT USED FOR MEDICAID AND OTHER PROVIDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ORMC'S COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, FINANCIAL ASSISTANCE ELIGIBILITY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALITY FOR A 100% WRITE-OFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO INFORM AND EDUCATE OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, ORANGE REGIONAL MEDICAL CENTER UTILIZES SEVERAL METHODS, INCLUDING PROVIDING A FINANCIAL AID SUMMARY AT REGISTRATION, POSTING SIGNS IN PATIENT AREAS, DETAILING THE INFORMATION ON THE ORGANIZATION'S WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ORANGE REGIONAL MEDICAL CENTER IS A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM. ORMC, IN MIDDLETOWN, NY, EXPANDED ITS SERVICE AREA TO REFLECT ITS RELATIONSHIP WITH CATSKILL REGIONAL MEDICAL CENTER (ALSO A MEMBER OF GHVHS). THE GHVHS SERVICE AREA INCLUDED ALL OF ORANGE COUNTY AND SULLIVAN COUNTY; AN AREA THAT ENCOMPASSES 1,828 SQUARE MILES AND APPROXIMATELY 450,000 RESIDENTS. WHEN IT COMES TO HEALTH PLANNING FOR PRIMARY CARE AND CORE SECONDARY LEVEL SERVICES, ORMC FOCUSES ON 29 ZIP CODES THAT COMPRISE ITS LOCAL HEALTH SERVICE AREA. THIS SERVICE AREA WAS DETERMINED BY IDENTIFYING THE ZIP CODES FROM WHICH 85% OF ORANGE REGIONAL'S DISCHARGES ORIGINATE. PLANNING FOR SPECIALTY CARE SERVICES TAKES A MORE REGIONAL PERSPECTIVE AND ENCOMPASSES ALL OF ORANGE AND SULLIVAN COUNTIES AND THE NEEDS OF THEIR RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF ORMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, ORMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GREATER HUDSON VALLEY HEALTH SYSTEM (GHVHS) IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS-CATSKILL REGIONAL MEDICAL CENTER AND ORANGE REGIONAL MEDICAL CENTER. GHVHS MEDICAL GROUP PC IS ALSO A PARTICIPANT IN THE SYSTEM. THE GHVHS IS DEDICATED TO DEVELOPING SPECIALTY SERVICES, MEDICAL PROGRAMS AND NEEDED HEALTHCARE SERVICES THAT ALLOW RESIDENTS TO REMAIN CLOSE TO HOME TO RECEIVE QUALITY CARE. PROVIDING HEALTHCARE TO NEARLY 450,000 RESIDENTS IN ORANGE, SULLIVAN AND ULSTER COUNTIES, THE GHVHS WAS DESIGNED TO IMPROVE THE QUALITY, STABILITY AND EFFICIENCY OF HEALTHCARE SERVICES IN THE MID-HUDSON AND CATSKILL REGIONS. SERVICES PROVIDED BY MORE THAN 3,300 EMPLOYED PROFESSIONALS AND OVER 850 MEDICAL STAFF MEMBERS, MAKES THE GHVHS ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THE TRI-COUNTY AREA. THE SYSTEM HAS THREE HOSPITAL CAMPUSES PLUS SEVERAL OUTPATIENT FACILITIES, OFFERING A BROAD SPECTRUM OF CARE. CATSKILL REGIONAL MEDICAL CENTER HAS TWO HOSPITAL FACILITIES SERVING PATIENTS IN SULLIVAN AND ULSTER COUNTIES. CATSKILL REGIONAL MEDICAL CENTER-HARRIS IS A COMMUNITY HOSPITAL; WHILE, CATSKILL REGIONAL MEDICAL CENTER- CALLICOON IS A CRITICAL ACCESS HOSPITAL. ORANGE REGIONAL MEDICAL CENTER OPENED A NEW HOSPITAL FACILITY DURING 2011 AND SERVES PATIENTS IN THE TRI-COUNTY AREA. GHVHS MEDICAL GROUP PC HAS OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY SERVICE PLAN: ORMC PERFORMS A COMMUNITY SERVICE PLAN EVERY THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ORANGE REGIONAL MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>707 EAST MAIN STREET</AddressLine1Txt>
          <CityNm>MIDDLETOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10940</ZIPCd>
        </USAddress>
        <RecipientEIN>133020568</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>720300</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH M ANESI</PersonNm>
        <TitleTxt>VP/GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>311197</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS IN 2015 DEBORAH CARR $1,237</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-QUALIFIED PAYMENTS IN 2015: JOSEPH M ANESI $14,149 SCOTT BATULIS $206,505 DEBORAH CARR $109,631 RICHARD CARRICO $15,000 GERARD DUNLAVEY $2,563 SANDRA IBERGER $8,586 JAMES OXLEY $30,776 JOANNE RITTER-TEITEL $25,983 JONATHAN SCHILLER $18,300 JOANNE STURANS $8,881 DAVID CORNELL $28,434</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE TAX YEAR THE ORGANIZATION PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II COLUMN B(ii).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF ORGANIZATION MISSION ORANGE REGIONAL MEDICAL CENTER WILL IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. WE WILL PURSUE EXCELLENCE IN ALL WE DO WITH A GOAL OF BECOMING THE PROVIDER OF CHOICE FOR OUR COMMUNITY, THE EMPLOYER OF CHOICE FOR OUR STAFF, AND THE WORKPLACE OF CHOICE FOR OUR DOCTORS. ORANGE REGIONAL BELIEVES STRONGLY THAT THE FEAR OF NOT BEING ABLE TO PAY FOR HEALTHCARE SHOULD NOT BE A DETERENT IN SEEKING HEALTHCARE SERVICES. THEREFORE, WE WORK HARD TO ENSURE THAT HEALTHCARE REMAINS ACCESSIBLE AND AVAILABLE FOR ANY MEMBER OF THE COMMUNITY IN NEED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A/4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2015, ORMC HAD 22,707 INPATIENT DISCHARGES AND PERFORMED 825,096 OUTPATIENT PROCEDURES. IN ADDITION TO PROVIDING INPATIENT CARE, ORMC ALSO OPERATES A NETWORK OF OFF-SITE FACILITIES WHICH PROVIDE A FULL RANGE OF OUTPATIENT DIAGNOSTIC, THERAPEUTIC AND COMMUNITY EDUCATION SERVICES. THROUGHOUT THE YEAR, ORMC ALSO CONDUCTS AND COORDINATES A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS. THESE PROGRAMS INCLUDE HEALTH TRADE EXPOSITIONS, FACILITY TOURS, SPEAKERS BUREAU, EDUCATIONAL SEMINARS AND LECTURES, SCHOOL CAREER DAYS, COMMUNITY HEALTH SCREENINGS AND SUPPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES EXPENSES INCURRED WHILE PROVIDING MENTAL HEALTH MEDICAL CARE TO 959 PATIENTS IN THE SURROUNDING COMMUNITY. EXPENSES $ 8,194,715. INCLUDING GRANTS OF $ 0. REVENUE $ 10,595,598.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>GREATER HUDSON VALLEY HEALTH SYSTEM INC, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501 (C) (3) IS THE SOLE MEMBER OF ORANGE REGIONAL MEDICAL CENTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE ORMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM ORMC BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B:</FormAndLineReferenceDesc>
        <ExplanationTxt>GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF ORANGE REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS INCLUDING: * APPOINTMENT OF DIRECTORS * APPROVAL OF CERTIFICATE OF NEED APPLICATIONS * APPROVAL OF ANNUAL STRATEGIC PLAN * APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION * APPROVAL OF OPERATING AND CAPITAL BUDGETS * APPROVAL OF ANY BORROWINGS, GUARANTEES OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE * APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION * APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO ORMC'S TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL VERSION OF THE ORGANIZATION'S FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ORANGE REGIONAL MEDICAL CENTER'S CONFLICT OF INTEREST (COI) POLICY APPLIES TO ALL DIRECTORS, COMMITTEE MEMBERS AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE HOSPITAL OR ANY ENTITY CONTROLLED BY THE HOSPITAL. THE HOSPITAL HAS INSTITUTED A CORPORATE COMPLIANCE PROGRAM TO ENSURE THAT ALL OF ITS BUSINESS PRACTICES ARE IN COMPLIANCE WITH APPLICABLE CIVIL AND CRIMINAL LAWS, RULES AND REGULATIONS. THE CONFLICTS POLICY REQUIRES ALL DIRECTORS AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO HOSPITAL POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND IS PRESENT AT ALL BOARD MEETINGS TO ASSIST WITH ANY POTENTIAL CONFLICT ISSUES AND PROVIDE ADVICE ON ABSTENTION, RECUSAL, ETC. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 2015 BASED ON THESE PARAMETERS. IN ADDITION, THE CHIEF EXECUTIVE OFFICER AND HIS COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS AVAILABLE AS PART OF THE ORGANIZATION'S COMPLIANCE POLICY WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THIS POLICY AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G, OTHER FEES:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 19,881,618. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,881,618. TEMP AND AGENCY FEES: PROGRAM SERVICE EXPENSES 2,663,478. MANAGEMENT AND GENERAL EXPENSES 665,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,329,348. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,350,351. MANAGEMENT AND GENERAL EXPENSES 1,007,293. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,357,644. COLLECTION FEES: PROGRAM SERVICE EXPENSES 4,450,171. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,450,171. ALL OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,499,136. MANAGEMENT AND GENERAL EXPENSES 4,852,989. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,352,125. TOTAL OTHER FEES ON FORM 990, 47,370,906. PART IX, LINE 11G, COL A</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:</FormAndLineReferenceDesc>
        <ExplanationTxt>POST RETIREMENT-RELATED CHANGES 112,029 PENSION-RELATED -2,575,255 CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. 1,022,494 TRANSFER TO RELATED PARTY GHVHS 2,126,523 ----------- TOTAL TO FORM 990, PART XI, LINE 9 685,791</ExplanationTxt>
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          <CityNm>MIDDLETOWN</CityNm>
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          <ZIPCd>12742</ZIPCd>
        </USAddress>
        <EIN>146049030</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GHVHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ORANGE REGIONAL MEDICAL CENTER FOUND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O ORMC 707 EAST MAIN STREET</AddressLine1Txt>
          <CityNm>MIDDLETOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10940</ZIPCd>
        </USAddress>
        <EIN>133020568</EIN>
        <PrimaryActivitiesTxt>FUND RAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE IIA, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ORMC AUXILIARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 EAST MAIN STREET</AddressLine1Txt>
          <CityNm>MIDDLETOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10940</ZIPCd>
        </USAddress>
        <EIN>205223843</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GHVHS MEDICAL GROUP PC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 EAST MAIN STREET</AddressLine1Txt>
          <CityNm>MIDDLETOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10940</ZIPCd>
        </USAddress>
        <EIN>371743537</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GHVHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EAST MAIN STREET MGT CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>707 EAST MAIN STREET</AddressLine1Txt>
          <CityNm>MIDDLETOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10940</ZIPCd>
        </USAddress>
        <EIN>203168346</EIN>
        <PrimaryActivitiesTxt>ADMIN SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ORMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <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>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GHVHS MEDICAL GROUP PC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>2109387</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GHVHS MEDICAL GROUP PC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L,Q</TransactionTypeTxt>
        <InvolvedAmt>306264</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GHVHS MEDICAL GROUP PC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>6831211</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GHVHS MEDICAL GROUP PC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>5555559</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CATSKILL REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1444442</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CATSKILL REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>905474</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>