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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES F MCCANN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD H MCGLYNN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN D MILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>YVONNE M MOWATT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHELIA JONES HESLIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>CHRISTOPHER J CAVALLARO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>RICHARD A NEWHOUSE JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>GEORGE PAPPAS</PersonNm>
        <TitleTxt>DIRECTOR-Vice Chair</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHEPARD T POOLE</PersonNm>
        <TitleTxt>DIRECTOR-Vice Chair</TitleTxt>
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        <PersonNm>HENRY R PUPKE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>VERONICA RENKEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>MICHELLE L CLARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLAS J ROSATO JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES L RUOFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>STEPHEN RUSHMORE</PersonNm>
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        <PersonNm>THOMAS E SULLIVAN</PersonNm>
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        <PersonNm>CHARLES M STRAIN</PersonNm>
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        <PersonNm>HARRIETTE P THAYER</PersonNm>
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        <PersonNm>EDWARD TRAVAGLIANTI</PersonNm>
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        <PersonNm>JOHN H TREIBER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>MARY BETH TULLY</PersonNm>
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        <PersonNm>JOHN F COLLINS</PersonNm>
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        <PersonNm>JOHN CATALANO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>JAMES GIORGIO SR</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK KORDELESKI - OCT 2014</PersonNm>
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        <PersonNm>GARRY SCHWALL - September 2014</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <PersonNm>PALMIRA M CATALIOTTI</PersonNm>
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        <PersonNm>STACEY PFEFFER</PersonNm>
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        <PersonNm>SCOTT L SCHUBACH MD</PersonNm>
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        <PersonNm>JONATHON HAAS MD</PersonNm>
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        <PersonNm>ANTHONY GAMBINO MD</PersonNm>
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        <PersonNm>PHILIP RAGNO MD</PersonNm>
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        <PersonNm>RICHARD SCHWARTZ MD</PersonNm>
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        <PersonNm>MAUREEN GAFFNEY</PersonNm>
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          <PersonNm>LEND LEASE CONSTRUCTION LMB INC</PersonNm>
        </ContractorName>
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          <USAddress>
            <AddressLine1Txt>200 PARK AVENUE</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10166</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PHOENIX MEDICAL CONSTRUCTION CO INC</PersonNm>
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          <USAddress>
            <AddressLine1Txt>681 CHESTNUT STREET</AddressLine1Txt>
            <CityNm>UNION</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07083</ZIPCd>
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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SIEMENS HEALTH SERVICES</PersonNm>
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          <USAddress>
            <AddressLine1Txt>1501 NORTH PLANO ROAD SUITE 100</AddressLine1Txt>
            <CityNm>RICHARDSON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75081</ZIPCd>
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        <ServicesDesc>MEDICAL SYSTEM MAINT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AXIS CONSTRUCTION</PersonNm>
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          <USAddress>
            <AddressLine1Txt>125 LASER COURT</AddressLine1Txt>
            <CityNm>HAUPPAUGE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11788</ZIPCd>
          </USAddress>
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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
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          <PersonNm>JVK OPERATIONS LTD</PersonNm>
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          <USAddress>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LINEN SERVICE</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>36</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>2106787</FundraisingAmt>
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      <NoncashContributionsAmt>319605</NoncashContributionsAmt>
      <TotalContributionsAmt>6741178</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>949431970</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>949431970</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACEUTICAL RESEARCH</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1318988</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1355094</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1355094</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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        <ExclusionAmt>4572181</ExclusionAmt>
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      </IncmFromInvestBondProceedsGrp>
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      </RoyaltiesRevenueGrp>
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      <TotalDirectLobbyingGrp />
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      <GrassrootsNontaxableGrp />
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule C, Part II-B, Line 2I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS A MEMBER OF THE FOLLOWING ORGANIZATIONS: GREATER NY HOSPITAL ASSOC, AMERICAN HOSPITAL ASSOC, NASSAU SUFFOLK COUNCIL, HANYS, LIHN AND NY PRESBYTERIAN. THE HOSPITAL PAYS DUES TO THESE ORGANIZATIONS, A PORTION OF WHICH RELATES TO LOBBYING.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <EndYearBalanceAmt>13662084</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.33260</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.66740</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2725742</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2725742</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>340450781</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>171804937</DepreciationAmt>
        <BookValueAmt>168645844</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>57262309</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10170167</DepreciationAmt>
        <BookValueAmt>47092142</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>372519277</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>308734105</DepreciationAmt>
        <BookValueAmt>63785172</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>127827802</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3875624</DepreciationAmt>
        <BookValueAmt>123952178</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>406201078</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERIES REC.</Desc>
        <BookValueAmt>43156000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN HEALTHTRAX</Desc>
        <BookValueAmt>270594</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN RRG</Desc>
        <BookValueAmt>2537102</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN NETWORK PRACTICE</Desc>
        <BookValueAmt>883509</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVEST. IN WINTHROP CLINICAL</Desc>
        <BookValueAmt>3417289</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>31626130</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN PHO</Desc>
        <BookValueAmt>-90039</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN GNYHA</Desc>
        <BookValueAmt>125845</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>81926430</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION</Desc>
        <Amt>195366189</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASES</Desc>
        <Amt>11195361</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>3RD PARTY LIABILITY LONG TERM</Desc>
        <Amt>47479491</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>TELP PAYABLE</Desc>
        <Amt>7126898</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE GROSS UP</Desc>
        <Amt>43156000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO WUHSC</Desc>
        <Amt>13602403</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>317926342</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USE OF ENDOWMENT FUNDS THE PERMANENT ENDOWMENTS ARE ENDOWMENT FUNDS MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THAT THE PRINCIPAL BALANCE MUST BE INVESTED AND KEPT INTACT IN PERPETUITY, WHILE ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION. THE TERM ENDOWMENTS ARE ENDOWMENT FUNDS THAT ARE MAINTAINED TO PROVIDE A SOURCE OF INCOME FOR EITHER A SPECIFIED PERIOD OF TIME OR UNTIL A SPECIFIC EVENT OCCURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>GHIORSI SORRENTI INC</PersonNm>
        <ActivityTxt>CAMPAIGN MGMT SVCS</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>4775781</GrossReceiptsAmt>
        <RetainedByContractorAmt>180000</RetainedByContractorAmt>
        <NetToOrganizationAmt>4595781</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>4775781</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>180000</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>4595781</TotalNetToOrganizationAmt>
      <FundraisingEventInformationGrp>
        <Event1Nm>ANNUAL GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>941544</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>733794</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>207750</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>308859</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF OUTING</Event2Nm>
        <GrossReceiptsEvent2Amt>645717</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>517917</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>127800</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>6349</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>1900</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>130493</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>14</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>1076523</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>850293</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>226230</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>46898</RentFcltyCostsOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>358124</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>2663784</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>2102004</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>561780</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>6349</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>48798</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>797476</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>852623</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-290843</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>500.</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>11753685</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6596968</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5156717</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00560</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>114721701</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>108812036</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5909665</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00640</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>126475386</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>115409004</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11066382</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01200</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1258297</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>173353</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1084944</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>71479813</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>19534666</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>51945147</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05620</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>60403543</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>42714640</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>17688903</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01910</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>2414567</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1466865</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>947702</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>3867</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3867</NetCommunityBenefitExpnsAmt>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>135560087</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>63889524</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>71670563</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07750</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>262035473</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>179298528</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>82736945</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08950</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <TotalCommunityBenefitExpnsAmt>23024</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>23024</NetCommunityBenefitExpnsAmt>
      </CommunitySupportGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>8893</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>8893</NetCommunityBenefitExpnsAmt>
      </HealthImprovementAdvocacyGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>31917</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>31917</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>26311737</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>186497127</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>203764059</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-17266932</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>WINTHROP-UNIVERSITY HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>259 FIRST STREET</AddressLine1Txt>
          <CityNm>MINEOLA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11501</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.WINTHROP.ORG</WebsiteAddressTxt>
        <StateLicenseNum>2908000H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>WINTHROP-UNIVERSITY HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.winthrop.org</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>14</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.winthrop.org</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>X</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>X</FAPAppAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <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>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LINE 3J</FormAndLineReferenceDesc>
        <ExplanationTxt>Specific conditions and groups were not addressed individually. However, our assessment did identify several conditions that required a higher rate of hospitalization among select communities experiencing health disparities. These communities have a higher rate of uninsured persons, low-income persons and minority groups. Charts illustrating the differences in health are in the assessment.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LINES 5, 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>Information was collected through the use of a uniform survey that was distributed widely through communities in Nassau County to help ascertain the health perceptions and key concerns of residents, as well as identify service needs and barriers to care. It reached a broad spectrum of community residents from many different zip codes. Responses were analyzed according to two separate populations: Nassau County in its entirety and communities with health disparities. Key informant interviews were also conducted with Nassau County's health and human services providers. Emphasis was placed on groups that addressed one or more of the following populations: minorities/medically underserved, seniors, women's/children's services, special populations and individuals with disease-specific conditions. These organizations and their representatives included: 1. American Cancer Society, Syosset, NY - Director of Patient and Family Services 2. American Diabetes Association, Melville, NY - Director, Long Island Operations 3. American Heart Association, Plainview, NY - Regional Vice President, Field Operations 4. Catholic Charities, Hicksville, NY - Director of Development and Communications; Developer, Information and Referral 5. Circulo de la Hispanidad, Long Beach, NY - Executive Director; Chief Director of Services and Operations 6. FEGS Health &amp; Human Services (Federation of Employment &amp; Guidance Service System), Hempstead, NY - Senior Director; Director of HIV Services; Vice President, Long Island Operations 7. Health and Welfare Council of Long Island, Hempstead, NY - President and CEO 8. Island Harvest, Mineola, NY - SNAP Outreach Coordinator 9. Jewish Association Serving the Aging (JASA), Long Beach, NY - Director, Long Beach Services 10. LI GLBT (Gay, Lesbian, Bisexual, Transgender), Garden City, NY - Chief Operating Officer and Director of Development for Long Island 11. Long Island Council of Churches, Hempstead, NY - Director; Nassau County Coordinator 12. Mental Health Association of Nassau County, Glen Cove, NY - Director of Special Projects 13. Perinatal Services Network, Uniondale, NY - Coordinator 14. Planned Parenthood, Hempstead, Massapequa and Glen Cove, NY - Senior Vice President for Health Services, Planned Parenthood of Nassau County 15. Project Independence, Roslyn Heights, NY - Deputy Commissioner; Senior Citizen Program Development Specialist 16. Sustainable Long Island, Farmingdale, NY - Executive Director 17. United Way, Deer Park, NY - Senior Vice President</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop conducted the CHNA in collaboration with Catholic Health Services, Long Beach Memorial Hospital, North Shore - LIJ Health System, and South Nassau Communities Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to listing the CHNA on the hospital's website and making a hard copy available upon request, Winthrop also included an article about the CHNA report in its Cornerstone publication that was mailed out to more than 100,000 community residents.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>As stated in the CHNA, the most pressing needs of the community identified are reducing obesity and the prevention and management of chronic disease (diabetes, asthma, cardiovascular disease and stroke, cancer). Winthrop offers educational programs, screening, and community outreach programs to address these needs. Mental Health &amp; Substance Abuse were also identified as a significant health problem by our community. We have a referral system in place and will address the issue through public education efforts.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop extends discounts for financial assistance to patients based upon FPG levels for family size and household income up to 500% of the FPG.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop follows New York State guidelines to determine amounts that can be charged to FAP-eligible individuals by reviewing its Medicare, Medicaid, and its commercial insurance payor rates then applying the lowest rates to its service categories. The New York State guidelines are similar to Internal Revenue Code Section 501(r).</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>11</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINTHROP-UNIVERSITY HOSP DIALYSIS CTR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 OLD COUNTRY ROAD</AddressLine1Txt>
            <CityNm>MINEOLA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11501</ZIPCd>
          </USAddress>
          <FacilityTxt>RENAL DIALYSIS CTR</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GLENGARIFF HEALTH CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>DOSORIS LANE</AddressLine1Txt>
            <CityNm>GLEN COVE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11542</ZIPCd>
          </USAddress>
          <FacilityTxt>RENAL DIALYSIS CTR</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINTHROP DIALYSIS CENTER AT SUNHARBOR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>255 WARNER AVENUE</AddressLine1Txt>
            <CityNm>ROSLYN HEIGHTS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11577</ZIPCd>
          </USAddress>
          <FacilityTxt>RENAL DIALYSIS CTR</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINTHROP UNIV HOSP DIALYSIS CTR - BETHPA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>530 HICKSVILLE ROAD</AddressLine1Txt>
            <CityNm>BETHPAGE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11714</ZIPCd>
          </USAddress>
          <FacilityTxt>RENAL DIALYSIS CTR</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINTHROP OUTPATIENT RADIATION THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>264 OLD COUNTRY ROAD</AddressLine1Txt>
            <CityNm>MINEOLA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11501</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIATION THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINTHROP UNIVERSITY HOSPITAL PET CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>222 STATION PLAZA NORTH</AddressLine1Txt>
            <CityNm>MINEOLA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11501</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINTHROP CARDIAC REHAB CLINICPAT CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>120 MINEOLA BOULEVARD</AddressLine1Txt>
            <CityNm>MINEOLA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11501</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIAC REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINTHROP-UNIVERSITY HOSPITAL AMB SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>777 ZECKENDORF BOULEVARD</AddressLine1Txt>
            <CityNm>GARDEN CITY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11530</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SLEEP DISORDERS CTR AT WINTHROP-UNIVERSI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1300 FRANKLIN AVENUE SUITE UL-5</AddressLine1Txt>
            <CityNm>GARDEN CITY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11530</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP DISORDERS CTR</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HEMPSTEAD HIGH SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 PRESIDENT STREET</AddressLine1Txt>
            <CityNm>HEMPSTEAD</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11550</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY CARE CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOMEN'S WELLNESS OBGYN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 FULTON AVENUE</AddressLine1Txt>
            <CityNm>HEMPSTEAD</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11550</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop-University Hospital use FPG to determine eligibility for free and discounted care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital utilized a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, of Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>LINE I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>Renal Dialysis, High School Clinic, Wound care program, E.R., Home Health Program, Long-Term Home Care Program, NICU, and Diabetes Education</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>A total of $26,311,737 was removed from the total expenses used in calculating the percentages of community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop-University Hospital provides Community Support through the Adopt-A-Family and the Meals on Wheels programs. Advocacy for Community Health Improvement/Safety is provided through the Brooklyn-Queens-Long Island Area Health Education Center's Summer Internship Program which grants healthcare shadowing opportunities for high school and college students from minority communities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The total bad debt expense shown on this line represents actual amounts written off during the year related to balances due on patients' accounts for which payment was expected and pursued by the Hospital and/or its collection agencies but never received.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital utilizes a process to identify amounts that are in a "bad debt" status but could qualify for financial assistance under the Hospital's financial assistance policy. These accounts are removed from bad debt and reviewed. If the criteria for financial assistance are met then they are reclassified from bad debt. These amounts are included in Part I of Schedule H.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Per page 11 of the Audited Financial Statements, the Hospital presents the provision for bad debt expense, net totaling $26,311,737 and $21,918,874 for the years ended December 31, 2014 and 2013, respectively, as a reduction of net patient service revenue in the consolidated statement of activities. For the Form 990 bad debt expense has been reclassified from revenues to expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare cost and charge information was extracted from the Medicare cost report and an RCC methodology was applied. The short fall represents unreimbursed costs incurred in providing services to Medicare recipients and therefore should be treated as a community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients identified as being eligible for consideration of financial assistance are referred by the debt collector to the Credit and Collection Department of the Hospital for review; Debt collection activities are suspended.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>2. NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>Community needs are based on assessments conducted by Federal, State, and County agencies as well as studies performed by the Hospital and community organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>Notification is provided on the Hospital's website, through signage posted at all access points, through notification on hospital bills, and through counseling during the intake process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>4. COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop University Hospital serves primarily Nassau County, which is located on Long Island in New York. Nassau County is home to 1.3 million people and makes up 6.9% of the State of New York's total population. Nassau is comprised of, 63.3% of white persons (not Hispanic), 15.7 % persons of Hispanic or Latino origin, 12.4% Black persons, and 8.7% Asian persons based on census data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>5. PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors of Winthrop-University Hospital is comprised of community members who are not compensated for their duties. Winthrop extends medical staff privileges to all qualified physicians in its service area. The hospital provides an array of educational seminars and preventive health services to the community including a smoking cessation program, diabetes education, health fairs, free blood pressure screenings, fall prevention programs, cancer care programs, prostate screenings, genetic counseling, health updates for seniors, Meals on Wheels, and other programs. Surpluses are reinvested into Winthrop's operations, research, medical education and capital improvement initiatives to enhance its abilities to provide quality health care to its service areas.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>6. AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>The Winthrop South Nassau University Health System is the sole member of Winthrop-University Hospital and South Nassau Communities Hospital. Both hospitals provide services to their respective communities and collaborate to ensure that their communities are provided a full array of inpatient and outpatient services of the highest quality.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>629921</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>656000</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD SCHWARTZ MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>611877</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>656000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23552</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22796</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>671225</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>656000</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN GAFFNEY</PersonNm>
        <TitleTxt>SR. VP-PATIENT CARE SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>305641</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>68000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20364</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>98433</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14913</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>507351</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4A Garry Schwall separated from active employment on September 5, 2014. His compensation and certain benefits were continued through the end of the reporting period in exchange for certain service availability, non-compete, non-solicitation and other obligations and promises. LINE 4B THE ORGANIZATION ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FOR THE SENIOR AND LONG-TERM EXECUTIVES OF THE ORGANIZATION, INCLUDING MR. COLLINS. THIS PLAN SEEKS TO PROVIDE PARTIAL REPLACEMENT INCOME AT RETIREMENT AFTER 20 YEARS SERVICE. THE BENEFITS UNDER THIS PLAN ARE FORFEITABLE IN THE EVENT OF VOLUNTARY TERMINATION BEFORE RETIREMENT AGE. THE ORGANIZATION'S OUTSIDE COMPENSATION CONSULTANT HAS OPINED THAT THIS PLAN IS WITHIN MARKET NORMS. PLEASE NOTE THAT WINTHROP WAS REQUIRED TO RECOGNIZE ADDITIONAL EXPENSE IN RESPECT OF PARTICIPANTS' BENEFITS UNDER THE SERP FOR 2014. THE PRIMARY FACTOR IN THIS ADDITIONAL EXPENSE IS HISTORICALLY LOW INTEREST RATES USED BY WINTHROP TO RECOGNIZE LIABILITIES ACCRUED UNDER THE SERP ON ITS FINANCIAL STATEMENTS. WINTHROP ADOPTED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP II") FOR 2 EXECUTIVES WHO WERE NOT ELIGIBLE UNDER THE SERP DESCRIBED IN THE PREVIOUS PARAGRAPH BUT WHO WERE NEGATIVELY IMPACTED BY LIMITS UNDER WINTHROP'S STANDARD RETIREMENT PLANS (LIMITS NOT APPLICABLE TO EMPLOYEES GENERALLY). THE PRIMARY PURPOSES OF SERP II ARE TO PROVIDE A SUPPLEMENT TO THE STANDARD RETIREMENT PLAN AND TO ENCOURAGE RETENTION. SERP II COVERS MS. CATALIOTTI AND MS. GAFFNEY AND THE 2014 CONTRIBUTION AMOUNTS FOR THEM WERE $60,022 AND $76,173, RESPECTIVELY. SERP II IS FORFEITABLE BY THESE EXECUTIVES IF THEY TERMINATE EMPLOYMENT BEFORE DECEMBER 31, 2021 (AND ADDITIONAL SERVICE REQUIREMENTS MAY APPLY).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule j, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE ORGANIZATION AND THE EXECUTIVE, IF AND TO THE EXTENT SATISFIED, OF PRE-ESTABLISED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. THE INCENTIVE COMPENSATION PROGRAM AWARDS ARE MADE BY THE COMPENSATION COMMITTEE IN ITS DISCRETION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule j, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>PAUL HARNICK, M.D. AND JOHN F. ALOIA, M.D. ARE EMPLOYED PHYSICIANS OF THE ORGANIZATION AND ALSO SERVE AS UNCOMPENSATED MEMBERS OF THE BOARD OF DIRECTORS. ANTHONY GAMBINO, M.D., PHILIP RAGNO, M.D., AND RICHARD SCHWARTZ, M.D. ARE INCLUDED ON THE HOSPITAL'S FORM 990 DUE TO THE CONTROL RELATIONSHIP FORMED WITH ISLAND WIDE MEDICAL ASSOCIATES, PC. THESE PHYSICIANS PERFORM SIGNIFICANT SERVICES WITH RESPECT TO ADMINISTRATIVE, CLINICAL, FACULTY AND MANAGEMENT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORPORATIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>274291221</BondIssuerEIN>
        <CUSIPNum>63166LBE0</CUSIPNum>
        <BondIssuedDt>2012-10-23</BondIssuedDt>
        <IssuePriceAmt>140658451</IssuePriceAmt>
        <PurposeDesc>SEE SCHEDULE K PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORPORATIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>274291221</BondIssuerEIN>
        <BondIssuedDt>2014-08-14</BondIssuedDt>
        <IssuePriceAmt>39750000</IssuePriceAmt>
        <PurposeDesc>SEE SCHEDULE K PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>140806591</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2330048</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>67840572</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>70635940</OtherSpentProceedsAmt>
        <UnspentAmt>31</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>39775439</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>432980</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>8928047</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>30414412</UnspentAmt>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.01700</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.01700</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.01100</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.01100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I-A</FormAndLineReferenceDesc>
        <ExplanationTxt>PURPOSE: In 2012, Winthrop University Hospital Association, Series 2012 revenue bonds were issued through the Nassau County Local Economic Assistance Corporation to 1) Refund Winthrop's prior bonds from 2001 and 2003, which were issued to raise funds for capital additions and improvements and 2) To finance a portion of the cost of a new medical research facility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II-A - LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCEEDS OF THE ISSUE CONSIST OF THE ISSUE PRICE OF $140,658,451 AND TOTAL INVESTMENT INCOME AMOUNTING TO $148,140.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II-A - LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE $2,330,048 OF ISSUANCE COSTS CONSIST OF AN UNDERWRITER'S DISCOUNT OF $1,117,131; HOSPITAL COUNSEL FEES OF $170,000; BOND COUNSEL FEES OF $135,000; RATING AGENCY FEES OF $140,000; NASSAU COUNTY LEAC FINANCING FEE OF $171,787; TITLE INSURANCE OF $326,044; AND OTHER FEES INCLUDING ACCOUNTING, PRINTING AND TRUSTEE FEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I-B</FormAndLineReferenceDesc>
        <ExplanationTxt>PURPOSE: IN 2014, WINTHROP UNIVERSITY HOSPITAL ASSOCIATION, SERIES 2014 REVENUE BONDS WERE ISSUED THROUGH THE NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORPORATION TO RAISE ADDITIONAL FUNDS FOR CONSTRUCTION RELATED TO THE NEW RESEARCH INSTITUTE AS WELL AS VARIOUS IT PROJECTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II-B - LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCEEDS OF THE ISSUE CONSIST OF THE ISSUE PRICE OF $39,750,000 AND TOTAL INVESTMENT INCOME AMOUNTING TO $25,439.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II-B - LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE $432,980 OF ISSUANCE COSTS CONSIST OF HOSPITAL COUNSEL FEES, BOND COUNSEL FEES, NASSAU COUNTY LEAC FINANCING FEES, AND OTHER FEES INCLUDING PRINTING AND TRUSTEE FEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KATHERINE M WALLACE-HARNICK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>see part V</RelationshipDescriptionTxt>
        <TransactionAmt>41969</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DENISE E LONG</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>See part v</RelationshipDescriptionTxt>
        <TransactionAmt>13030</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HEATHER RUOFF</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>see part v</RelationshipDescriptionTxt>
        <TransactionAmt>47765</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINDA J MARTINEZ</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>see part v</RelationshipDescriptionTxt>
        <TransactionAmt>50185</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ALICIA C STRAIN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>38793</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JENNIFER L SULLIVAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>56834</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CLIFFORD F COLLINS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>76692</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARIA C LOPES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>60228</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DIANE BENEDETTI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>36858</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 14</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>459057</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 16</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>192021</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 22</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>4501558</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 23</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>162179</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 24</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>354415</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 61</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>2097768</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 76</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>300378</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 81</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>6995292</TransactionAmt>
        <TransactionDesc>ROUTINE BUSINESS TRANSACTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CONTRIBUTOR 90</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PART VI-A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION MEMBERS The organization is organized as a not-for-profit corporation with a member which is known as Winthrop South Nassau University Health System, Inc.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI-A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTION OF GOVERNING BODY Winthrop South Nassau University Health System, Inc. is the sole member of the corporation. This member can approve the election of the Board of Directors of the corporation in accordance with the bylaws.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI-A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL The governing body can approve and monitor the corporation's operating and capital expenditure plan on an annual basis provided, however, the operating and capital expenditure plan is reviewed and approved by the member to ensure that such budgets conform to the mission and philosophy of the corporation.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI-B, LINE 11A</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEWED BEFORE FILING The Form 990 is reviewed by a voting member of the organization's governing body, an officer (CFO) of the corporation, outside legal counsel and tax consultant before it is filed with the IRS. The review is conducted independently by each person mentioned above. Questions, changes or recommendations are reported in writing or verbally. A copy of the Form 990 is provided to the organization's governing body before it is filed, together with an overview of relevant procedures (e.g. compensation governance and due diligence, etc.)</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI-B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE WITH CONFLICT OF INTEREST POLICY All Board Members and Key Employees are expected to read and understand the Conflict of Interest Policy which is mailed annually with the disclosure statement and posted on Winthrop University Hospital's Intranet site. Key Members include Senior Management and all Department Heads, Chairman of Departments, and other employees (including physicians) who are in a position to influence any substantive business decision between the Hospital and or a Vendor. In addition, all other Hospital Personnel are trained and educated as to their obligations to report any potential Conflict of Interest. Training and Education is conducted for all employees upon hire and annually thereafter. Annually the Conflict of Interest Policy and Disclosure Statement are sent to all Key Members of Winthrop University Hospital. Key Members are reminded of their continuing obligation to update the annual Disclosure Statement whenever new information arises. If the Compliance Officer believes a potential or actual conflict of interest exists, the Compliance Officer will seek outside counsel's advice and prepares a report stating the relevant facts with an explanation as to why an actual or potential conflict of interest exists. The actual or potential conflict will be reported to the Compliance Committee for review. Once a final decision is made on how to proceed, the Personnel will be instructed as to the appropriate corrective action.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI-B, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW/APPROVAL The Organization's Board adopted a Compensation Policy (the "Policy")for Covered Individuals. Pursuant to the Policy, a Compensation Committee of independent directors was established to review the compensation of all employees specified as having a substantial influence over the organization and who receive remuneration from the Organization, including, among others, the Organization's President and Chief Executive Officer, the Organization's Chief Operating Officer, and the Organization's Chief Financial Officer. The Compensation Committee is advised by outside counsel and an independent compensation consultant. The outside counsel and consultant opine to the Compensation Committee that the level of compensation paid and the process by which compensation is established meet applicable IRS reasonableness and "safe harbor" standards. The outside compensation consultant provides data of compensation provided at similar organizations to ensure that the Organization does not compensate in excess of market norms.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI-B, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC STATEMENTS Governing documents are provided to the public upon management's discretion. Conflict of Interest policy is provided upon request and approval of management. Financial Statements are provided to the public upon request. PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN PENSION LIABILITY ($ 144,753,869 TERM FUNDS UNREALIZED GAIN ON INVESTMENTS ($365,342) INTERCOMPANY TRANSFER ($464,360) --------------- TOTAL ($145,583,571) ===============</ExplanationTxt>
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        <FormAndLineReferenceDesc>MISSION STATEMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>It is the mission of Winthrop-University Hospital (referred to as "Winthrop" or "the Hospital") to provide high-quality, safe, culturally competent, and comprehensive healthcare services in a teaching and research environment, which improve the health and well-being of the residents of Nassau County and contiguous county areas based on a profound commitment to an enduring guiding principle - "Your Health Means Everything." The Hospital's Community Service Plan is guided by and reflects its mission statement - to improve the health and well-being of the residents it serves.</ExplanationTxt>
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        <FormAndLineReferenceDesc>COMMUNITY PARTNERSHIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop remains engaged with the community by maintaining relationships with community- and faith-based organizations, private organizations, local school districts, and legislators from the village, town, county, state and federal government. Our partnerships have been strengthened during 2014 due to our current CSP initiatives. HEALTH INITATIVES SUPPORTING THE NYS PREVENTION AGENDA During 2014, Winthrop added two per diem community health nurses to the outreach team, one of whom is bilingual, to help expand the availability of our programs. Programs are being conducted, evaluated and modified if needed. OBESITY - NUTRITION AND HEALTHY WEIGHT GOAL: Expand the role of health care and health service providers and insurers in obesity prevention. OBESITY SCREENINGS IN PRIMARY CARE PROVIDER OFFICES Strategy: 5-2-1-0 Program 5-2-1-0 is a healthy lifestyle plan - five servings of fruits and vegetables, no more than two hours of screen time (including TV and IPADS), one hour of exercise and zero sugary drinks. The objective is to teach children the basics of a healthy lifestyle; the intended goal is to achieve a long-term positive impact on their health. Through this program, primary care providers are encouraged to consistently document Body Mass Index (BMI), provide lifestyle counseling, and develop individual care plans and follow-up measures. The identification and counseling of children who are obese (BMI =/&gt;95%) was implemented in 2013 in the WUH Hempstead Pediatric Clinic, an area suffering health disparities. Results for 2014 are as follows: 2014 - Counseling Documentation rate - 96%; up 17% from 2013 2014 - Follow-up rate with parents - 30%; 14% increase from 2013. PREVENT CHILDHOOD OBESITY THROUGH EARLY CHILD-CARE AND SCHOOLS. CHILDHOOD OBESITY SCREENINGS IN THE COMMUNITY Strategy: Bring the 5-2-1-0 Program to the Community Winthrop is collaborating with the Head Start communities located in Hempstead and Westbury to document BMI's, and provide nutritional counseling for families of children identified as having an unhealthy weight. The healthy lifestyle program was introduced at Head Start parent meetings. Moving forward, plans include providing nutritional counseling and support to parents of children who are identified as having BMIs greater than 95%ile. PROMOTE EXCLUSIVE BREASTFEEDING BABY FRIENDLY DESIGNATION Strategy: - Achieve Baby Friendly Designation; improve percentage of newborns who only receive breast milk when discharged from the Hospital. In 2014, Winthrop was awarded Baby-Friendly Designation by Baby-Friendly, USA. Winthrop is the first and only hospital on Long Island to achieve this distinct honor (as of December, 2014). Year 2014 - 45% of babies were only receiving breast milk when discharged from Winthrop, an increase of 5% from 2013 PREVENTING CHRONIC DISEASE - DIABETES PROMOTE EVIDENCED-BASED CARE A. NATIONAL DIABETES PREVENTION PROGRAM Strategy: The National Diabetes Prevention Program is a 16-week core program, followed by a once-a-month post-core program for eight months. Winthrop offered three core program groups and one post-core program during 2014. Sixty-three people enrolled and 50 (83%) completed the core program; all who completed enrolled for the post core program for eight months. During the fall of 2014, 46 people started the program - a total of 106 participants. B. PROMOTE CULTURALLY RELEVANT SELF-MANAGEMENT DIABETES PREVENTION AND DIABETES EDUCATION TO SOUTH ASIAN INDIAN COMMUNITY Strategy: The South Asian Indian community has a high prevalence of diabetes. Winthrop is targeting this population through community outreach to provide education about diabetes and diabetes prevention. In 2015, Winthrop reached out and provided a lecture to 250 individuals in the Asian Indian community in Hicksville. At-risk individuals were provided with educational materials. NUTRITION AND HEALTHY WEIGHT (OBESITY) -CHRONIC CONDITIONS PROMOTE CHRONIC DISEASE SELF-MANAGEMENT AND PREVENT OBESITY Strategy: Provide "Active Living" classes - A four-part free-of-charge series that addresses chronic condition management and the benefits of a healthy lifestyle. During 2014, Winthrop implemented three pilot sessions at the Hospital's Welcome Center; 63 people attended three sessions.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SERVING COMMUNITIES WITH HEALTH DISPARITIES IMPROVING ACCESS TO CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop's Women's Wellness OB/GYN Center in Hempstead offers a wide variety of obstetrical and gynecological services, as well as on-site risk assessment, psychosocial counseling, postpartum depression screening and referrals, domestic and sexual abuse screening, nutritional and gestational diabetes education, assessment of living conditions and cultural diversity. The site features a Medicaid Enrollment Specialist for uninsured patients; Charity Care Application and self-pay rates are available as well. They participate with NYS Medicaid and many Medicaid Managed Care HMO plans. During 2014, the Center averaged 1327 visits per month with a total of 15,900 encounters. This is an increase of 6% from 2013. Financial services were provided to over 634 families during this time period. The Hempstead Pediatric Practice draws patients primarily from the Hempstead community but also serves children, from newborn to age 21, from the surrounding neighborhoods experiencing health disparities (Elmont, Freeport, Uniondale and Roosevelt). In addition, Winthrop's Pediatric Specialty Center in Mineola sends a Pediatric Pulmonologist and a Genetic Counselor to the Hempstead location on a regular basis to allow for easier access to these services. In 2014 alone, a total of 16,473 patients were treated at the facility, an increase of 14.4% from 2013. The Hempstead High School Health Center (HHHC) is a school-based Health Center, in a community with health disparities. During 2014, there were over 4000 visits to the Center by approximately 1,230 students. Comprehensive preventive, episodic and confidential healthcare was provided. Winthrop includes specific programs needed by the school's population, including: - Youth support groups in English and Spanish that address common adolescent issues such as acculturation, adolescent adjustment, alternative lifestyles, teen pregnancy and prevention, parenting teens, and violence prevention, including gang violence. - An Asthma Management Program that monitors and tracks students with asthma. This effort is particularly significant in Hempstead, where asthma rates are nearly double those of adjacent neighborhoods. Both staff nurses in the HHHC are certified asthma educators. Collaboration with primary care physicians in the community facilitates treatment that meets current medical standards, trains high school nurses and staff about asthma, offers access to medications and assists with obtaining health insurance for uninsured students. - An "Oral Health" Program that assesses dental needs and applies fluoride varnish.</ExplanationTxt>
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        <FormAndLineReferenceDesc>ADDITIONAL RESOURCES AT WINTHROP</FormAndLineReferenceDesc>
        <ExplanationTxt>Winthrop recognizes that a healthy lifestyle prevents or delays the onset of disease. A deep commitment to a healthy lifestyle through health maintenance and wellness is fundamental to the Hospital's Mission. The Hospital provides additional support through the following: Blood Drives In 2014, employees and community members donated 1,299 pints of blood. Community Education Approximately 1500 individuals attended 26 free hospital-based lectures, addressing topics such as Memory Loss, Prostate Cancer, Nutrition, Stress Management, Parkinson's Disease and more. More than 375 people attended a five-week Mini-Med educational series designed to educate the community about the various functions and systems of the body. Approximately 485 individuals attended free community-based wellness lectures that were requested by various organizations. Community Training Center The Hospital is an American Heart Association Training Center. The Center provides training in Basic Life Support, PALS and ACLS to community members and to healthcare professionals requiring certifications. Center for Family Dental Medicine Developed to target communities with health disparities, the Center offers specialized diagnostic and oral care from preventive measures which range from routine care and cleanings to more complex oral and maxillofacial surgery. During 2014, the Center provided 457 free screenings to participants at various health fairs. Center for Advanced Care of Chronic Conditions Winthrop offers a free service to the community to help individuals with a number of chronic conditions navigate the healthcare system. A nurse "navigator" customizes a plan of care, coordinates treatment and follow-up care, and promotes awareness of Winthrop's various preventive and health screening programs. Health Fairs Winthrop participates in community-based health fairs and events. During 2014, Winthrop served approximately 2,000 individuals at local community fairs. Health Screenings Seventy-four individuals were screened at a free Stroke Risk Assessment. Winthrop partnered with "LI Cruzin'" car show for a prostate cancer screening during 2014 that was open to all of Long Island. The Hospital provided free PSA screenings to 537 participants. Meals on Wheels During 2014, Winthrop provided 16,425 meals for homebound community residents. Supporting Mental Health and Addressing Substance Abuse Expanded Services in the Department of Behavioral Health - During 2014, Winthrop added two new physicians to the Department of Behavioral Health: an adult psychiatrist and a child/adolescent/adult psychiatrist. Plans are to expand mental health services for the community during 2015. Referrals to Community Resources - Winthrop has a solid referral base for community members in need of assistance for both mental health and substance abuse. Support Groups During 2014 Winthrop held nearly 200 support group sessions that are free and open to the public, on topics such as pain management, cancer support, stroke, breastfeeding, epilepsy and more. Winthrop Welcome Center The Welcome Center at the Winthrop Wellness Pavilion in Garden City serves as a resource for written educational material, free lectures and wellness programs. Topics presented are based on the health condition and health information needs of the community. Also, Community residents calling the 1-866-WINTHROP number for information are directly linked to clinical departments as well as given referrals to community physicians and services as needed. Winthrop Winnebago Winthrop's Winnebago is used to bring health education information and screenings to various locations throughout the community.</ExplanationTxt>
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        <FormAndLineReferenceDesc>ADDITIONAL TARGETED HEALTH INITIATIVES</FormAndLineReferenceDesc>
        <ExplanationTxt>FALL PREVENTION PROGRAM Winthrop's robust Fall Prevention Program for seniors includes a beginner four-part fall prevention workshop, followed by exercise classes to improve balance, flexibility and strength. A total of 33 beginner workshops were conducted, with 17 at the Winthrop Welcome Center and 16 out in the community. Four hundred and four (404) attendees completed the four-week sessions. A total of 73 follow-up exercise classes were offered at the Welcome Center and 70 classes were offered out in the community. TOBACCO CESSATION The Tobacco Cessation Program is an interactive, four-session workshop offered over a four-week period; the program is free-of-charge and conducted by a registered nurse. Seven workshops were conducted at Winthrop; two workshops were conducted out in the community, with a total of 66 people attending. Approximately 8 to 12 weeks after completing the workshops, participants were contacted via e-mail and phone. Fifteen out of the 20 who reported back stopped smoking. Two are still smoking, although they have decreased the number of cigarettes smoked daily. Three are using e-cigarettes. Two support groups were held with a total of eight attendees.</ExplanationTxt>
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          <AddressLine1Txt>234 4th Avenue</AddressLine1Txt>
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          <AddressLine1Txt>285 Sills Road BUILDING 14</AddressLine1Txt>
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          <BusinessNameLine1Txt>Peter Kelt MD PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>44 South Ferry Road</AddressLine1Txt>
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          <BusinessNameLine1Txt>Pisciotto and Pisciotto Medical PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>6835 Myrtle Avenue</AddressLine1Txt>
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          <AddressLine1Txt>1097 Old Country Road</AddressLine1Txt>
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          <BusinessNameLine1Txt>Richard I Roberts MDPC</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 Northern Blvd SUITE 106</AddressLine1Txt>
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          <BusinessNameLine1Txt>Robert Mucciolo MD PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>20 Hicksville Road SUITE 3</AddressLine1Txt>
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          <AddressLine1Txt>45 Route 25A</AddressLine1Txt>
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          <BusinessNameLine1Txt>South Shore Cardiovascular Medicine PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>137 Broadway SUITE A</AddressLine1Txt>
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          <BusinessNameLine1Txt>SSH Cardiology PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>242 Merrick Road SUITE 402</AddressLine1Txt>
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          <BusinessNameLine1Txt>Suffolk CardioVascular ConsultantsPC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1920 Deer Parl Avenue SUITE 104</AddressLine1Txt>
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          <BusinessNameLine1Txt>Vincent Anzalone Physician PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>847 Broadway</AddressLine1Txt>
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          <BusinessNameLine1Txt>William J Kornrich MD PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>715 Roanoke Ave</AddressLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Cardiology Associates PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 Mineola Blvd</AddressLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Cardiovascular &amp; Thoracic Surg</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 Mineola Blvd SUITE 300</AddressLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Child Neurology Associates PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>173 Mineola Blvd SUITE 101</AddressLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Community Endocrinology Service</BusinessNameLine1Txt>
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          <AddressLine1Txt>1401 Franklin Ave</AddressLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Dental PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>700 Hicksville Road</AddressLine1Txt>
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          <BusinessNameLine1Txt>Winthrop First Care Medical Services PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>259 First Street</AddressLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Gastroenterology PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>222 Station Plaza North SUITE 428</AddressLine1Txt>
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          <BusinessNameLine1Txt>Robert Mucciolo MD PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SSH Cardiology PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Suffolk CardioVascular ConsultantsPC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Vincent Anzalone Physician PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>William J Kornrich MD PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Cardiology Associates PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Child Neurology Associates PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Community Endocrinology Serv</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Winthrop First Care Med Serv</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Hospitalist Associates PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Hyperbaric and Wound Care PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Winthrop Oncology-Hematology Associates PC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>1580842</InvolvedAmt>
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          <BusinessNameLine1Txt>Women's Contemporary Care Associates PC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>2155783</InvolvedAmt>
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        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>366272</InvolvedAmt>
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        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>528500</InvolvedAmt>
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        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>820370</InvolvedAmt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART IV, COLUMN D</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2014, there was restructuring of the arrangement between the hospital and the physician practice entities that provide the services of their physicians to the hospital. The hospital formed the Physician Administrative Alliance (PAA) in order to centralize certain management functions of the practices. The PAA is headed by the Vice President of Network Development and is assisted by two physicians, one to represent the faculty and one to represent the community acquired physicians. The PAA responsibilities are to provide management development services such as business plan development and financial decision making. As a result of this restructuring, the hospital technically acquired control of the physician practices for Form 990 reporting purposes in 2014 and the physician practices thus became related organizations of the hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>