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        <NamePerson>LAURENCE J BERGER</NamePerson>
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        <NamePerson>MICHAEL TRETOLA FACHE</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>WILLIAM P WISSEMANN ESQ</NamePerson>
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        <NamePerson>KEVIN J WARD CPA</NamePerson>
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        <NamePerson>LINDA PROCHASKA CPA</NamePerson>
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        <NamePerson>DANIEL RUSSOMD</NamePerson>
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        <NamePerson>AUNG ZE YA</NamePerson>
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        <NamePerson>KAREN DIKEMAN</NamePerson>
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        <NamePerson>NATASHA ELIE-LOUISSAINT LNHA</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>DENISE LAWSON</NamePerson>
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        <NamePerson>LORETTA MCMANUS</NamePerson>
        <BaseCompensationFilingOrg>200000</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>STEPHEN S MILLS- 457 F PLAN - 45,000</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>SILVERCREST CENTER FOR NURSING AND REHABILITATION (THE "ORGANIZATION") IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. ("SYSTEM INC."). SYSTEM INC. IS A TAX-EXEMPT ORGANIZATION WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN FOUNDATION, INC., WHICH IS ALSO A TAX-EXEMPT ORGANIZATION. THE MEMBERS OF THE ORGANIZATION ELECT THE ORGANIZATION'S BOARD OF TRUSTEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>SILVERCREST CENTER FOR NURSING AND REHABILITATION (THE "ORGANIZATION") IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC, WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN FOUNDATION, INC. THE ORGANIZATION'S MEMBERS ELECT THE ORGANIZATION'S BOARD OF TRUSTEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>(A) THE MEMBERS SHALL HAVE THE SOLE AUTHORITY TO ESTABLISH FROM TIME TO TIME THE NUMBER OF TRUSTEES TO BE ELECTED AT LARGE, TO ELECT TRUSTEES TO BE ELECTED AT LARGE AND TO REMOVE TRUSTEES, INCLUDING TRUSTEES SERVING BY REASON OF THEIR OFFICE, WITH OR WITHOUT CAUSE. (B) THE APPROVAL OF THE MEMBERS SHALL BE REQUIRED FOR (1) THE ELECTION OR THE REMOVAL BY THE BOARD OF THE CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER AND CHIEF INFORMATION OFFICER, IF ANY, OR ANY OTHER CORPORATE OFFICER WHOSE POWERS AND DUTIES INCLUDE THOSE WHICH USUALLY APPERTAIN TO SUCH OFFICES, (2) THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION OR BY-LAWS OF THE CORPORATION, (3) THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, (4) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY OR (5) THE DISSOLUTION OF THE CORPORATION. EXCEPT AS MAY BE LIMITED BY APPLICABLE LAW GOVERNING HEALTH CARE INSTITUTIONS, THE MEMBERS SHALL HAVE SUCH OTHER POWERS AND AUTHORITY AS ARE AFFORDED TO THE MEMBERS UNDER THE CORPORATION'S CERTIFICATE OF INCORPORATION OR GENERALLY TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF NEW YORK.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>A DRAFT OF THE FORM 990 WAS PRESENTED TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD AT A MEETING HELD DURING THE MONTH OF OCTOBER OF 2012. EACH MEMBER REVIEWED IT AND WHEN SATISFIED, THE FORM 990 WAS APPROVED BY AUDIT MEMBERS AND RECORDED IN THE BOARD MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>EACH BOARD MEMBER, AND ANY OFFICER OR KEY PERSON PRESENTING A PROPOSED TRANSACTION OR OTHER MATTER TO A BOARD, SHALL DISCLOSE PROMPTLY AND IN GOOD FAITH TO THE BOARD SUCH INDIVIDUAL'S INTEREST IN A PROPOSED TRANSACTION OR OTHER MATTER TO BE CONSIDERED BY THE BOARD. THE INDIVIDUAL MAY NOT PARTICIPATE IN THE DELIBERATIONS OF THE BOARD OR USE PERSONAL INFLUENCE IN ITS MATTERS. FOLLOWING ANY SUCH DISCLOSURE, AND AFTER SUCH DUE DILIGENCE AND SUCH DEVELOPMENT AND CONSIDERATION OF OTHER ALTERNATIVES, IF ANY, AS THE BOARD SHALL DEEM APPROPRIATE, THE BOARD MAY, IN ITS DISCRETION, AUTHORIZE OR APPROVE THE PROPOSED TRANSACTION OR OTHER MATTER AS AT LEAST AS FAIR AND REASONABLE TO THE SILVERCREST ORGANIZATION AS WOULD OTHERWISE BE OBTAINABLE BY THE SILVERCREST ORGANIZATION. SUCH ACTIONS SHALL BE BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH INTERESTED PERSON OR PERSONS AND SUCH PERSON OR PERSONS MAY NOT PARTICIPATE IN DETERMINING THE PRESENCE OF A QUORUM AT THE MEETING. NO EMPLOYEE, MEMBER OF THE MEDICAL STAFF OR ANY OTHER PERSON RECEIVING COMPENSATION DIRECTLY OR INDIRECTLY FROM A SILVERCREST ORGANIZATION SHALL SERVE AS A MEMBER OF A BOARD COMMITTEE RESPONSIBLE FOR AUDIT AND CORPORATE COMPLIANCE OR EXECUTIVE COMPENSATION MATTERS. UPON REASONABLE BELIEF THAT A BOARD MEMBER, OFFICER OR KEY PERSON FAILED TO COMPLY WITH THE POLICIES AND DIRECTIVES SET FORTH IN THIS POLICY STATEMENT, THE BOARD OF THE SILVERCREST ORGANIZATION OR AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF SILVERCREST SHALL INFORM THE INDIVIDUAL OF THE BASIS OF THE BELIEF AND PROVIDE AN OPPORTUNITY TO EXPLAIN THE NONCOMPLIANCE. IF AFTER HEARING THE RESPONSE FROM THE INDIVIDUAL AND MAKING FURTHER APPROPRIATE INVESTIGATIONS, THE BOARD OR AUDIT AND CORPORATE COMPLIANCE COMMITTEE DETERMINES THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO COMPLY WITH SUCH POLICIES AND DIRECTIVES, IT SHALL TAKE OR RECOMMEND APPROPRIATE CORRECTIVE ACTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>EXECUTIVE COMPENSATION AND KEY EMPLOYEE COMPENSATION WAS REVIEWED BY THE COMPENSATION COMMITTEE IN 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THESE DOCUMENTS ARE AVAILABLE FOR THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ALLOCATION OF TIME WORKED FROM RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>AVERAGE HOURS PER WEEK FROM RELATED ORGANIZATIONS STEPHEN S. MILLIS - 50 HOURS KATHLEEN M. BURKE - 59 HOURS LAURENCE J. BERGER - 59 HOURS KEVIN J. WARD - 57 HOURS WILLIAM P. WISSEMAN - 58 HOURS LINDA PROCHASKA - 1.5 HOURS MICHAEL TRETOLA - 10 HOURS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VII,SECTION A</Identifier>
        <Explanation>FOR PURPOSES OF REPORTING SALARY ALLOCATIONS ON PART VII SCH A. BETWEEN THE ORGANIZATION(COL D) AND RELATED ORGANIZATIONS(COL E) THE FOLLOWING FORMULA WAS USED: THE RATIO OF HOURS DEDICATED TO THE ORGANIZATION TO TOTAL HOURS WORKED BY THE INDIVIDUAL ACROSS ALL ORGANIZATIONS APPLIED TO TOTAL COMPENSATION PAID BY ALL ORGANIZATIONS. THIS METHOD IS APPLIED CONSISTENTLY FOR ALL INDIVIDUALS WHO DEDICATED MORE THAN ONE HOUR WEEKLY TO THE ORGANIZATION REGARDLESS OF WHAT ORGANIZATION THEY RECEIVED DIRECT W2 COMPENSATION FROM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -89,903. LOSS ON SWAP AGREEMENT -959,024. TOTAL TO FORM 990, PART XI, LINE 5: -1,048,927.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990 PART XII LINE 2C</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXECUTIVE NOTE FOR SYSTEM HOSPITALS</Identifier>
        <ReturnReference>SCHEDULE J PART II</ReturnReference>
        <Explanation>CERTAIN OFFICERS AND KEY EMPLOYEES OF THE NEW YORK AND PRESBYTERIAN HOSPITAL THAT ARE IDENTIFIED IN PART VII AS OFFICERS OR TRUSTEES OF THE SILVERCREST CENTER FOR NURSING AND REHABILITATION ARE RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE NEW YORK AND PRESBYTERIAN HOSPITAL (NYP) AND ITS AFFILIATED ENTITIES. COMPENSATION FOR 2011 OF THESE UPPER LEVEL EXECUTIVES INCLUDES THE PAYOUT OF AN ANNUAL INCENTIVE PLAN AND A LONG-TERM INCENTIVE PLAN. THIS PERFORMANCE-ORIENTED PROGRAM CONDITIONS PAYMENTS UPON THE ACHIEVEMENT OF MULTIPLE INDIVIDUAL AND GROUP PERFORMANCE MEASURES. MEASURES TO MONITOR PERFORMANCE INCLUDE: OPERATIONAL AND FINANCIAL STRENGTH, PATIENT QUALITY AND SAFETY, PATIENT SATISFACTION, ADVANCEMENT OF PATIENT CARE, AND PEOPLE DEVELOPMENT AND PARTNERSHIP. INCENTIVE AWARDS MAY ONLY BE GRANTED IF THE ORGANIZATION ACHIEVES A FINANCIAL SURPLUS. EVEN IF ALL RELEVANT PERFORMANCE MEASUREMENTS ARE ACHIEVED, THE NYP BOARD OF TRUSTEES RETAINS FULL DISCRETION TO MAKE OR NOT MAKE ANY INCENTIVE AWARDS, OR TO REDUCE THE AMOUNT OF ANY INCENTIVE AWARD. THIS INITIATIVE IS CRITICAL TO ASSURING THAT NYP HAS THE REQUISITE LEADERSHIP TO CREATE AND MANAGE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE, TO DRIVE SUPERIOR PERFORMANCE THROUGHOUT THE ORGANIZATION AND TO ACHIEVE TOP TIER MEDICAL CENTER STATUS. AS A SEPARATE MATTER, DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, UPPER LEVEL EXECUTIVES ARE LIMITED IN THE AMOUNT OF BENEFITS RECEIVED UNDER A TAX-QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, NYP SUPPLEMENTS THESE EXECUTIVES' PENSION BENEFITS THROUGH A SUPPLEMENTAL ("NONQUALIFIED") RETIREMENT PLAN. THE SUPPLEMENTAL RETIREMENT PLAN (SERP) IS SUBJECT TO A MULTI-YEAR VESTING REQUIREMENT WHICH PLACES AN EXECUTIVE'S SUPPLEMENTAL RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED, HOWEVER, PROVISIONS OF THE INTERNAL REVENUE CODE REQUIRE THAT THE VESTED EXECUTIVE INCLUDE IN CURRENT INCOME THE VALUE OF HIS OR HER VESTED SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE LEGAL REQUIREMENT TO RECOGNIZE THE VESTED VALUE OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME, THE SUPPLEMENTAL RETIREMENT BENEFIT WILL NOT BE DISTRIBUTED TO THE EXECUTIVE UNTIL THE EXECUTIVE ACTUALLY RETIRES FROM NYP (ALTHOUGH, AS PERMITTED BY THE INTERNAL REVENUE CODE, THE SUPPLEMENTAL RETIREMENT PLAN WILL EFFECT A DISTRIBUTION OF AN AMOUNT NECESSARY TO SATISFY THE EXECUTIVE'S TAX LIABILITY RESULTING FROM THE INCOME RECOGNITION UPON VESTING). AS NOTED, THIS SUPPLEMENTAL RETIREMENT BENEFIT WILL NOT BE DISTRIBUTED TO THE EXECUTIVE UNTIL THE EXECUTIVE ACTUALLY RETIRES FROM NYP. THERE ARE CONSTANTLY CHANGING LEGAL, TAX, ACCOUNTING, AND PUBLIC DISCLOSURE RULES FOR A SERP (SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN) IN NOT-FOR-PROFIT ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONTINUOUSLY MONITORS THESE CHANGES AND INCORPORATES ANY CHANGES INTO THE OVERALL SERP PLAN DESIGN. IN 2010, THE PLAN WAS REDESIGNED IN ANTICIPATION OF CHANGES IN DEFERRED COMPENSATION RULES IN THE NOT-FOR-PROFIT ENVIRONMENT AND TO MAKE THE VALUE OF THE BENEFIT EASIER TO UNDERSTAND FOR PARTICIPANTS. THE REDESIGNED PLAN MAINTAINS THE TARGET LEVEL OF SERP BENEFITS AND MODIFIES THE VESTING SCHEDULES TO COMMENCE AFTER FIVE YEARS OF PARTICIPATION IN THE SERP, IN PRORATED AMOUNTS THROUGH AGE 65. CONSEQUENTLY, FOR CERTAIN INDIVIDUALS, THERE IS AN INCREASE IN THE AMOUNT REFLECTED IN THE SERP COMPENSATION DUE TO THE CHANGE IN THE VESTING AND AMORTIZATION PERIODS. AS NOTED, THIS SUPPLEMENTAL RETIREMENT BENEFIT WILL NOT BE DISTRIBUTED TO THE EXECUTIVE UNTIL THE EXECUTIVE ACTUALLY RETIRES FROM NYP. AS IN PAST YEARS, THE EXECUTIVE COMPENSATION COMMITTEE OF NYP REQUIRES A THIRD PARTY COMPLETE A REVIEW OF THE ORGANIZATION'S COMPENSATION PROGRAM TO ENSURE ITS EFFECTIVENESS IN TERMS OF GOVERNMENT REGULATIONS, MARKET CONDITIONS AND THE NEED TO CONTINUALLY ELEVATE ORGANIZATIONAL PERFORMANCE. THE REPORT ALSO SERVES TO MEET THE REGULATORY OBLIGATIONS TO ENSURE THAT ALL ELEMENTS OF THE EXECUTIVE COMPENSATION PROGRAMS ARE REASONABLE. THE INDIVIDUALS LISTED IN PART VII THAT ARE COMPENSATED BY NEW YORK PRESBYTERIAN HOSPITAL DEVOTE AN AVERAGE OF SIXTY HOURS PER WEEK TO PERFORM THEIR RESPONSIBILITIES FOR THE NEW YORK AND PRESBYTERIAN HOSPITAL AND OTHER RELATED ORGANIZATIONS IN THE AGGREGATE. THE INDIVIDUALS LISTED IN PART VII THAT ARE COMPENSATED BY NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS DEVOTE AN AVERAGE OF SIXTY HOURS PER WEEK TO PERFORM THEIR RESPONSIBILITIES FOR THE NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS AND OTHER RELATED ORGANIZATIONS IN THE AGGREGATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MISSION STATEMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>SILVERCREST CENTER FOR NURSING AND REHABILITATION LOCATED IN QUEENS, NEW YORK HAS CHOSE OUR MISSION TO PROVIDE A CONTINUUM OF CARE THROUGH DIVERSE PROGRAMS THAT PROVIDE QUALITY HEALTH CARE AND PROMOTE INDEPENDENCE AND DIGNITY FOR ALL, IN AN ENVIRONMENT WHERE LEADERSHIP IS BY EXAMPLE, KNOWLEDGE IS SHARED, CREATIVITY IS SOUGHT AFTER AND CONTINUED EDUCATION IS PROMOTED. SIMPLY PUT, "GIVING QUALITY TO LIFE". SILVERCREST HAS HARNESSED THE RESOURCE AND CREATED THE SPIRIT AND ENVIRONMENT THAT IS NEEDED TO EXCEL IN LONG-TERM CARE, SUB-ACUTE REHABILITATION AND VENTILATOR PATIENTS. IT IS, IN FACT, THE SYNERGY THAT HAS DEVELOPED BETWEEN OUR THREE PATIENT CARE SYSTEMS THAT ALLOWS US TO DELIVER A LEVEL OF QUALITY FOR EACH THAT WOULD BE HARD TO ACHIEVE FOR INDIVIDUAL SERVICES EXISTING ON THEIR OWN. JUST AS OUR LONG TERM CARE RESIDENTS BENEFIT FROM THE PRESENCE OF A VIBRANT, ON-SITE SUB-ACUTE REHABILITATION PROGRAM, AND FROM THE SOPHISTICATED MEDICAL RESOURCES NEEDED TO RUN OUR AWARD-WINNING VENTILATOR AND RESPIRATORY CARE UNIT, SO THE LIVES OF OUR VENTILATOR PATIENTS ARE ENRICHED BY THE RECREATIONAL AND PASTORAL RESOURCES OF OUR LONG TERM CARE PROGRAM. PLEASE VISIT THE WEBSITE FOR A VIRTUAL TOUR AT WWW.SILVERCREST.ORG.</Explanation>
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          <BusinessNameLine1>NETWORK RECOVERY SERVICES INC</BusinessNameLine1>
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          <AddressLine1>506 SIXTH STREET</AddressLine1>
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          <BusinessNameLine1>PARK SLOPE PATHOLOGY SERVICES PC</BusinessNameLine1>
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          <AddressLine1>506 SIXTH STREET</AddressLine1>
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          <BusinessNameLine1>PARK SLOPE PEDIATRIC MEDICINE PC</BusinessNameLine1>
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          <AddressLine1>506 SIXTH STREET</AddressLine1>
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          <BusinessNameLine1>PARK SLOPE PHYSICIAN SERVICES PC</BusinessNameLine1>
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          <AddressLine1>506 SIXTH STREET</AddressLine1>
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          <BusinessNameLine1>ASHLAND PLACE HOUSES INC</BusinessNameLine1>
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          <BusinessNameLine1>TBHC MEDICAL SERVICES PC</BusinessNameLine1>
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          <AddressLine1>121 DEKALB AVENUE</AddressLine1>
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          <BusinessNameLine1>TBHC EMERGENCY MEDICINE PC</BusinessNameLine1>
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          <City>BROOKLYN</City>
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          <AddressLine1>121 DEKALB AVENUE</AddressLine1>
          <City>BROOKLYN</City>
          <State>NY</State>
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          <AddressLine1>121 DEKALB AVENUE</AddressLine1>
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          <AddressLine1>121 DEKALB AVENUE</AddressLine1>
          <City>BROOKLYN</City>
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        <TypeOfEntity>C</TypeOfEntity>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
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      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
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      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>NEW YORK PRESBYTERIAN</BusinessNameLine1>
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        <TransactionType>O</TransactionType>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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  </ReturnData>
</Return>