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        <BusinessNameLine1>Saint Vincent Catholic Medical Centers</BusinessNameLine1>
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        <City>New York</City>
        <State>NY</State>
        <ZIPCode>10001</ZIPCode>
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    <Officer>
      <Name>Steven R Korf</Name>
      <Title>CEO</Title>
      <DateSigned>2013-11-12</DateSigned>
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      <StateLegalDomicile>NY</StateLegalDomicile>
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      <MediaAdvertisements>false</MediaAdvertisements>
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      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>60000</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>60000</TotalLobbyingExpendituresIIB>
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      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>Lobbying efforts were on behalf of the USHFP division.</Explanation>
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    </IRS990ScheduleC>
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        <EndOfYearBalance>51325925</EndOfYearBalance>
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      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Buildings>
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        <BookValue>542105</BookValue>
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        <Description>Investment in Insurance Co.</Description>
        <BookValue>3040000</BookValue>
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      <OtherAssets>
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        <BookValue>8945987</BookValue>
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      <TotalBookValueOtherAssets>11985987</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Due to Liquidating Trust, Med Mal Claims</Description>
        <Amount>28427586</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Donors for unused gifts</Description>
        <Amount>12442535</Amount>
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      <TotalOfAmounts>40870121</TotalOfAmounts>
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        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>For permanently restricted endowments, the principal cannot be used and is held in perpetuity. During 2011, certain gifts were identified not to be permanently restricted. Accordingly, such gifts were appropriately reclassed to unrestricted.For temporarily restricted gifts, such gifts are used in accordance with the donors specific requests. Once the criteria for the contribution has been met, amounts are released into operations.In conjunction with the closure of the Manhattan hospital location, the unused restricted assets were reclassed to "Due To Donors" and are expected to be returned (on a pro rata basis) to the appropriate donor or charity, subject to the approval of the NYS Attorney General Office.</Explanation>
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    </IRS990ScheduleD>
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      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Decreases</ReturnReference>
        <Explanation>Transfer of unused RNA to liabilites = -$23031285</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Transfer of Equity from subsidiary = $XXX-XX-XXXX</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Discharge from Chapter 11 = $XXX-XX-XXXX</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>It is available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>All employees and medical staff who are considered to be "Key Employees" because of their ability to influence substantive business decisions (e.g. Purchases, Contracts, Leases, etc.) and members of the Board of Directors are required to annually complete a conflict of interest disclosure form that is reviewed by the Compliance Officer. If there are any potential conflicts identified by key empmloyees, the Board of Directors is informed. For Board Members, a summary of all completed conflict of interest informatioin is compiled and circulated to all Board Members for their review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</ReturnReference>
        <Explanation>The Board has jurisdiction over executive compensation. At their direction, incoming executives between the 50th and 75th percentile of the Market.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>All employees and medical staff who are considered to be "key employees" because of their ability to influence substantive business decisions (e.g. Purchase, Contracts, Leases, etc.) and members of the Board of Directors are required to annually complete a complete a conflict of interest disclosure form that is reviewed by the compliance officer. If there are any potential conflicts indentified by key employees, the Board of Directors is informed. Once all potential conflict information is gathered, the Board of Directors shall make a determination whether actual conflicts exist. When a conflict is identified, corrective action shall be taken in accordance with the type and extent of conflict. In all situations, the relevant idividual shall be removed or recused from any decision making related to the potential conflict. Key employees and members of the Board of Directors are further instructed to disclose throughout the year if any new or previously unidentified conflicts arise. A summary of all completed conflict of interest information is compiled. This summary is then circulated to all Board Members for thier review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>Unable to provide a copy to each of the Board of Directors at time of filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>Yes, the Organization delegated control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Client Note 1 - Due to closure of the Manhattan Campus prior to 12-31-10, the NYSDOH did not require a certified cost report. As a result, an audit of the SVCMC's financial statements was not performed. Accordingly, no audited financial statements exist for the year ended December 31, 2010.</Explanation>
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          <AddressLine1>PO Box 1363</AddressLine1>
          <City>Grand Caymen</City>
          <ProvinceOrState>Grand Caymen</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>ky1-1108</PostalCode>
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        <PrimaryActivities>Captive Insurance Company</PrimaryActivities>
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          <BusinessNameLine1>Saint Vincent Catholic Medical Center</BusinessNameLine1>
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          <State>NY</State>
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          <City>Brooklyn</City>
          <State>NY</State>
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          <State>NY</State>
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