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        <DeferredCompRelatedOrgs>153013</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>28613</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1412749</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN S HELLER</NamePerson>
        <Title>EVP,EXECUTIVE DIRECTOR</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>490103</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>105000</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>292620</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>114359</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27137</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1029219</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, Part I &amp; Part II</Identifier>
        <Explanation>PART I, LINE 1: THE PRESIDENT, TRAVELING FREQUENTLY FOR COMPANY BUSINESS, IS PERMITTED TO USE COMMERCIAL FIRST CLASS TRAVEL (I.E. SEATS IN THE FIRST CLASS CABIN OR A TRAIN OR AIRPLANE) AND DOES SO ON OCCASION. ALL SUCH TRAVEL IS CONSIDERED A BUSINESS EXPENSE AND THEREFORE NOT REPORTED ON FORM W-2. THESE EXPENSES ARE PAID BY THE PRESIDENT'S BUSINESS CREDIT CARD. PART I, LINE 3: GREATER NEW YORK HOSPITAL ASSOCIATION, INC. USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS OF THE ORGANIZATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PAYMENT OF COMPENSATION ON SCHEDULE J PAYMENT OF OFFICER'S COMPENSATION AND BENEFITS REPORTED ON SCHEDULE J, PART II IS PAID BY A RELATED ORGANIZATION, GNYHA MANAGEMENT CORPORATION. PART II: THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) IS A 501(C)(6) ORGANIZATION THAT PROVIDES ADVOCACY SERVICES FOR ITS MEMBER HOSPITALS TO ASSIST THEM IN IMPROVING ACCESS TO AND QUALITY AND COST OF HEALTH CARE. THESE SERVICES INCLUDE ADVOCACY SERVICES AT THE NATIONAL LEVEL FOR ITS NEW YORK, NEW JERSEY, CONNECTICUT, AND RHODE ISLAND HOSPITAL MEMBERS AND ADVOCACY SERVICES AT THE STATE LEVEL FOR ITS NEW YORK HOSPITAL MEMBERS. GNYHA'S RELATED ENTITIES INCLUDE EIGHT FOR-PROFIT COMPANIES THAT PROVIDE GROUP PURCHASING, SUPPLY CHAIN CONSULTING, AND OTHER SERVICES TO A WIDE ARRAY OF CUSTOMERS, INCLUDING ACUTE AND NON-ACUTE CARE HEALTH CARE PROVIDERS FOR THE PURPOSES OF HELPING THEM ACHIEVE THEIR MISSIONS. THESE COMPANIES FOCUS PRIMARILY ON HELPING HEALTH CARE ORGANIZATIONS REDUCE THEIR COSTS AND OPERATE MORE EFFICIENTLY. GNYHA'S RELATED ENTITIES ALSO INCLUDE A 501(C)(3) FOUNDATION, WHICH FILES A SEPARATE FORM 990. PART II, COLUMN B (II): KENNETH E. RASKE AND LEE PERLMAN PARTICIPATE IN THE ANNUAL BONUS AND THREE-YEAR CYCLE LONG-TERM INCENTIVE COMPENSATION PLANS FOR GNYHA MANAGEMENT CORPORATION AND SUBSIDIARIES - GNYHA'S FOR-PROFIT ENTITIES. A PARTIAL PAYOUT OF THE LONG-TERM INCENTIVE COMPENSATION PLAN WAS MADE IN 2012. OF THE $1,882,797 REPORTED FOR KENNETH E. RASKE IN 2012, $1,147,015 REPRESENTS ANNUAL BONUS AND $735,782 REPRESENTS LONG-TERM INCENTIVE COMPENSATION PAYMENT. OF THE $1,618,646 REPORTED FOR LEE PERLMAN IN 2012, $778,483 REPRESENTS ANNUAL BONUS AND $840,163 REPRESENTS LONG-TERM INCENTIVE COMPENSATION PAYMENT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART II, COLUMN B(III)</Identifier>
        <Explanation>KENNETH E. RASKE AND LEE PERLMAN WERE EACH GRANTED SHARES OF COMMON STOCK IN HAPPTIQUE, INC. ON DECEMBER 19, 2012 AS NONFIXED PAYMENTS. THE SHARES OF STOCK WERE REPORTED AS TAXABLE COMPENSATION ON SCHEDULE J, PART II, COLUMN B(III).</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>GNYHA MANAGEMENT CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BUSINESS RELATIONSHIP</Relationship>
        <AmountOfTransaction>3476365</AmountOfTransaction>
        <DescriptionOfTransaction>MANAGEMENT SERVICES</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Schedule L, Part IV</Identifier>
        <Explanation>The goal of Greater New York Hospital Association (GNYHA) is to act as the principal advocate for its members in improving the access to, as well as the quality and cost of, healthcare and to foster an appropriate environment for the management of healthcare resources. GNYHA's for-profit subsidiary, GNYHA Management Corporation (Management Corporation) assists GNYHA in accomplishing its goals by providing GNYHA with a variety of management services, including administrative services, staffing, policy development, education, and research, in exchange for a management free. Some of the directors and officers of GNYHA also serve as directors and officers of Management Corporation.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Organization's Mission</Identifier>
        <ReturnReference>Form 990, Part III, Line 1</ReturnReference>
        <Explanation>GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) IS AN ADVOCACY ORGANIZATION COMPRISING NEARLY 150 HOSPITALS, BOTH VOLUNTARY AND PUBLIC, IN THE NEW YORK METROPOLITAN AREA AND THROUGHOUT NEW YORK STATE, NEW JERSEY, CONNECTICUT, AND RHODE ISLAND.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, GOVERNING BODY AND MANAGEMENT</Identifier>
        <Explanation>Question 3. The organization has a management agreement with GNYHA Management Corporation, a related entity that is a wholly owned subsidiary of the organization, pursuant to which GNYHA Management Corporation assists the organization in providing services. Question 7a The tax-exempt organization has five categories of members. 1. Institutional members include not-for-profit institutions and tax-supported institutions that are accredited by the joint commission or an equivalent organization. Institutional members are entitled to vote and elect certain members of the governing board (the "Board"). 2. Allied members consist of allied organizations the activities of which, in the judgment of the Board, involve a relationship with the tax-exempt organization meriting membership. Allied members are not entitled to vote but are entitled to have a non-voting representative attend meetings of the Board. 3. Associate members are limited to Veterans Affairs institutions and other similar organizations. Associate members are not entitled to vote or to have representation on the Board. 4. Affiliate members include providers of acute care or long term care that are for profit corporations and affiliated with an institutional member. Affiliated members are not entitled to vote or to have representation on the Board. 5. Honorary members include persons who have rendered exceptional service or have contributed substantially to the welfare of the tax-exempt organization or health field. Honorary members are not entitled to vote. Question 7b The members of GNYHA must approve any amendment to the Bylaws, the election of all members of the Board, and any other action requiring members' approval as a matter of law.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, Policies</Identifier>
        <Explanation>Question 11 The return was prepared by the organization's finance department and an independent accounting firm. The form 990 was provided to all members of the governing body by electronic means prior to being filed. Additionally, the organization's audit and compliance committee, which comprises 4 members of the board of governors, reviewed the information at a committee meeting. Question 12c The organization administers an annual conflict of interest disclosure statement to executive employees, officers and directors of the organization. The compliance officer is responsible for reviewing and monitoring any potential conflicts and reports to the audit and compliance committee on conflicts of interest matters. The audit and compliance committee has oversight responsibility regarding conflicts of interest matters. It meets regularly throughout the year to review ongoing administration and implementation of the conflict of interest policy. Question 14 The Board of Governors adopted a written document record retention and destruction policy in 2009. Question 15 The Compensation Committee of the organization (composed of independent persons) reviews and approves the compensation of the organization's President and other top management. Additionally, the organization engages an outside consultant to provide comparable data and other information to the Compensation Committee in connection with the determination of and adjustment to compensation of such personnel. The decision process of the committeE is documented. Those individuals are directly employed by GNYHA Management Corporation, a related entity of the organization, which is a for profit entity that provides staffing and other services to the organization. The organization reimburses GNYHA Management Corporation for compensation related to the organization through a Management Fee that is paid by the organization to GNYHA Management Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION C, DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C</ReturnReference>
        <Explanation>Question 19 All governing documents, the conflict of interest policy, the record retention and destruction policy and the financial statements are stored in the main office. The organization will provide copies upon request in a timely manner.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XII, LINE 2B, ORGANIZATION'S FINANCIAL STATEMENTS</Identifier>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED AS PART OF A CONSOLIDATED AUDITED FINANCIAL STATEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XII, Line 2C, Financial Statements and Reporting</Identifier>
        <Explanation>The organization has an audit and compliance committee that has responsibility for oversight of the audit, review and compilation of its financial statements and selection of an independent accountant.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Greater New York Hospital Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 West 57th Street Suite 1500</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>132954140</EIN>
        <PrimaryActivities>Health Care</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GNYHA ALTERNATE CARE PURCHASING CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 West 57th Street</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>133725902</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA Ventures</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>17876924</ShareOfTotalIncome>
        <ShareOfEOYAssets>11334848</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GNYHA MANAGEMENT CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 West 57th Street</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>133636375</EIN>
        <PrimaryActivity>Adminstration</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>9389270</ShareOfTotalIncome>
        <ShareOfEOYAssets>50402747</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GNYHA SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 West 57th Street</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>132955551</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA Ventures</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>43771548</ShareOfTotalIncome>
        <ShareOfEOYAssets>21435539</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GNYHA VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 West 57th Street</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>133465616</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA Mgnt Corp</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>-365615</ShareOfTotalIncome>
        <ShareOfEOYAssets>90830</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GNYHA STREAMING PRODUCTIONS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 West 57th Street</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>061626132</EIN>
        <PrimaryActivity>Media Technology</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA Ventures</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>121067</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NEXERA INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 West 57th Street</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>133465618</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA Ventures</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>21655311</ShareOfTotalIncome>
        <ShareOfEOYAssets>4163459</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAPPTIQUE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 West 57th Street</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>273915406</EIN>
        <PrimaryActivity>Media Technology</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA Ventures</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>102</ShareOfTotalIncome>
        <ShareOfEOYAssets>166547</ShareOfEOYAssets>
        <PercentageOwnership>0.91000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ESSENSA INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>555 WEST 57TH STREET</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10019</ZIPCode>
        </AddressUS>
        <EIN>461266318</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GNYHA VENTURES</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>856796</ShareOfTotalIncome>
        <ShareOfEOYAssets>821541</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GNYHA Management Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>52080</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GNYHA Management Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>3476365</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GNYHA Management Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>500844</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>SCHEDULE R, PART IV</Identifier>
        <Explanation>Sch R part VII Supplemental Information The related organizations total gross receipt is comprised of the following: GNYHA Alternate Care Purchasing Corp $33,440,077* GNYHA Management Corp 9,389,270 GNYHA Services, Inc. 43,771,548 GNYHA Ventures, Inc. (365,615) Nexera, Inc. 21,655,311 Happtique, Inc. 102 Essensa, Inc. 856,796 ----------- Total Gross Receipts $108,747,489 *The above amount includes our ownership percentage of gross income from investments whereas Schedule R section(f) includes net income from investments in partnerships.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>