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        <Identifier>Lobbying Activities</Identifier>
        <ReturnReference>Form 990, SCH C, Part II-B, Line G and H</ReturnReference>
        <Explanation>St. Francis Hospital does not undertake any direct lobbying activities. The Hospital does pay a consulting firm to lobby on its behalf on issues related to healthcare. In 2010, the hospital paid this consultant $63,777 in fees. The Hospital is also a member in several area hospital associations to which it pays annual dues/membership dues. These hospital associations may undertake lobbying activities on behalf of their hospital members. Annually, the association will inform its members what portion of its dues are related to lobbying activities. In 2010, the portion of St. Francis Hospital's dues allocated to lobbying expenditures was as follows: Normet - $4,544 HANYS - $29,746</Explanation>
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        <BookValue>1110362</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>77708015</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>105732</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>1889666</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>2780248</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>EST. THIRD-PARTY PAYOR REC.</Description>
        <BookValue>1360058</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ST. FRANCIS FOUNDATION</Description>
        <BookValue>12075300</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM PRESCHOOL</Description>
        <BookValue>2884208</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS HELD FOR SALE (BEACON</Description>
        <BookValue>2498989</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>23594201</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>THIRD PARTY PAYOR LIABILITIES</Description>
        <Amount>3311126</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>3377706</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LIABILITIES HELD FOR SALE</Description>
        <Amount>2553599</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>NON CONTROLLING INTEREST</Description>
        <Amount>93076</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED RETIREMENT BENEFITS</Description>
        <Amount>1804787</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>11140294</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, SUPPLEMENTAL INFORMATION</ReturnReference>
        <Explanation>Hastings Health Systems, Inc. and Subsidiaries follow the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. The system does not believe its consolidated financial statement include any material uncertain positions.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>endowments</Identifier>
        <ReturnReference>Form 990, SCH D, Part V</ReturnReference>
        <Explanation>Endowment funds are established at the time of the contribution, and are restricted as to their purpose or time as is stipulated by the donor's request. These assets generally consist of investments to be held in perpetuity, the income from which may be restricted for specific Hospital activities including nursing scholarships, support of the Homecare program, financial assistance for patients, quality improvement, renovations, and general benefit of the Hospital according to donor stipulations.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>3357909</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>3357909</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02320</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>14456036</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13677467</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>778569</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00540</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>17813945</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13677467</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4136478</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02860</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>17813945</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13677467</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4136478</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02860</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>108180</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>108180</NetCommunityBuildingExpense>
      </CommunitySupport>
      <Total>
        <TotalCommunityBuildingExpense>108180</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>108180</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2766940</BadDebtExpenseAmount>
      <AmountAttributableTo>2064080</AmountAttributableTo>
      <AmountReimbursedByMedicare>48809812</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>45176463</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>3633349</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed />
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>St Francis Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>241 North Road</AddressLine1>
          <City>Poughkeepsie</City>
          <State>NY</State>
          <ZIPCode>12601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Er24Hours>X</Er24Hours>
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        <HospitalFacilityName>
          <BusinessNameLine1>St Francis Hospital</BusinessNameLine1>
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      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part I, Line 6a</Identifier>
        <Explanation>St. Francis Hospital does not currently prepare an annual community benefit report. Given the requirements of the new Form 990 and the increased focus on hospital's in the non-profit sector, the Hospital is contemplating creating a comprehensive community benefit report that details the wide variety of community services the Hospital provides. Even though the Hospital does not currently prepare a community benefit report, it does frequently communicate with members of the community via its St. Francis magazine. This publication provides up-to-date information on the Hospital's activities, including discussions on new facilities that open, the operations of its Foundation, a calendar of special events, a recognition of major donors, a recitation of the services provided by the Preschool and the Home Care Agency, and frequent updates as to board and/or officer changes. The Hospital will be undertaking the community needs assessment as required by Section 501(r) of the Internal Revenue Code. The Hospital has proactively addressed the new IRS requirements and has included its 2010-2013 community Service Plan in Part VI (in response to question #2). Schedule H, Part II The Hospital undertakes a number of community building activities during the course of the year that are not quantifiable in terms of revenue and expenses and do not easily fit within the parameters of the community building activities table of Schedule H. Nevertheless, to the extent that Hospital employees undertake community activities, the Hospital has asked those individuals to track their hours so that the Hospital can quanity the expense of such activities on the Schedule H. To that end, the Hospital is reporting $108,180 in community building expense on Part II. The Hospital does not generate any revenue from these activities. In 2010, the Hospital undertook the following community building activities: 1. Continuing education and health awareness programs 2. Nursing Education programs for community nurses 3. Educational programs for emergency medical staff 4. Diabetes Programs 5. Blood Collection programs in conjunction with American Red Cross 6. Student training for laboratory programs 7. Health screenings for uninsured individuals 8. United Way Campaigns 9. Homecare Demonstrations 10. Women's Health Fairs 11. Breast Screenings Schedule H, Part III, Line 4 The Hospital's financial statements do not contain a footnote describing the organization's bad debt expense. The Hospital ancticipates incorporating a bad debt footnote into its financial statements next year for the year ending December 31, 2011. The Hospital's bad debt is calculated as follows: As part of the monthly process to review the net realizable value of the accounts receivable balance, management calculates the adjustment needed to fund the allowance for doubtful accounts reserve. This is recorded as bad debt expense. This calculation uses historical collection and adjustment percentages on existing patient accounts, and applies these percentages to the current accounts receivable balance. As accounts are transferred to bad debt throughout the year, the account balances are written off against the allowance for doubtful accounts. To calculate the cost basis of the bad debt expense, management applied the ratio of cost to charges from the Medicare cost report to the gross bad debt amount. Schedule H, Part III, Line 8 St. Francis Hospital utilizes Cost Report Worksheets, D-series to determine the amounts reported on Part III, Section B, Line 6 of Schedule H. Schedule H, Part III, Line 9b The Hospital has a written debt collection policy. Although the policy does not contain a specific provision on collection practices to be applied to patients who qualify for charity care, the policy does specifically note that Medicaid recipients are exempt from any collection practices. The Collection Policy does include provisions outlining the steps to be undertaken by those who submit an application for financial aid. All Applications for financial aid must be completed and processed by staff within 110 days of service. No collections notices will be sent while the application is pending. If the application is granted, the hospital will not undertake any collections activities on that patient. If the application is not completed, or is denied for any reason, the customary collections processes will take place. Schedule H, Part VI, Question 2 - Needs Assessment Even though the Community Health Needs Assessment requirements applicable to hospitals is not required to be reported in the current year - the Hospital is opting to include is 2010-2013 Community Service Plan as an attachment to its Form 990.</Explanation>
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    </IRS990ScheduleH>
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      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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        <NamePerson>ROBERT L SAVAGE</NamePerson>
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        <NamePerson>JAMES FESTA MD</NamePerson>
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        <NamePerson>HELEN E RINAUDO</NamePerson>
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        <NamePerson>CYNTHIA LESLIE MD</NamePerson>
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        <NamePerson>ZUBAIR ZOHA MD</NamePerson>
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      </Form990ScheduleJPartII>
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        <NamePerson>STEVEN RITTER MD</NamePerson>
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        <NamePerson>ZUBAIR KHAN MD</NamePerson>
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        <NamePerson>Maqbool Murtuza</NamePerson>
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        <NamePerson>ROBERT LANE</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 4a</Identifier>
        <Explanation>Suzanne McLaughlin, Vice President of Nursing, received a severance payment of $164,110 in calendar year 2010. This amount is reported in Schedule J, Part II, column (b)(iii). Ms. McLaughlin also received a split-dollar life insurance payout of $130,781 in 2010. Connie Defreest, Vice-President, Product Line, received a severance payment of $4,209 in calendar year 2010. Ms. Defreest is not required to be reported on the current year Form 990 as the Hospital did not pay her in excess of $100,000 in compensation in calendar year 2010.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 4b</Identifier>
        <Explanation>The president and CEO, Robert Savage and Chief Financial Officer, Will De La Pena, participate in a nonqualified deferred compensation plan - a 457F Plan. In 2010, Mr. Savage received $172,596 and Mr. De La Pena received a $94,453 distribution from their 457F plan. In addition, Mr. De La Pena received a $6,985 contribution into his Section 457 plan.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 7</Identifier>
        <Explanation>In 2010, the President &amp; CEO, Robert Savage and the Chief financial officer, Will de La pena recieved a bonus. Mr. Savage and Mr. De la pena received an annual retention bonus of $30,000 and $15,000, respectively. This bonus is not tied to revenues or to the performance of the Hospital. The bonuses offered to Mr. Savage and Mr. De La Pena were approved in 2010, but were not actually paid out until 2011. Accordingly, these amounts are reflected as deferred compensation on Schedule J.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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          <BusinessNameLine1>dutchess county industrial development agency</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>141613685</IssuerEIN>
        <CUSIPNumber>267041ff3</CUSIPNumber>
        <DateIssued>2004-03-31</DateIssued>
        <IssuePrice>28035000</IssuePrice>
        <DescriptionOfPurpose>REFUNDING Existing BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>dutchess county industrial development agency</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>141613685</IssuerEIN>
        <CUSIPNumber>267041gj4</CUSIPNumber>
        <DateIssued>2007-06-29</DateIssued>
        <IssuePrice>9430000</IssuePrice>
        <DescriptionOfPurpose>Renovation and Expansion</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>3660000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>28403114</TotalProceeds>
        <AmountInReserveFund>2519483</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>17092256</RefundingEscrow>
        <IssuanceCostsFromProceeds>560700</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>7865557</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>255000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>9430000</TotalProceeds>
        <AmountInReserveFund>757991</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>188600</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>8404310</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part 1, Column F</Identifier>
        <Explanation>The Duchess County Industrial Development Agency Bonds issued in 2004 were issued to refund existing bonds and to provide a portion of funds required for various hospital projects, including the renovation of the emergency department and laboratory. The Duchess County Industrial Development Agency Bonds issued in 2007 were issued to finance the renovation and expansion of the emergency department and the trauma center. Schedule K, Part II, Line 1 The amount reported as having been "retired" represents the amount of the original bond amount that has been paid-off. Schedule K, Part II, Line 3 The Total proceeds of the 2004 Bond Issue is $28,403,114. The difference between the amounts reported on Line 3 and the amounts reported in part 1, column e, represents the investment proceeds earned by the bond prior to expenditure of all funds.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>George T Whalen III</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>VICE CHAIR/TREASURER</Relationship>
        <AmountOfTransaction>138499</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCH O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Joseph J DeVirgilio Jr</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>1611104</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCH O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Allan Rappleyea</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>35950</AmountOfTransaction>
        <DescriptionOfTransaction>See Sch O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Ann Marti</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Daughter of Trustee</Relationship>
        <AmountOfTransaction>28935</AmountOfTransaction>
        <DescriptionOfTransaction>See Sch O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Schedule L, Part IV Disclosure</Identifier>
        <Explanation>The Hospital purchases utilities from Central Hudson Gas &amp; Electric Corporation. Amounts paid totaled $1,611,104 in 2010. Board of Trustees member, Joseph J. DeVirgilio, Jr., is an officer and director of Central Hudson Gas &amp; Electric. The Hospital purchases insurance from George Whalen Insurance. Amounts paid totaled $138,499 in 2010. Board of Trustees member, George T. Whalen, III, is the Vice Chairman and Treasurer of George Whalen Insurance. Allan B. Rappleyea is a Board of Directors Member who has a family relationship with George Whalen III. This family relationship requires the Hospital to respond yes to question 28(b) (because of Mr. Whalen's transaction with the hospital disclosed above). The Hospital paid Corbally, Gartland &amp; Rappleyea $35,950 in 2010 for real estate/real estate tax issue consulting. Board of trustee member Allan Rappleyea is an attorney at the above mentioned firm. Even though this transaction doesn't meet the threshold required for disclosure, since Mr. Rappleyea already has a family relationship with an individual that is being reported on Schedule L, the Hospital has volunteered this disclosure as well. By virtue of these relationships, the Hospital has determined that Board Members, Joseph De Virgilio, George T. Whalen JR., George T. Whalen III are not independent Board Members. President &amp; CEO Robert Savage, and Board member Robert Strauss receive compensation in excess of $10,000 for services rendered to the Hospital. Board Member, Allan Rappleyea has a family relationship with Board member, George T. Whalen III and, by virtue of this relationship, is likewise not considered independent. To that end, the Hospital is reporting 6 Board Members as non-independent. The Hospital may have other board members that transact business with the Hospital, but none of those transactions meet the threshold requirements for reporting on Schedule L.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Governing Body and Managemnet</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A</ReturnReference>
        <Explanation>Line 6: St. Francis Hospital has a single Member, Hastings Health Systems, Inc. Line 7A: Hastings Health System, Inc. as the sole Member of the Corporation, shall elect qualified persons to the Board of Trustees at its Annual meeting in accordance with the provisions of the organization's By-Laws. Line 7b: Hastings Health System, Inc. as the sole Member of the Corporation, shall consider the Annual Report of the Corporation at its Annual Meeting, to be submitted and verified by the President and the Treasurer or a majority of the Trustees. The following powers are reserved exclusively to the Member, and no attempted exercise of any such powers by anyone other than the Member shall be valid or of any force or effect whatsoever: 1. To change the philosophy, mission, and purpose of the corporation; 2. To adopt and/or amend the Certificate of Incorporation; 3. To adopt and/or amend Bylaws, 4. To elect the Board of Trustees and to remove Board members with or without cause; 5. To appoint the President and Chief Executive Officer of the organization; 6. To approve the purchase, sale, lease, mortgage or real property; to approve the purchase, sale, or gift of capital assets; 7. To approve the merger, consolidation, or affiliation of the corporation with another corporation, organization, or program; 8. To approve the dissolution of the corporation and disposition of assets. Line 8: Minutes of each Board meeting shall be taken and disseminated to each Board member as soon as possible after the conclusion of the meeting. Minutes of all meetings of the Board of Trustees, the Executive Committee, or other Board Committees shall reflect all business conducted, including findings, conclusions and recommendations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Policies</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B</ReturnReference>
        <Explanation>Line 11: The Form 990 is presented annually to the Audit and Compliance Committee for review, comment and approval. The presentation includes discussion of the compilation process, current year disclosures, overview of relevant schedules, compliance review, education regarding future changes to the form, and recommendations going forward. The Board approves the Form 990 for filing with the Internal Revenue Service. Line 12: All members of the Hospital's Board of Trustees, as well as all officers and employees must annually file a Conflict of Interest Disclosure Statement with the Hospital's Compliance Officer, who shall keep a confidential file of these Statements and consult with outside counsel, as necessary, concerning any potential problems or possible conflicts of interest. The Compliance Officer will review any disclosure (including Board members and other personnel covered by this policy), consult with counsel as necessary, and determine if such financial interest or outside relationship creates a conflict of interest, is improper, or creates the appearance of a conflict of interest or of improper conduct. The Compliance Officer will also review the information to determine if additional disclosures or other action is necessary. Full disclosure and recommendations will then be made to the Audit and Compliance Committee of the Board of Trustees as to the appropriate course of conduct or corrective action for the Hospital and for the personnel involved. Once a final decision is made on how to proceed, the personnel will be instructed as to the course of action decided upon. Line 15: The Executive Committee serves as the Compensation Committee for the President and CEO including an annual evaluation of the President and CEO. The Committee utilizes survey data to determine comparability for compensation. Compensation of other Officers and Key Employees is determined by the CEO, with consultation and recommendations from the Executive Committee. Survey data is utilized in conjunction with the standard Hospital annual employee appraisal process. Compensation decisions and reports are contemporaneously documented in the minutes of the meeting of the Committee when the decisions are made.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PUBLIC DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C</ReturnReference>
        <Explanation>Line 19: The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request as deemed appropriate. General information regarding governance, compliance, and financial reporting is made available to the public on the Hospital's website, through annual community benefit reports, and annual publication of the St. Francis Magazine.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FINANCIAL STATEMENTS AND REPORTING</Identifier>
        <ReturnReference>FORM 990, PART XI</ReturnReference>
        <Explanation>Line 2c: The Audit and Compliance Committee has the responsibility for the oversight of the audit of the annual financial statements, and the selection of an independent auditor. Line 3A: The Hospital did not meet the federal award criteria required to undergo an audit as set forth in the Single Audit Act of OMB Circular A-133. Entity wide financial statements audited in accordance with Government Auditing Standards (GAS) have been completed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <Explanation>Board of Trustees member, George T. Whalen III, and Board of Trustees member, George T. Whalen, Jr., have a family relationship. Board of Trustees member, George T. Whalen III, and Board of Trustees member, ALlan B. Rappleyea, have a family relationship. Board of Trustees Member, Michael Gartland, and Board of Trustees Member, Allan B. Rappleyea, have a business relationship. Board of Trustees Member, John J. Cina, and Board of Trustees Members, George T. Whalen, JR, Roger Fazzone, and Kelley Redl-Hardisty, have a business relationship. It is not believed that these relationships meet the thresholds required for disclosure, but since the Hospital is uncertain of the dollars involved, it is opting for full disclosure. Board of Trustees Member, George Whalen III, and Board of Trustees Member, E. Richard O'Shea, have a business relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IV, Line 20(B)</Identifier>
        <Explanation>Per the instructions to the 2010 Form 990, attaching the Hospital's audited financial statements is optional for this year only. In due course, the Hospital is oping not to include its financial statements with its current Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 5</Identifier>
        <Explanation>Other changes in Net Assets or fund Balances: Beginning of the Year - 25,441,391 Net Activities of Preschool Reported on Separate Form 990 - ($237,982) Unrealized Gains on Investments - $1,251,902 Below the Line Adjustments Reported in the Audited Financial Statements - $ 1,965,724 End of the Year -$31,010,122</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HASTINGS HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>241 NORTH ROAD</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>12601</ZIPCode>
        </AddressUS>
        <EIN>222929698</EIN>
        <PrimaryActivities>management</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS HEALTH CARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>241 NORTH ROAD</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>12601</ZIPCode>
        </AddressUS>
        <EIN>222515066</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>st francis home care services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>241 NORTH ROAD</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>12601</ZIPCode>
        </AddressUS>
        <EIN>222803842</EIN>
        <PrimaryActivities>home care</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS HOSPITAL - PRESCHOOL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>241 NORTH ROAD</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>12601</ZIPCode>
        </AddressUS>
        <EIN>141771079</EIN>
        <PrimaryActivities>education</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HUDSON VALLEY CENTer at St francis</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1 WEBSTER AVE</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>12601</ZIPCode>
        </AddressUS>
        <EIN>202388362</EIN>
        <PrimaryActivity>AMBulatory surg.</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>related</PredominantIncomeType>
        <ShareOfTotalIncome>540193</ShareOfTotalIncome>
        <ShareOfEOYAssets>824079</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.85000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SFH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>241 NORTH ROAD</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>12601</ZIPCode>
        </AddressUS>
        <EIN>141680024</EIN>
        <PrimaryActivity>healthcare</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>503258</ShareOfTotalIncome>
        <ShareOfEOYAssets>1179243</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Health Care Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>651048</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Health Care Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>m,p</TransactionType>
        <AmountInvolved>112159</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Health Care Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n,p</TransactionType>
        <AmountInvolved>500325</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Hospital - Preschool</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>m</TransactionType>
        <AmountInvolved>435830</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Hospital - Preschool</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>5478776</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Hospital - Preschool</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>7405061</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Home Care</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>361314</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Francis Home Care</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>m</TransactionType>
        <AmountInvolved>94140</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>