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          <NamePerson>QUEST DIAGNOSTICS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>LAB TESTING</DescriptionOfServices>
        <Compensation>1606267</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>METZ ASSOCIATES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>DIETARY SERVICES</DescriptionOfServices>
        <Compensation>1051056</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>HCSC-LAUNDRY</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>LAUNDRY SERVICES</DescriptionOfServices>
        <Compensation>720331</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CC CONSTRUCTION SERVICES INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>CONSTRUCTION SRVCS</DescriptionOfServices>
        <Compensation>554829</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>FISHER CONSULTING</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>BIOMED SUPPORT</DescriptionOfServices>
        <Compensation>551188</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>36</NumberOfContractorsGT100K>
      <RelatedOrganizations>192623</RelatedOrganizations>
      <GovernmentGrants>616685</GovernmentGrants>
      <AllOtherContributions>101682</AllOtherContributions>
      <TotalContributions>910990</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>246946594</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>246946594</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER PATIENT SRVC REV</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>415053</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>415053</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>247361647</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>4100888</TotalRevenueColumn>
        <ExclusionAmount>4100888</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>443010</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>443010</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>443010</TotalRevenueColumn>
        <ExclusionAmount>443010</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>79428734</Securities>
        <Other>2671</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>79488484</Securities>
        <Other>2671</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-59750</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-59750</TotalRevenueColumn>
        <ExclusionAmount>-59750</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>252756785</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>247361647</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>4484148</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>57600</Total>
        <ProgramServices>57600</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>27709</Total>
        <ProgramServices>27709</ProgramServices>
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      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>3252539</Total>
        <ProgramServices>2875968</ProgramServices>
        <ManagementAndGeneral>376571</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>73727</Total>
        <ProgramServices>65191</ProgramServices>
        <ManagementAndGeneral>8536</ManagementAndGeneral>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>79480870</Total>
        <ProgramServices>70278772</ProgramServices>
        <ManagementAndGeneral>9202098</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>6515902</Total>
        <ProgramServices>5761507</ProgramServices>
        <ManagementAndGeneral>754395</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>15611382</Total>
        <ProgramServices>13803935</ProgramServices>
        <ManagementAndGeneral>1807447</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>6443884</Total>
        <ProgramServices>5697827</ProgramServices>
        <ManagementAndGeneral>746057</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>483475</Total>
        <ProgramServices>427499</ProgramServices>
        <ManagementAndGeneral>55976</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>170636</Total>
        <ProgramServices>150880</ProgramServices>
        <ManagementAndGeneral>19756</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>66173</Total>
        <ProgramServices>58512</ProgramServices>
        <ManagementAndGeneral>7661</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>305361</Total>
        <ProgramServices>270007</ProgramServices>
        <ManagementAndGeneral>35354</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>9897123</Total>
        <ProgramServices>8751259</ProgramServices>
        <ManagementAndGeneral>1145864</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>437414</Total>
        <ProgramServices>386771</ProgramServices>
        <ManagementAndGeneral>50643</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>46570818</Total>
        <ProgramServices>41178846</ProgramServices>
        <ManagementAndGeneral>5391854</ManagementAndGeneral>
        <Fundraising>118</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>619628</Total>
        <ProgramServices>547889</ProgramServices>
        <ManagementAndGeneral>71739</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2654943</Total>
        <ProgramServices>2346915</ProgramServices>
        <ManagementAndGeneral>307383</ManagementAndGeneral>
        <Fundraising>645</Fundraising>
      </Occupancy>
      <Travel>
        <Total>33481</Total>
        <ProgramServices>29605</ProgramServices>
        <ManagementAndGeneral>3876</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>372734</Total>
        <ProgramServices>329580</ProgramServices>
        <ManagementAndGeneral>43154</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>4535726</Total>
        <ProgramServices>4010591</ProgramServices>
        <ManagementAndGeneral>525135</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>13467149</Total>
        <ProgramServices>11907956</ProgramServices>
        <ManagementAndGeneral>1559193</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1829192</Total>
        <ProgramServices>1617413</ProgramServices>
        <ManagementAndGeneral>211779</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>31092453</Total>
        <ProgramServices>31092453</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>8770973</Total>
        <ProgramServices>7781837</ProgramServices>
        <ManagementAndGeneral>989136</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>232770892</Total>
        <ProgramServices>209456522</ProgramServices>
        <ManagementAndGeneral>23313607</ManagementAndGeneral>
        <Fundraising>763</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>83672180</BOY>
        <EOY>29161291</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>146520</BOY>
        <EOY>31965</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>26592905</BOY>
        <EOY>25157054</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>1225526</BOY>
        <EOY>1040197</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>2869276</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>5099089</BOY>
        <EOY>6860064</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>238069768</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>139906196</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>101413141</BOY>
        <EOY>98163572</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>49692260</BOY>
        <EOY>127429572</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsProgramRelated>
        <BOY>1091059</BOY>
        <EOY>1170237</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>8414237</BOY>
        <EOY>2572385</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>279716110</BOY>
        <EOY>294455613</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>25437582</BOY>
        <EOY>25838175</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>108090000</BOY>
        <EOY>106495000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1734224</BOY>
        <EOY>1464749</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>63788630</BOY>
        <EOY>64317629</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>199050436</BOY>
        <EOY>198115553</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>78184965</BOY>
        <EOY>93786002</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>493217</BOY>
        <EOY>533790</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>1987492</BOY>
        <EOY>2020268</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>80665674</BOY>
        <EOY>96340060</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>279716110</BOY>
        <EOY>294455613</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>22886</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>52787</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>75673</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1(I)</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS DUES TO HAP AND AHA. $16,787 OF THESE DUES ARE USED FOR LOBBYING PURPOSES. THE ORGANIZATION ALSO PAID $36,000 FOR LOBBYING EXPENSES TO SOLE COMMUNITY CONSULTANTS' SERVICE REGARDING LEGISLATION FOR SOLE COMMUNITY HOSPITAL STATUS.</Explanation>
      </Form990ScheduleCPartIV>
      <Form990ScheduleCPartIV>
        <Identifier>DIRECT CONTACT WITH LEGISLATORS</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1G</ReturnReference>
        <Explanation>THE ORGANIZATION HAD $22,886 EXPENSES RELATED TO VARIOUS MEETINGS WITH LEGISLATORS DEALING WITH ISSUES RELATED TO THE CANCER CENTER, THE PHYSICIAN INVESTOR HOSPITAL BAN, AND VARIOUS OTHER TOPICS.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>1379858</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>23494</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>23100</GrantsOrScholarships>
        <OtherExpenditures>6222</OtherExpenditures>
        <EndOfYearBalance>1374030</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1399693</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>21620</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>22960</GrantsOrScholarships>
        <OtherExpenditures>18495</OtherExpenditures>
        <EndOfYearBalance>1379858</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.30700</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.69300</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>2778761</OtherCostOrOtherBasis>
        <BookValue>2778761</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>89991649</OtherCostOrOtherBasis>
        <Depreciation>36847295</Depreciation>
        <BookValue>53144354</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>140797755</OtherCostOrOtherBasis>
        <Depreciation>101392791</Depreciation>
        <BookValue>39404964</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4501603</OtherCostOrOtherBasis>
        <Depreciation>1666110</Depreciation>
        <BookValue>2835493</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>98163572</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ESTIMATED INSURANCE LIABILITY</Description>
        <Amount>14056875</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EST AMT DUE TO 3RD PARTY PAYOR</Description>
        <Amount>13289422</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION PLAN PAYABLE</Description>
        <Amount>31018396</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INT RATE SWAP AGREEMENT</Description>
        <Amount>3063414</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION</Description>
        <Amount>761118</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>2128404</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>64317629</TotalOfAmounts>
      <TotalRevenue>252756785</TotalRevenue>
      <TotalExpenses>232770892</TotalExpenses>
      <ExcessOrDeficitForYear>19985893</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>2483233</NetUnrealizedGLOnInvestments>
      <OtherAmount>-6794740</OtherAmount>
      <TotalAdjustments>-4311507</TotalAdjustments>
      <ExcessOrDeficitPerFS>15674386</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>248139917</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>2483233</NetUnrealizedGainsInvestments>
      <OtherRevenues>-7100101</OtherRevenues>
      <RevenueNotRptdF990>-4616868</RevenueNotRptdF990>
      <RevenueSubtotal>252756785</RevenueSubtotal>
      <TotalRevenuePerForm990>252756785</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>232465531</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>232465531</ExpensesSubtotal>
      <OtherExpensesNotIncluded>305361</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>305361</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>232770892</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 DISCLOSURE (ASC 740)</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8</ReturnReference>
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      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE - OTHER RECONCILING ITEMS</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 2D</ReturnReference>
        <Explanation>DEFINED BENEFIT PENSION COSTS ( 1,590,955) PLEDGE ALLOWANCE ADJUSTMENTS ( 90,725) CHANGE IN INTEREST IN NET ASSETS OF PHF 79,178 CHANGE IN INTEREST RATE SWAP ( 396,430) TRANSFER TO AFFILIATES ( 4,790,808) PERMANENT CHANGE IN DONOR RESTRICTION ( 5,000) INVESTMENT FEES (SEE DESCRIPTION BELOW) ( 305,361) ------------ ( 7,100,101)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>INVESTMENT FEES</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 2D AND PART XIII, LINE 4B</ReturnReference>
        <Explanation>INVESTMENT FEES OF $305,361 WERE INCLUDED WITH REVENUE ON THE AUDIT REPORT; HOWEVER, WERE MOVED TO BE PROPERLY INCLUDED WITH EXPENSES ON THE TAX RETURN.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>828223</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>209900</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>618323</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>23994675</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14783021</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9211654</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03960</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>24822898</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14992921</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9829977</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04230</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>195025</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>195025</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>126999</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>126999</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>6852196</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>6852196</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02940</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>106335</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>106335</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>7280555</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7280555</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03120</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>32103453</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14992921</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>17110532</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07350</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>513</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>513</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>3064</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>3064</NetCommunityBuildingExpense>
      </CommunitySupport>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>767</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>767</NetCommunityBuildingExpense>
      </LeadershipDevelopment>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>26145</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>26145</NetCommunityBuildingExpense>
      </HealthImprovementAdvocacy>
      <Other>
        <TotalCommunityBuildingExpense>32615</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>32615</NetCommunityBuildingExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>63104</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>63104</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>8836476</BadDebtExpenseAmount>
      <AmountAttributableTo>892484</AmountAttributableTo>
      <AmountReimbursedByMedicare>71893966</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>66004416</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>5889550</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>POCONO MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>206 E BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DALE &amp; FRANCES HUGHES CANCER CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>231 E BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </Address>
        <Other>CANCER TREATMENT CENTER</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>ABLEOFF CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>200 E BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </Address>
        <Other>CHILDREN'S MEDICAL AND DENTAL CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>OUTPATIENT DIAGNOSTIC CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>500 PLAZA COURT STE D RT 447</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </Address>
        <Other>OUTPATIENT LABORATORY</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS UNCOLLECTIBLE BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT. THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY BY UTILIZING DATA FROM THE U.S. CENSUS BUREAU. THE ORGANIZATION ESTIMATED THE PERCENTAGE BY OBTAINING THE PERCENT OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. ACCORDING TO THE LATEST PUBLICIZED CENSUS DATA FOR MONROE COUNTY, PA, 10.1% OF INDIVIDUALS ARE CONSIDERED TO BE IN POVERTY.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>THERE IS NO SHORTFALL TO BE TREATED AS COMMUNITY BENEFIT FOR OUR FISCAL YEAR 10. THE FISCAL YEAR 2010 MEDICARE COST REPORT WAS UTILIZED TO CALCULATE THE COST REPORTED ON LINE 6. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.</ShortfallAsCommunityBenefit>
        <NeedsAssessment>COUNTY MORTALITY RATES AND DISEASE INCIDENCE ARE TRACKED VERSUS STATE AND NATIONAL RATES. THE HOSPITAL ALSO ENGAGES A CONSULTANT TO CONDUCT A PHYSICIAN NEEDS ASSESSMENT COMPARING AREA VERSUS NATIONAL BENCHMARKS.</NeedsAssessment>
        <PatientEducationAssistance>PATIENTS WHO EXPRESS A NEED FOR FINANCIAL ASSISTANCE ARE INITIALLY OFFERED A DISCOUNT OF CHARGES AND/OR A PAYMENT PLAN. ONCE A DETERMINATION HAS BEEN MADE THAT A PATIENT IS UNINSURED, THEY ARE PROVIDED A COPY OF THE CHARITY POLICY AS WELL AS AN APPLICATION FOR FINANCIAL ASSISTANCE. PMC'S CHARITY POLICY IS POSTED IN INPATIENT AND OUTPATIENT AREAS AND ON THE WEBSITE. NOTICE IS ALSO PROVIDED IN THE PATIENTS' BILLS AND TO LOCAL SOCIAL SERVICE AGENCIES. PMC REVIEWS COMPLETED APPLICATION AGAINST ELIGIBILITY CRITERIA SET FORTH IN THE POLICY. ALL PRE-REGISTRATION, REGISTRATION, BUSINESS OFFICE AND PATIENT FINANCIAL SERVICES STAFF RECEIVE TRAINING AS TO THE POLICY.</PatientEducationAssistance>
        <CommunityInformation>POCONO MEDICAL CENTER PRIMARILY SERVES MONROE COUNTY, PENNSYLVANIA AND ADJACENT AREAS. MONROE COUNTY IS 608.5 SQUARE MILES WITH 227.7 PERSONS PER SQUARE MILE. THE COUNTY BORDERS THE STATE OF NEW JERSEY. ACCORDING TO THE U.S. CENSUS BUREAU, THE ESTIMATED POPULATION FOR FY 2010 IN MONROE COUNTY WAS 166,355 WITH A RACIAL MIX OF 84 PERCENT WHITE (12.7 PERCENT REPORTING BOTH WHITE AND HISPANIC ORIGIN), 12 PERCENT BLACK, AND THE REMAINING 4 PERCENT COMPRISED OF ASIAN, AMERICAN INDIAN, AND ALASKA NATIVE. ALMOST 84 PERCENT OF MONROE COUNTY RESIDENTS POSSESS A HIGH SCHOOL DIPLOMA, A LITTLE OVER 20 PERCENT OF THE POPULATION HAVING A BACHELOR'S DEGREE OR HIGHER. THE UNEMPLOYMENT RATE FOR MONROE COUNTY SURPASSES THE STATE AVERAGE OF NINE PERCENT WITH A RATE OF 9.8 PERCENT, BUT IS ONLY SLIGHTLY OVER THE NATIONAL AVERAGE OF 9.6 PERCENT.</CommunityInformation>
        <CommunityBuildingActivities>POCONO MEDICAL CENTER PROVIDES A MYRIAD OF HEALTH SCREENINGS AND COMMUNITY PRESENTATION ON HEALTHY LIFESTYLES AND DISEASE AWARENESS THROUGH THE WELLNESS INSTITUTE AND THE SPIRIT OF WOMEN INITIATIVE. THE WELLNESS DEPARTMENT WORKS WITH THE VARIOUS LOCAL SOCIAL SERVICE AGENCIES TO HOST PUBLIC WELLNESS AWARENESS EVENTS THROUGHOUT THE YEAR.</CommunityBuildingActivities>
        <OtherInformation>POCONO MEDICAL CENTER EMPLOYEES PARTICIPATE IN MANY COMMUNITY INITIATIVES THAT FOCUS ON THE IMPROVEMENT ON THE OVERALL WELL-BEING OF THE COMMUNITY. THIS PARTICIPATION INCLUDES VOLUNTEERING FOR EVENTS, TIME, AND EXPERTISE DEDICATED TO SERVICE ON A VARIETY OF NON-PROFIT BOARD OF DIRECTORS, AND ALLOWING COMMUNITY PARTNERS TO HOST EVENTS USING THE HOSPITAL VENUE.</OtherInformation>
        <AffiliatedHealthCareSystem>POCONO MEDICAL CENTER IS A NOT-FOR-PROFIT, ACUTE-CARE HOSPITAL AFFILIATED WITH POCONO HEALTH SYSTEM (THE "HEALTH SYSTEM"). THE HEALTH SYSTEM IS A NOT-FOR-PROFIT CORPORATION WHOSE PURPOSE IS TO SUPPORT PROGRAMMATICALLY AND FINANCIALLY THE ACTIVITIES OF POCONO MEDICAL CENTER (THE "MEDICAL CENTER") AND OTHER ENTITIES IT CONTROLS. THE HEALTH SYSTEM'S OPERATIONS AND PRIMARY SERVICE AREA INCLUDES STROUDSBURG, PENNSYLVANIA, AND SURROUNDING COMMUNITIES IN MONROE COUNTY, PENNSYLVANIA. ALL REVENUES GENERATED BY THE SYSTEM ARE RELATED TO THE DELIVERY OF HEALTH CARE SERVICES. THE HEALTH SYSTEM HAS CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE ACCOUNTS AND TRANSACTIONS OF POCONO HEALTH SYSTEM, THE CONTROLLING PARENT, AND ITS AFFILIATES, POCONO MEDICAL CENTER, FAMILY CARE CENTERS, INC., POCONO HEALTHCARE PARTNERS, POCONO HEALTH FOUNDATION AND POCONO AMBULATORY SERVICES, INC. POCONO MEDICAL CENTER IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>PA</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EASTBURG COMMUNITY ALLIANCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1 WASHINGTON ST</AddressLine1>
          <City>STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>600000879</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>7000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THE COMMONWEALTH MEDICAL COLLEGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>150 N WASHINGTON AVE</AddressLine1>
          <City>SCRANTON</City>
          <State>PA</State>
          <ZIPCode>18503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>260812968</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>32000</AmountOfCashGrant>
        <PurposeOfGrant>PLEDGED SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>NURSING SCHOLARSHIPS</TypeOfGrant>
        <NumberOfRecipients>4</NumberOfRecipients>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>MED EQUIP PROVIDED TO HOSPITAL AFFILIATES</TypeOfGrant>
        <NumberOfRecipients>4</NumberOfRecipients>
        <AmountOfCashGrant>20209</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>MONITORING USE OF GRANT FUNDS</Identifier>
        <ReturnReference>PART I, LINE 2</ReturnReference>
        <Explanation>THE ORGANIZATION IS CONFIDENT IN THE USE OF ALL FUNDS DISTRIBUTED INTO THE COMMUNITY. THE SCHOLARSHIPS ARE AWARDED TO DESERVING INDIVIDUALS THAT MEET THE SPECIFIC REQUIREMENTS AND SHOW PROOF OF ACADEMIC EXCELLENCE. ONCE REQUIREMENTS ARE MET, THERE IS NO ADDITIONAL FOLLOWUP. MEDICAL EQUIPMENT IS PROVIDED TO HOSPITAL AND HOSPITAL AFFILIATE DEPARTMENTS THROUGH THE WILLIAM B. CRAMER MEDICAL STAFF EQUIPMENT ENDOWMENT, AND EACH RECIPIENT IS ASSURED TO PROVIDE GREATER ASSISTANCE TO PATIENTS THROUGH THE DONATION.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>KATHLEEN KUCK</NamePerson>
        <BaseCompensationFilingOrg>453713</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>228336</BonusFilingOrg>
        <OtherCompensationFilingOrg>93930</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>157900</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17190</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>951069</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>75177</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN J CUNNINGHAM</NamePerson>
        <BaseCompensationFilingOrg>202245</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>52548</BonusFilingOrg>
        <OtherCompensationFilingOrg>68175</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>35273</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9752</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>367993</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>66584</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LYNN LANSDOWNE</NamePerson>
        <BaseCompensationFilingOrg>162832</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30341</BonusFilingOrg>
        <OtherCompensationFilingOrg>15996</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>22429</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>25241</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>256839</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL WILK</NamePerson>
        <BaseCompensationFilingOrg>267207</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>44455</BonusFilingOrg>
        <OtherCompensationFilingOrg>40294</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>48309</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21856</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>422121</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>39096</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HOWARD DAVIS</NamePerson>
        <BaseCompensationFilingOrg>374366</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>60934</BonusFilingOrg>
        <OtherCompensationFilingOrg>33930</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>73373</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>28480</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>571083</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>31608</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NCHE ZAMA MD</NamePerson>
        <BaseCompensationFilingOrg>933588</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8662</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>942250</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HOWARD KATZ MD</NamePerson>
        <BaseCompensationFilingOrg>452012</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>151023</BonusFilingOrg>
        <OtherCompensationFilingOrg>15887</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17100</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13935</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>649957</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUSHEER GANDOTRA MD</NamePerson>
        <BaseCompensationFilingOrg>201120</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>247526</BonusFilingOrg>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13935</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>479581</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANNE CAHILL MD</NamePerson>
        <BaseCompensationFilingOrg>439745</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>36125</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13886</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>489756</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES HERMAN MD</NamePerson>
        <BaseCompensationFilingOrg>345876</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>76466</BonusFilingOrg>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7150</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13003</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>442495</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD HENLEY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <OtherCompensationFilingOrg>467289</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>467289</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>THE ORGANIZATION MADE THE FOLLOWING SEVERANCE PAYMENTS DURING THE FISCAL YEAR: -RICHARD HENLEY $ 467,289 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS SCHEDULE J, PART I, LINE 4B INDIVIDUALS LISTED BELOW PARTICIPATED IN THE ORGANIZATION'S 457(F), SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: -KATHLEEN KUCK RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $157,900 AND RECEIVED A 457(F) DISTRIBUTION OF $75,177 WHICH WAS REPORTED ON A PRIOR YEAR 990. -HOWARD DAVIS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $73,373 AND RECEIVED A 457(F) DISTRIBUTION OF $31,608 WHICH WAS REPORTED ON A PRIOR YEAR 990. -MICHAEL WILK RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $48,309 AND RECEIVED A 457(F) DISTRIBUTION OF $39,096 WHICH WAS REPORTED ON A PRIOR YEAR 990. -STEPHEN J CUNNINGHAM RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $35,273 AND RECEIVED A 457(F) DISTRIBUTION OF $66,584 WHICH WAS REPORTED ON A PRIOR YEAR 990. -LYNN LANSDOWNE RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $22,429. -HOWARD KATZ RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $17,100. -SUSHEER DILBAGH GANDOTRA RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $17,100. -ANNE CAHILL RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $36,125. -CHARLES HERMAN RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $7,150.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 7</ReturnReference>
        <Explanation>INCENTIVE COMPENSATION IS PAID BASED ON FOUR PERFORMANCE CRITERIA: INCREASE IN THE SERVICES AVAILABLE TO THE COMMUNITY, IMPROVEMENT IN CUSTOMER SATISFACTION AND QUALITY OF SERVICE PROVIDED, STABLE FINANCIAL RATIOS, AND IMPROVING EMPLOYEE SATISFACTION. PHYSICIAN'S RECEIVE NON-FIXED BONUS AND INCENTIVE COMPENSATION BASED ON THEIR RESPECTIVE CONTRACT, AND INCENTIVES ARE EITHER BASED ON A PERCENTAGE ON PAYMENTS RECEIVED ABOVE REQUIRED EXPENSE COVERAGE THRESHOLD OR RVU THRESHOLD.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MONROE COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232928969</IssuerEIN>
        <CUSIPNumber>610773EV1</CUSIPNumber>
        <DateIssued>2007-06-27</DateIssued>
        <IssuePrice>64095688</IssuePrice>
        <DescriptionOfPurpose>REFUND 03 BONDS, CONSTRUCTION</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <AmountInReserveFund>5256333</AmountInReserveFund>
        <AmountDefeased>36047126</AmountDefeased>
        <IssuanceCostsFromProceeds>269744</IssuanceCostsFromProceeds>
        <CapitalExpenditures>22590044</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <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>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>JP MORGAN</BusinessNameLine1>
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        <TermOfGIC>15.</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PIMS PROPERTIES LP</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE O</Relationship>
        <AmountOfTransaction>168657</AmountOfTransaction>
        <DescriptionOfTransaction>RENT OF CLINIC OFFICE SPACE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DENISE CUNNINGHAM</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF S CUNNINGHAM</Relationship>
        <AmountOfTransaction>73727</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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          <NamePerson>CONAHAN-WEIS INVESTMENT CO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>50% OWNED BY J CONAHAN</Relationship>
        <AmountOfTransaction>110830</AmountOfTransaction>
        <DescriptionOfTransaction>RENT PAYMENTS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES ACTIVITY #1</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>POCONO MEDICAL CENTER (PMC) IS A 231-BED, ACUTE CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN EAST STROUDSBURG, PENNSYLVANIA. WITH MORE THAN 200 PHYSICIANS, 1,800 STAFF MEMBERS, AND NEARLY 400 VOLUNTEERS, OUR CHARITABLE MISSION IS TO PROVIDE SUPERIOR HEALTHCARE TO OUR COMMUNITY FOR THOSE SERVICES MOST CRITICAL TO THE COMMUNITY'S HEALTH NEEDS. PMC PROVIDES SUPERIOR CARDIAC AND CANCER CARE AT OUR ESSA HEART AND VASCULAR INSTITUTE AND DALE AND FRANCES HUGHES CANCER CENTER, AND A SUITE OF SERVICES INCLUDING SURGICAL, LABORATORY, AND RADIOLOGY, ALONG WITH WOMEN'S AND CHILDREN'S CARE. PMC PROVIDED MORE THAN $13 MILLION ($13,166,398) IN SERVICES TO OUR COMMUNITY THIS FISCAL YEAR. THESE FUNDS TAKE THE FORM OF DIRECT PATIENT CARE, COMMUNITY HEALTH EDUCATION, PROFESSIONAL AND PATIENT EDUCATION, AND COMMUNITY PARTNERSHIPS. POCONO MEDICAL CENTER PROVIDES QUALITY, COST-EFFECTIVE HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENTS FOR SERVICES RENDERED ARE CRITICAL TO THE OPERATION AND STABILITY OF PMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS HAVE THE SAME ABILITY TO PAY FOR OTHERWISE UNAVAILABLE VITAL MEDICAL SERVICES. AS PART OF OUR CHARITABLE MISSION TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE, SUBSIDIZED CARE, HEALTH ACTIVITIES, PROGRAMS, AND SCREENINGS ARE AVAILABLE TO ALL COMMUNITY MEMBERS, REGARDLESS OF THEIR ABILITY TO PAY. PMC PROVIDES A NUMBER OF DIRECT PATIENT CARE SERVICES TO THE UN- AND UNDERINSURED IN OUR COMMUNITY. THE EMERGENCY DEPARTMENT (ED) TYPICALLY SERVES AS THE PRINCIPAL MEANS OF HEALTHCARE FOR THESE PATIENTS. AS THE ONLY REGIONAL COMMUNITY HOSPITAL, FISCAL YEAR 2010 WAS THE FIRST TIME THE ED HAD SEEN MORE THAN 89,000 VISITS (89,571), A STATISTIC THAT SPEAKS TO THE GROWING NEED FOR THIS SERVICE IN OUR AREA. IN ADDITION, PMC'S CLEMENTINE ABELOFF COMMUNITY HEALTH CENTER PROVIDES COMPREHENSIVE PEDIATRIC AND DENTAL CARE FOR OUR REGION'S UN- AND UNDERINSURED CHILDREN (SEE ADDITIONAL NARRATIVE FOR MORE DETAILS). PMC'S ESSA HEART AND VASCULAR INSTITUTE (HVI) PROVIDES COMPREHENSIVE CARE FOR ADDRESSING THE NUMBER ONE KILLER OF ADULTS IN OUR COUNTY, HEART DISEASE. IN FISCAL YEAR 2010, WE REACHED MANY MILESTONES AT OUR ESSA HEART AND VASCULAR INSTITUTE. ALTHOUGH OUR PROGRAM WAS ESTABLISHED ONLY THREE YEARS AGO, WE CELEBRATED OUR 500TH OPEN-HEART SURGERY IN 2009. IN ADDITION, OUR EXPERT CARDIOTHORACIC SURGEONS AND STAFF WERE RECOGNIZED BY THE SOCIETY OF THORACIC SURGEONS WITH A THREE-STAR RATING, THE HIGHEST, FOR OVERALL QUALITY OF OPEN-HEART SURGERY BASED ON COMPREHENSIVE ANALYSIS OF NATIONAL DATA FROM JANUARY THROUGH DECEMBER 2008. THIS DISTINCTION IS HELD BY ONLY APPROXIMATELY 10 PERCENT OF HOSPITALS NATIONWIDE. IN 2010 PMC'S HVI WAS ALSO AWARDED 2010 HEATHGRADES CARDIAC SURGERY EXCELLENCE AWARD, RANKING US IN THE TOP 10 PERCENT IN THE NATION. THE HVI TEAM AT PMC WAS ALSO NAMED IN THE 50 TOP RATED HEART BY-PASS SURGICAL GROUPS IN THE NATION BY CONSUMER REPORTS AS REPORTED IN THE POCONO RECORD. FOR THE CONVENIENCE OF OUR PATIENTS AND TO IMPROVE OPERATIONAL EFFICIENCIES, WE CENTRALIZED OUR CARDIAC CARE SERVICES AND OPENED A NEW HEART RHYTHM CENTER. THE CARDIAC CATHETERIZATION LABS, CARDIAC REHABILITATION DEPARTMENT, AND VARIOUS NONINVASIVE CARDIAC SERVICES (SUCH AS PACEMAKER CHECKS, CARDIAC STRESS TESTING, NUCLEAR STRESS TESTING, PULMONARY REHAB, AND STRESS ECHO) WERE RELOCATED TO OFFER COMPREHENSIVE HEART CARE IN ONE LOCATION. IN ADDITION TO OFFERING MINIMALLY INVASIVE SURGICAL PROCEDURES TO TREAT HEART ARRHYTHMIAS, THE NEW HEART RHYTHM CENTER INTRODUCED A FULLY EQUIPPED ELECTROPHYSIOLOGY (EP) LAB. THE NEW EP LAB PROVIDES ATRIAL AND VENTRICULAR NODE DIAGNOSTICS AND ABLATION, INTRA CARDIAC 3D ECHO AND 3D CARDIO CAPABILITIES, AS WELL AS, BI-VENTRICULAR PACEMAKERS. PMC LAUNCHED A NEW SPINE SURGERY PROGRAM IN FISCAL YEAR 2009. BY IMPLEMENTING A COORDINATED EFFORT ACROSS SEVERAL DEPARTMENTS, PMC TREATS PATIENTS WITH THE LATEST TECHNIQUES IN ALL ASPECTS OF SPINE SURGERY CARE. THE SPINE PROGRAM OFFERS COMPREHENSIVE CARE FOR THE DIAGNOSIS AND TREATMENT OF VARIOUS BACK AND SPINE CONDITIONS, INCLUDING ADULT SPINAL DEFORMITY, LUMBAR SPINE SURGERY PROGRAM AND CERVICAL DISC ARTHROPLASTY, SCOLIOSIS, DEGENERATIVE DISC DISEASE SPINAL STENOSIS, AND OTHER CONDITIONS. NON-SURGICAL AND SURGICAL TREATMENTS AVAILABLE INCLUDE MINIMALLY INVASIVE PROCEDURES FOR COMPLEX SPINAL CONDITIONS, SUCH AS THE INNOVATIVE X-STOP PROCEDURE. ONE OF OUR MOST NOTEWORTHY ACCOMPLISHMENTS IN FISCAL YEAR 2010, PMC OFFICIALLY OPENED THE DOORS TO A BRAND NEW LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU). STAFFED BY A HIGHLY SPECIALIZED TEAM OF NEONATOLOGISTS AND NEONATAL NURSES, OUR NICU IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR NEWBORNS NEEDING ADVANCED MEDICAL CARE. ALONG WITH OUR EXPERIENCED STAFF, OUR STATE-OF-THE-ART NICU TECHNOLOGY PROVIDES THE MOST SOPHISTICATING MONITORING AND CARE FOR ANY BABY WEIGHING OVER JUST 1,000 GRAMS (2LBS, 3OZ). MOREOVER, OUR TRANSITION ROOM PROVIDES PARENTS WITH AN IDEAL ENVIRONMENT TO FACILITATE THE TRANSITION FROM NICU TO HOME. PARENTS ARE ABLE TO CARE FOR THEIR INFANTS WITH CLOSE NURSING SUPPORT, THUS EASING ANXIETY, SUPPLEMENTING THEIR EDUCATION, AND PREPARING THEM FOR SUCCESS AT HOME. BY OFFERING THE FINEST IN COMPASSIONATE EXPERIENCED, AND STATE-OF-THE ART NEONATAL CARE, OUR NICU WILL PROVIDE LOCAL FAMILIES WITH PRICELESS PEACE OF MIND, KNOWING THEIR PRECIOUS NEWBORNS ARE BEING HELD IN THE MOST CARING AND CAPABLE HANDS. PMC IS PROUD TO PROVIDE THIS NEW SERVICE CLOSE TO HOME FOR OUR COMMUNITY MEMBERS, WHO PREVIOUSLY HAD TO TRAVEL OUT OF THE AREA TO RECEIVE THIS LEVEL OF CARE FOR THEIR BABIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES ACTIVITY #2</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4B</ReturnReference>
        <Explanation>MEDICAL HOME IN OUR CONTINUAL EFFORT TO MEET AND EXCEED THE HEALTHCARE NEEDS OF OUR COMMUNITY, POCONO MEDICAL CENTER [PMC] IS TRANSITIONING FROM OUTPATIENT, PRIMARY CARE PRACTICES TO OFFER COMPREHENSIVE MEDICAL HOMES. THIS NEW APPROACH TOWARD PROVIDING HEALTHCARE SERVICE IS CHARACTERIZED BY A PRIMARY CARE PHYSICIAN LEADING A TEAM OF HEALTHCARE PROFESSIONALS. THE FOCUS OF THE TEAM IS TO COORDINATE WELLNESS AND PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND ADVANCED INFORMATION TECHNOLOGY. THE MEDICAL HOME WILL ALSO ENCOURAGE EASIER ACCESS TO MEDICAL RECORDS AND STAFF. THESE TOOLS PROVIDE CAREGIVERS ACCESS TO MEDICAL RECORDS ACROSS THE ENTIRE HEALTH SYSTEM. THE PATIENT PORTAL ENABLES PATIENTS TO OBTAIN TEST RESULTS, SCHEDULE APPOINTMENTS, REQUEST PRESCRIPTION REFILLS, AND ASK CAREGIVERS QUESTIONS WITH REMOTE WEB ACCESS. PATIENT PORTAL PMC PHYSICIAN ASSOCIATES RECENTLY LAUNCHED E-CLINICAL WORKS (ECW)'S PATIENT PORTAL, A WEB-BASED TOOL THAT ENABLES PATIENTS AND PROVIDERS TO COMMUNICATE SAFELY AND SECURELY VIA THE INTERNET. THE PATIENT PORTAL IS EXPECTED TO BE IMPLEMENTED THROUGHOUT ALL PMC PHYSICIAN ASSOCIATES PRACTICES BY THE END OF 2010. THE ONLINE PATIENT PORTAL ENABLES PATIENTS TO BE MORE PROACTIVE IN MANAGING THEIR HEALTHCARE. THIS GIVES THEM THE CAPABILITY TO REQUEST NEW APPOINTMENTS, VIEW THEIR APPOINTMENT HISTORY, REQUEST MEDICATION REFILLS, VIEW LAB AND DIAGNOSTIC REPORTS, UPDATE THEIR CONTACT INFORMATION, SEND EMAILS TO THE PRACTICES, REVIEW BILLING STATEMENTS, AND VIEW THEIR IMMUNIZATION CHARTS ALL FROM THE CONVENIENCE OF THEIR COMPUTERS VIA A SECURE LOGIN TO THE ONLINE PORTAL, WHICH IS ACCESSIBLE FROM THE MYPMCDOCS.COM WEB SITE. LEVEL III TRAUMA THE LEVEL III TRAUMA DESIGNATION, ALLOWS FOR AN ADVANCED, LIFESAVING LEVEL OF CARE FOR SEVERELY INJURED PATIENTS, CLOSE TO HOME. THIS SERVICE ALLOWS US TO PROVIDE QUALITY, PATIENT-CENTERED TRAUMA CARE TO THE INDIVIDUALS WHO LIVE, VISIT, AND WORK IN OUR COMMUNITY. OUR COORDINATED, COMPREHENSIVE TEAM OF TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, CARDIAC SURGEONS, RADIOLOGISTS, NURSES, LAB IMAGING TECHNICIANS, AND OTHER SUPPORT STAFF ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. WE BELIEVE THAT OUR GOAL OF IMPROVING THE HEALTH AND WELLNESS WITHIN OUR COMMUNITY CANNOT BE ACHIEVED SOLELY THROUGH THE CARE WE PROVIDE WITHIN OUR FACILITIES, HOWEVER; IT'S THE PEOPLE HELPED AND THE LIVES TOUCHED BY OUR COMMUNITY PROGRAMS THAT ALSO MATTER. IN KEEPING WITH THIS BELIEF, IN FISCAL YEAR 2009, WE JOINED SPIRIT OF WOMEN, A NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS ACROSS THE UNITED STATES THAT ASCRIBE TO THE HIGHEST STANDARDS OF EXCELLENCE IN WOMEN'S HEALTH, EDUCATION, AND COMMUNITY OUTREACH. OUR SPIRIT OF WOMEN INITIATIVE COMPLEMENTED OUR EXISTING OUTREACH SUCH AS OUR "PATHWAYS TO HEALTH" MONTHLY TELEVISION SHOW, AND THRIVE TO SURVIVE BREAST CANCER OUTREACH AND SCREENING INITIATIVE OFFER MORE EDUCATIONAL HEALTH OPPORTUNITIES TO OUR COMMUNITY. THROUGH THIS VENTURE, PMC HOSTED COMMUNITY EDUCATIONAL PROGRAMS AND HEALTH SCREENINGS ON PRESSING HEALTHCARE TOPICS, INCLUDING UROGYNECOLOGY, DIABETES, HEART HEALTH, PERIPHERAL ARTERY DISEASE, PROSTATE, BREAST AND COLON CANCER. FOR THE THIRD YEAR IN A ROW, PMC IS THE RECIPIENT OF THE HEALTHGRADES DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THIS EXCLUSIVE AWARD PLACES THE MEDICAL CENTER WITHIN THE TOP FIVE PERCENT OF HOSPITALS IN THE NATION FOR OVERALL CLINICAL EXCELLENCE, ACCORDING TO HEALTHGRADES, A LEADING INDEPENDENT HEALTHCARE RATINGS ORGANIZATION. COMPARED WITH APPROXIMATELY 5,000 OTHER HOSPITALS IN THE COUNTRY, PMC WAS RANKED AMONG THOSE WITH THE LOWEST LEVELS OF MORTALITY, MORBIDITY, AND COMPLICATIONS. DALE AND FRANCES HUGHES CANCER CENTER POCONO MEDICAL CENTER'S DALE AND FRANCES HUGHES CANCER CENTER HAS LONG BEEN RECOGNIZED AS A NATIONAL LEADER IN CANCER CARE, PROVIDING A FULL LINE OF STATE-OF-THE-ART CANCER TREATMENT SERVICES FOR PATIENTS IN OUR COMMUNITY, WITH A HUMAN-CENTERED APPROACH THAT EMBRACES GENUINE RESPECT AND COMPASSION FOR PATIENTS AND THEIR LOVED ONES. IN FISCAL YEAR 2010, THE CANCER CENTER REGISTERED 4,113 PATIENTS AND ADMINISTERED 22,537 TREATMENTS. IN RECOGNITION OF THE TEAM'S ACHIEVEMENTS, PMC'S DALE AND FRANCES HUGHES CANCER CENTER RECEIVED A THREE-YEAR APPROVAL WITH COMMENDATION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. ONLY ONE IN FOUR HOSPITALS HAVE ATTAINED THIS ACHIEVEMENT AND ONLY 10 PERCENT OF THOSE WHO APPLIED THIS YEAR RECEIVED THE COMMENDATION. THE HUGHES CANCER CENTER ALSO RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIATION ONCOLOGY. IN ADDITION, REPRESENTATIVES FROM THE ADVISORY BOARD COMPANY, A WASHINGTON, D.C. BASED NATIONAL FIRM THAT ADVISES LEADING HEALTHCARE ORGANIZATIONS ON BEST PRACTICES IN RESEARCH AND PROTOCOLS, REGULARLY CONSULTS WITH THE HUGHES CANCER CENTER FOR INFORMATION ON ITS RADIATION ONCOLOGY PROGRAM TO GUIDE OTHER CANCER FACILITIES. IN ADDITION, THE PENNSYLVANIA CANCER REGISTRY PRESENTED PMC WITH ITS CERTIFICATE OF ACHIEVEMENT FOR 2007 CANCER REPORTING. THE CERTIFICATE IS AWARDED TO HOSPITALS THAT MEET THE PCR TIMELINESS STANDARD OF SUBMITTING AT LEAST 90 PERCENT OF CANCER ABSTRACTS WITHIN 180 DAYS OF DISCHARGE OR OUTPATIENT TREATMENT AS REQUIRED BY PENNSYLVANIA DEPARTMENT OF HEALTH DISEASE REPORTING REGULATIONS. PMC IS ONE OF ONLY 35 HOSPITALS IN THE COMMONWEALTH TO MEET THIS STANDARD. AFTER A SURVEY IN SEPTEMBER 2008 BY THE AMERICAN COLLEGE OF SURGEONS, THE DALE AND FRANCES HUGHES CANCER CENTER ALSO RECEIVED A COMPREHENSIVE CANCER DESIGNATION. RECEIVING THIS DESIGNATION SIGNIFIES THE CANCER CENTER IS PART OF A SELECT GROUP OF NATIONALLY RECOGNIZED CANCER CENTERS THAT HAVE MET RIGOROUS CRITERIA IN CANCER TREATMENT, RESEARCH, AND EDUCATION. THE HUGHES CANCER CENTER OFFERS SOME OF THE MOST SOPHISTICATED RADIATION EQUIPMENT, FACILITIES, AND EXPERTLY TRAINED STAFF FOR CANCER TREATMENT, INCLUDING A CERTIFIED MEDICAL DOSIMETRIST AND TWO RADIATION PHYSICISTS. THE HCC IS ONE OF THE FIRST OF 25 CANCER CENTERS IN THE COUNTRY TO USE INTENSITY MODULATED RADIATION THERAPY (IMRT) AND ONE OF THE FIRST OF 50 IN THE WORLD TO USE IMAGE-GUIDED RADIATION THERAPY (IGRT). IN FY 2010, RAPID ARCH TECHNOLOGY WAS INTRODUCED AS YET ANOTHER OPTION FOR OPTIMUM RADIATION CANCER TREATMENT. THIS STATE-OF-THE-ART TECHNOLOGY IS DESIGNED TO SIMULTANEOUSLY ALTER THREE ASPECTS OF RADIATION TREATMENT DURING THERAPY: THE ROTATION SPEED OF THE MACHINE, THE SHAPE OF THE RADIATION BEAN AND ITS ABILITY TO CONFORM TO THE SIZE OF A TUMOR, AND THE RATE AT WHICH THE DOSE IS DELIVERED. THE HUGHES CANCER CENTER CONTINUES TO EXPLORE NEW, INNOVATIVE TREATMENTS SUCH AS USING STEREOTACTIC BODY RADIATION THERAPY FOR TREATING NON- OPERABLE LUNG CANCER. IN ADDITION, RADIATION ONCOLOGISTS HAVE ALSO IMPLEMENTED PARTIAL BREAST IRRADIATION AS A TREATMENT PROTOCOL. IN 2004, POCONO MEDICAL CENTER (PMC) ENTERED INTO A PARTICIPATION AGREEMENT WITH THE JEFFERSON CANCER NETWORK TO ENHANCE THE DELIVERY OF ONCOLOGY SERVICES THROUGH THE HUGHES CANCER CENTER. THE AFFILIATION PROVIDES THE ONCOLOGY SPECIALISTS AT THE HUGHES CANCER CENTER ACCESS TO THE JEFFERSON INSTITUTIONAL REVIEW BOARD FOR RESEARCH OVERSIGHT WITH AUTOMATED ELECTRONIC SUBMISSION CAPABILITIES; ACCESS TO AN INCREASED NUMBER OF NATIONAL, CLINICAL RADIATION AND MEDICAL ONCOLOGY PROTOCOLS AND TRIALS; COLLABORATION WITH OTHER JEFFERSON NETWORK CANCER CENTERS; EXCELLENT EDUCATIONAL PROGRAMS; CONFERENCES; AND CONSULTATION OPPORTUNITIES. AS A MEMBER OF THE JEFFERSON CANCER NETWORK, THE HUGHES CANCER CENTER IS PRIVY TO THE LATEST PROVEN TREATMENT PROTOCOLS, INCLUDING MEDICAL ONCOLOGY, IGRT, GENETIC COUNSELING AS WELL AS SPECIALIZED EDUCATIONAL PROGRAMS AND CONFERENCES. PERHAPS EQUALLY AS IMPORTANT AS OUR LEADING EDGE TECHNOLOGY IS THE COMPASSION AND COMMITMENT OUR PHYSICIANS, NURSES, AND STAFF AT THE HUGHES CANCER CENTER BRING TO EACH AND EVERY PATIENT. THE HUGHES CANCER CENTER OFFERS A VARIETY OF SUPPORT SERVICES FOR PATIENTS AND FAMILIES DEALING WITH CANCER DIAGNOSIS AND TREATMENT. OUR SUPPORT SERVICES INCLUDE A COMPLIMENTARY ALTERNATIVE MEDICINE PROGRAM, A FULL-TIME BREAST HEALTH NURSE NAVIGATOR DEDICATED TO ASSISTING PATIENTS WHO HAVE BEEN DIAGNOSED WITH BREAST CANCER AND THEIR LOVED ONES, SURVIVORSHIP PROGRAMS, EDUCATIONAL SERVICES, SOCIAL SERVICES, COUNSELING AND GROUP SUPPORT, PASTORAL CARE, PALLIATIVE CARE, AND MORE. THE PMC BOARD OF DIRECTORS MADE THE UNANIMOUS COMMITMENT TO CONSTRUCT A NEW, NEARLY 60,000 SQUARE FOOT BUILDING WITH THE ESTIMATED TOTAL PROJECT COST OF $38 MILLION. THIS DECISION WAS SUPPORTED WITH THE FACT THAT CANCER IS THE LEADING CAUSE OF DEATH IN THE COUNTY AND THE INCIDENCE OF CANCER IN MONROE COUNTY IS HIGHER THAN THE STATE AND FEDERAL AVERAGE. THE CONSTRUCTION SCHEDULE IS PROJECTED TO BE TWO YEARS WITH DOORS OPEN IN 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES ACTIVITY #3</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4C</ReturnReference>
        <Explanation>HOUSED WITHIN THE ABELOFF COMMUNITY HEALTH CENTER IS PMC PHYSICIAN ASSOCIATES: PEDIATRICS, WHICH OFFERS PEDIATRIC CARE FROM SOME OF THE AREA'S FINEST PEDIATRICIANS TO UNDER- AND UNINSURED CHILDREN. TYPICAL SERVICES PROVIDED BY THE PRACTICE INCLUDE REGULAR PEDIATRIC WELLNESS VISITS AND CHECKUPS, IMMUNIZATIONS, HEALTH SCREENINGS, AND SOCIAL SERVICE REFERRALS. THE CENTER ALSO HOUSES AN EDUCATION/COMMUNITY OUTREACH ROOM AND CHILDREN'S RESOURCE LIBRARY. THE PRACTICE HAD 24,306 PEDIATRIC VISITS FOR FY 2010. THE VALERIE M. HODGE MEMORIAL DENTAL CENTER IS ALSO LOCATED IN THE CLEMENTINE ABELOFF HEALTH CENTER AND PROVIDES PEDIATRIC DENTAL CARE TO LOCAL UN- AND UNDERINSURED CHILDREN, PROVIDING THEM WITH ACCESS TO HIGH-QUALITY DENTAL HEALTHCARE REGARDLESS OF THEIR FAMILY'S FINANCIAL STATUS. THE HODGE MEMORIAL DENTAL CENTER OFFERS PREVENTATIVE, RESTORATIVE, AND SOME SURGICAL DENTAL PROCEDURES, INCLUDING EXTRACTIONS UNDER LOCAL ANESTHESIA AS WELL AS COMPOSITE AND SILVER FILLINGS. IN AN EMERGENCY, THE STAFF STRIVES TO SEE THE CHILD WITHIN 24 HOURS. WHEN PATIENTS PRESENT WITH SYMPTOMS THAT WARRANT FURTHER MEDICAL ATTENTION, THE DENTAL CENTER FUNCTIONS AS AN AUXILIARY SCREEN FOR OTHER HEALTH ISSUES. THIS FISCAL YEAR, THE HODGE DENTAL CENTER SERVED 3,553 PATIENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>WOMEN'S AND CHILDREN'S SERVICES OUR NEW LEVEL II NICU COMPLEMENTS A HOST OF OTHER SERVICES ADDED TO OUR OB-GYN SERVICE LINE IN FISCAL YEAR 2010. AMONG THOSE INCLUDE PERINATOLOGY SERVICES FOR HIGH RISK MOTHERS, A NEW MIDWIFERY PROGRAM, AND A UROGYNECOLOGY PROGRAM THAT PROVIDES ADVANCED TREATMENT, INCLUDING MINIMALLY INVASIVE SURGERY, FOR CONDITIONS SUCH AS INCONTINENCE, ABNORMAL BLEEDING AND OTHERS. OUR GROWING OB-GYN SERVICE LINE IS A CLEAR DEMONSTRATION OF OUR COMMITMENT TO ANTICIPATING AND ADDRESSING THE HEALTHCARE NEEDS OF OUR COMMUNITY. PMC OUTPATIENT DIAGNOSTIC LABORATORY POCONO MEDICAL CENTER (PMC)'S OUTPATIENT LABORATORY IS RECOGNIZED AS THE PRINCIPAL PROVIDER OF THE FINEST CLINICAL DIAGNOSTIC SERVICES TO OUTPATIENTS, AS WELL AS PHYSICIAN OFFICES AND NURSING HOMES IN THE AREA. IN FISCAL YEAR 2010, POCONO MEDICAL CENTER'S OUTPATIENT DIAGNOSTIC LAB VISITS TOTALED 20,664. COAGULATION CLINIC IN FISCAL YEAR 2009, PMC ESTABLISHED AN ANTI-COAGULATION CLINIC, WHICH OFFERS A DEDICATED SITE FOR BLOOD THINNER MEDICATION TESTING. BLOOD THINNERS ARE OFTEN PRESCRIBED AFTER HEART ATTACKS TO KEEP BLOOD CLOTS FROM FORMING AND THEREBY HELP LOWER THE RISK OF ANOTHER CARDIAC EVENT. WHILE EXTREMELY EFFECTIVE, BLOOD THINNERS REQUIRE REGULAR TESTING AND CAREFUL MONITORING IN PATIENTS. CERTIFIED AND TRAINED NURSE PRACTITIONERS STAFF THE CLINIC AND WORK IN CLOSE COLLABORATION WITH THE MEDICAL DIRECTOR TO PROVIDE THESE SERVICES TO OUR PATIENTS. LEARNING INSTITUTE THE LEARNING INSTITUTE IS AN OFF-SITE EDUCATIONAL FACILITY OPERATED BY PMC AND STAFFED BY PMC NURSE EDUCATORS AND HUMAN RESOURCE TRAINING STAFF. THE CENTER OFFERS COURSES AND SEMINARS TO PMC EMPLOYEES AND COMMUNITY MEMBERS, INCLUDING CPR CERTIFICATION AND RE-CERTIFICATION, IN-SERVICE TRAINING, AND PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES. THE LEARNING INSTITUTE ALSO HOUSES A LOCAL NURSE FAMILY PARTNERSHIP PROGRAM. PMC PHYSICIAN ASSOCIATES: OCCUPATIONAL MEDICINE THE GOAL OF PMC PHYSICIAN ASSOCIATES: OCCUPATIONAL MEDICINE IS TO PLACE HEALTHY INDIVIDUALS IN A SAFE AND DRUG-FREE WORKING ENVIRONMENT. WE PROVIDE WORKPLACE WELLNESS PHYSICALS AS WELL AS PRE-EMPLOYMENT, RETURN TO DUTY, EXECUTIVE AND DEPARTMENT OF TRANSPORTATION (DOT) PHYSICALS FOR PMC EMPLOYEES AND FOR A VARIETY OF LOCAL ORGANIZATIONS. WE ALSO PERFORM DRUG AND ALCOHOL TESTING ACCORDING TO DOT GUIDELINES. OTHER SERVICES INCLUDE: PULMONARY FUNCTION TESTING, RESPIRATORY FIT TESTING AND AUDIO TESTING ACCORDING TO OSHA STANDARDS, EKGS, PHLEBOTOMY, AND IMMUNIZATION PROGRAMS. THESE SERVICES ARE PERFORMED AT WORKSITES AS WELL AS IN OUR OFFICES IN EAST STROUDSBURG AND TOBYHANNA, PA. PROFESSIONAL &amp; STAFF DEVELOPMENT POCONO MEDICAL CENTER IS DEDICATED TO CONTINUOUS LEARNING AND ENCOURAGES ALL EMPLOYEES TO ENGAGE IN THEIR INDIVIDUAL AND PROFESSIONAL DEVELOPMENT. TO THIS END, WE PROVIDED THE FOLLOWING PROGRAMS FOR FISCAL YEAR 2010. -EMERGING LEADERS PROGRAM EMPLOYEES ARE SELECTED BASED ON MERIT TO PARTICIPATE IN VARIOUS PROGRAMS AND ARE ENCOURAGED TO PERSUE MANAGERIAL ROLES. FIFTEEN (15) ATTENDEES HAVE BEEN PROMOTED TO SUPERVISORY ROLES THROUGH THE PROGRAM SINCE INCEPTION. -RISING STARS PROGRAM THIS PROGRAM IS FOR ENTRY LEVEL STAFF WITH NO ADDITIONAL EDUCATION BEYOND HIGH SCHOOL OR GED. THE YEAR LONG PROGRAM PREPARES EMPLOYEES FOR ADDITIONAL JOB CHOICES WITHIN THE HOSPITAL AND SUPPORT TO RETURN TO SCHOOL TO PURSUE AREAS OF INTEREST. -STUDENT REIMBURSEMENT PROGRAM THIS PROGRAM OFFERS REIMBURSEMENT FOR TUITION AND BOOKS FOR CERTIFICATE, UNDERGRADUATE AND GRADUATE STUDIES. -CONTINUING EDUCATION OPPORTUNITIES THE CONTINUING EDUCATION PROCESS PROVIDES OPPORTUNITIES TO THE ORGANIZATION AND EMPLOYEES TO REQUEST ATTENDANCE OF OFF-SITE MEETINGS AND PROGRAMS PERTAINING TO THE HEALTHCARE ORGANIZATION AND JOB SPECIFICATIONS. -AMERICAN HEART ASSOCIATION CERTIFICATION PROGRAMS AS A DESIGNATED AMERICAN HEART ASSOCIATION PROGRAM PROVIDER, OUR EMPLOYEE CERTIFICATIONS INCLUDE BLS, ACLS, AND PALS. IN ADDITION TO CERTIFYING EMPLOYEES, COMMUNITY MEMBERS CAN ALSO OBTAIN AHA CERTIFICATION THROUGH THE TRAINING CENTER. -MANAGEMENT DEVELOPMENT TWELVE TOPICS ARE OFFERED IN THE FOUNDATIONAL SERIES FOR MANAGEMENT DEVELOPMENT, INCLUDING EFFECTIVE LEADERSHIP IN HEALTHCARE, CREATING A MORE POSITIVE WORKPLACE, MANAGING PERFORMANCE-GOAL SETTING, COUNSELING/ DISCIPLINE, INTERVIEWING AND SELECTION, CULTURAL COMPETENCE IN HEALTHCARE, FINANCE IN HEALTHCARE, CUSTOMER SERVICE, MANAGING CHANGE, DEVELOPING HIGH PERFORMANCE TEAMS, PROBLEM SOLVING AND DECISION MAKING, AND CRUCIAL CONVERSATIONS. FIVE ADDITIONAL TOPICS ARE OFFERED IN THE ELECTIVE SERIES, INCLUDING: RESILIENCE, POSITIVE INFLUENCE, SITUATIONAL LEADERSHIP, TIME MANAGEMENT AND PRIORITIZING, AND COACHING. NURSE-FAMILY PARTNERSHIP NATIONALLY, THE NURSE-FAMILY PARTNERSHIP IS A RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES. POCONO MEDICAL CENTER'S NURSE-FAMILY PARTNERSHIP PROVIDES CRUCIAL SERVICES TO LOCAL AT-RISK NEW MOTHERS. REGISTERED NURSES WITH SPECIAL TRAINING IN PRENATAL AND INFANT CARE AS WELL AS PSYCHOSOCIAL DEVELOPMENT VISIT EXPECTANT MOTHERS IN THEIR OWN HOMES. THE VISITS BEGIN IN EARLY PREGNANCY AND CONTINUE UNTIL THE CHILD IS TWO-YEARS-OLD. HEALTHY LIFESTYLE HABITS ARE EMPHASIZED, PARENTING SKILLS ARE DEVELOPED, AND CAREER COUNSELING IS OFFERED. IN ADDITION, LIFESTYLE SKILLS SUCH AS MAKING THE HOME A SAFE PLACE FOR BABY, CONFLICT RESOLUTION, AND FISCAL RESPONSIBILITY ARE INTRODUCED THROUGH INDIVIDUAL INSTRUCTION AND GROUP ACTIVITIES. SINCE ITS INCEPTION IN AUGUST 2002, THE NURSE-FAMILY PARTNERSHIP OF MONROE COUNTRY HAS ENROLLED 525 MOMS, AND 382 BABIES HAVE BEEN BORN TO NFP MOTHERS. DIABETES EDUCATION CERTIFIED DIABETIC EDUCATORS, REGISTERED NURSES AND DIETITIANS CONDUCT POCONO MEDICAL CENTER'S SUCCESS WITH DIABETES SELF-MANAGEMENT PROGRAM, PROVIDING OUR COMMUNITY MEMBERS WITH THE TOOLS AND KNOWLEDGE THEY NEED TO ENSURE A HEALTHY LIFESTYLE. SELF-MANAGEMENT EDUCATION IS AN ESSENTIAL PART OF DIABETES TREATMENT. COMBINED WITH MEDICAL AND NUTRITIONAL THERAPY, EDUCATION GIVES THE LEARNER THE ABILITY TO BECOME AN ACTIVE PARTICIPANT IN HIS/HER CARE. WELL-MANAGED DIABETES HAS BEEN SHOWN TO PREVENT AND/OR DELAY THE ACUTE AND CHRONIC COMPLICATIONS OF DIABETES AND REDUCE THE NUMBER AND LENGTH OF HOSPITAL ADMISSIONS. EDUCATIONAL TOPICS PROVIDED BY PMC'S SUCCESS WITH DIABETES SELF-MANAGEMENT PROGRAM INCLUDE: -OVERVIEW OF DIABETES -STRESS MANAGEMENT AND PSYCHOLOGICAL ADJUSTMENT -BLOOD GLUCOSE LEVELS -PREVENTION, DETECTION, AND TREATMENTS OF ACUTE AND CHRONIC COMPLICATIONS -FOOT, SKIN, AND DENTAL CARE -BEHAVIOR CHANGE STRATEGIES -GOAL SETTING -RISK FACTOR REDUCTION -PROBLEM SOLVING -APPROPRIATE USE OF HEALTH CARE SYSTEMS AND COMMUNITY RESOURCES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICER, DIRECTOR, OR KEY EMPLOYEE RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>BOARD MEMBERS VINCENT FRANCESCANGELI, JONATHAN GOLDNER, AND DARELL COVINGTON HAVE A BUSINESS RELATIONSHIP AS THEY ARE ALL OWNERS OF PIMS PROPERTIES, LP. BOARD MEMBERS VINCENT FRANCECANGELI AND JONATHAN GOLDER HAVE A BUSINESS RELATIONSHIP, AS THEY ARE BOTH OWNERS OF PIMS, LLC. BOARD MEMBERS JOSEPH CONAHAN AND FRANK RUSHEN HAVE A BUSINESS RELATIONSHIP. BOARD MEMBERS JOSEPH CONAHAN AND DOUGLAS YOUNG HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS/STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINES 6, 7A, &amp; 7B</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE CORPORATION IS POCONO HEALTH SYSTEM (PHS), A PENNSYLVANIA NONPROFIT CORPORATION. PHS ELECTS/APPOINTS THE BOARD MEMBERS OF POCONO MEDICAL CENTER (PMC). IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY OTHER PROVISIONS OF THE BYLAWS TO BE SUBMITTED TO A VOTE OF THE SOLE MEMBER, THE SOLE MEMBER IS EMPOWERED TO INITIATE AND IMPLEMENT ANY OF THE FOLLOWING ACTIONS WITH RESPECT TO THE CORPORATION AND IF ANY SUCH ACTION IS OTHERWISE INITIATED BY THE CORPORATION, SUCH ACTION WILL NOT BECOME EFFECTIVE UNLESS APPROVED BY THE SOLE MEMBER: (A) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THIS CORPORATION OR ANY SUBSIDIARY CORPORATION; (B) TO DISSOLVE, REORGANIZE, DIVIDE, CONVERT, LIQUIDATE OR WIND-UP ANY SUBSIDIARY CORPORATION OR CONSOLIDATE OR MERGE THIS CORPORATION WITH ANY OTHER CORPORATION OR ENTITY; (C) TO ANNUALLY APPROVE ALL CAPITAL AND OPERATING BUDGETS FOR THIS CORPORATION; (D) TO ANNUALLY APPROVE THE STRATEGIC AND OPERATING PLANS OR ANY CHANGES THERETO OF THIS CORPORATION; (E) TO APPROVE ANY UNBUDGETED EXPENSE ITEM OF THIS CORPORATION IN EXCESS OF TWO MILLION ($2,000,000.00) DOLLARS; (F) TO RECEIVE, REVIEW, AND APPROVE FINANCIAL AND OPERATING REPORTS FROM THIS CORPORATION ON AT LEAST A QUARTERLY BASIS; (G) TO APPROVE ANY NEW LINE(S) OF BUSINESS AND/OR MATERIAL CHANGES IN EXISTING SERVICES AND/OR PARTICIPATION BY THIS CORPORATION WITH ANY OTHER ENTITY WHERE LICENSURE BY THE COMMONWEALTH OF PENNSYLVANIA IS REQUIRED AS A PRECONDITION FOR ANY SUCH ACTION, BUSINESS, SERVICE, OR PARTICIPATION; (H) TO APPROVE THE INCURRENCE OF INDEBTEDNESS BY THIS CORPORATION; (I) TO APPROVE THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION; (J) TO SPECIFY THE NUMBER OF AND TO ELECT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (K) TO APPROVE THE ELECTION OR REMOVAL OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (L) TO REQUIRE EACH DIRECTOR OF THIS CORPORATION AND THE PRESIDENT, EACH VICE PRESIDENT, AND ALL KEY MANAGEMENT PERSONNEL OF THIS CORPORATION TO ANNUALLY SUBMIT TO THE BOARD OF DIRECTORS OF THIS CORPORATION A CONFLICT OF INTEREST STATEMENT IN FORM FIRST APPROVED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER; (M) TO ANNUALLY EVALUATE THE PERFORMANCE OF THIS CORPORATION'S BOARD OF DIRECTORS IN OVERSEEING THE MANAGEMENT AND PERFORMANCE OF THIS CORPORATION; (N) TO REQUIRE THAT THIS CORPORATION'S GOVERNANCE, DELIBERATIONS, AND ACTIONS ARE ORIENTED TO COMMUNITY SERVICE; (O) TO REQUIRE THAT THIS CORPORATION IS ORIENTED TO AND FOCUSED UPON THE DELIVERY OF HIGH-QUALITY CARE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11A</ReturnReference>
        <Explanation>THE ORGANIZATION HAS AN EXTENSIVE 990 REVIEW PROCESS. THE 990 IS FIRST REVIEWED BY THE ACCOUNTING DEPARTMENT AND THE CFO. AFTER ANY NECESSARY CHANGES ARE MADE, A REVIEW IS PERFORMED BY THE CORPORATE COMPLIANCE OFFICER, THE FINANCE COMMITTEE, AND THE CEO. AFTER ALL CHANGES ARE MADE, THE FINAL COPY IS PROVIDED TO ALL BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE DIRECTOR OF CORPORATE COMPLIANCE MONITORS ALL CONFLICT OF INTEREST DISCLOSURES. ANY BOARD MEMBER WITH A CONFLICT WOULD ABSTAIN FROM VOTING ON ANY MATTER RELATED TO THAT CONFLICT. IN ADDITION, CORPORATE OFFICERS AND TOP MANAGEMENT ARE ANNUALLY REQUIRED TO DISCLOSE CONFLICTS OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION DETERMINATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>ONCE EVERY THREE YEARS, OR SOONER IF NECESSARY, COMPENSATION REVIEWS ARE CONDUCTED FOR THE CEO AND TOP MANAGEMENT. A COMPENSATION COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION OF THE PRESIDENT AND CEO AND COMPENSATION RANGES FOR THE VICE PRESIDENTS. THE CEO SHALL THEN SET THE COMPENSATION OF THE VICE PRESIDENTS WITHIN THE APPROVED RANGES. IN MAKING RECOMMENDATIONS TO THE BOARD ON COMPENSATION AND COMPENSATION RANGES, THE COMPENSATION COMMITTEE RELIES ON REPORTS FROM AN INDEPENDENT COMPENSATION CONSULTANT SELECTED BY THE COMMITTEE. TO ASSURE INDEPENDENCE, THE CONSULTANT SHALL PERFORM NO OTHER SERVICES FOR PMC. THE CONSULTANT WAS MOST RECENTLY USED IN 2009. THE COMMITTEE REPORTS ITS DECISIONS TO THE BOARD AT ITS NEXT EXECUTIVE SESSION, AT WHICH TIME THE BOARD SHALL EITHER RATIFY THE DECISION OR SEND IT BACK TO THE COMMITTEE FOR FURTHER DELIBERATION. ONCE A FINAL DECISION IS REACHED, THE BOARD CHAIRMAN INFORMS THE CEO OF THE DECISIONS OF THE COMMITTEE AND RATIFICATION BY THE BOARD REGARDING THE CEO'S SALARY AND THE SALARY RANGES FOR THE VICE PRESIDENTS. MINUTES OF THE COMMITTEE AND THE EXECUTIVE SESSION PORTION OF THE BOARD ARE PREPARED AND RETAINED IN THE ADMINISTRATION OFFICES AND CONTAIN SUFFICIENT INFORMATION TO SUBSTANTIATE THE DELIBERATION AND DECISION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>FINANCIAL RESULTS ARE PUBLISHED IN THE ANNUAL REPORT, A COPY OF WHICH IS DISTRIBUTED IN A VARIETY OF PUBLIC FORUMS AND WOULD OTHERWISE BE PROVIDED UPON REQUEST. THE CONFLICT OF INTEREST POLICY WOULD BE AVAILABLE FOR VIEWING IN THE BUSINESS OR ADMINISTRATIVE OFFICES OF PMC UPON REQUEST TO ENSURE THE MOST CURRENT COPY IS ALWAYS THE ONE BEING MADE AVAILABLE. THE GOVERNING DOCUMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED HOURS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, COLUMN B</ReturnReference>
        <Explanation>KATHLEEN KUCK, POCONO MEDICAL CENTER PRESIDENT AND CEO, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN POCONO HEALTH SYSTEM, POCONO MEDICAL CENTER, POCONO HEALTH FOUNDATION, POCONO HEALTHCARE PARTNERS, FAMILY CARE CENTERS AND POCONO AMBULATORY SERVICES. MICHAEL WILK, POCONO MEDICAL CENTER CFO, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN POCONO HEALTH SYSTEM, POCONO MEDICAL CENTER, POCONO HEALTH FOUNDATION, POCONO HEALTHCARE PARTNERS, FAMILY CARE CENTERS AND POCONO AMBULATORY SERVICES. HOWARD DAVIS, POCONO VP OF MEDICAL AFFAIRS, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN POCONO MEDICAL CENTER, POCONO HEALTHCARE PARTNERS AND POCONO AMBULATORY SERVICES. DR. ANNE CAHILL WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN POCONO MEDICAL CENTER AND POCONO HEALTH FOUNDATION. STEPHEN J CUNNINGHAM, POCONO VP OF COMMUNITY DEVELOPMENT, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN POCONO MEDICAL CENTER AND POCONO AMBULATORY SERVICES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>NAME OF INTERESTED PERSONS: PIMS PROPERTIES, LP RELATIONSHIP: VINCENT FRANCESCANGLI, JONATHAN GOLDNER AND DARRELL COVINGTON ARE OWNERS AMOUNT OF TRANSACTION: 168,657 DESCRIPTION OF TRANSACTION: RENT OF CLINIC OFFICE SPACE DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>POCONO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>206 EAST BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </AddressUS>
        <EIN>232336285</EIN>
        <PrimaryActivities>SUPPORT PMC</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B II</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAMILY CARE CENTERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>206 EAST BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </AddressUS>
        <EIN>232349341</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>POCONO HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>206 EAST BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </AddressUS>
        <EIN>232516451</EIN>
        <PrimaryActivities>SUPPORT PHS</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A I</PublicCharityStatus>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>POCONO HEALTHCARE PARTNERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>206 EAST BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </AddressUS>
        <EIN>233014006</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>POCONO AMBULATORY SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>206 EAST BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </AddressUS>
        <EIN>232611474</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>POCONO HLTH SYS MED PROF LIAB TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>206 EAST BROWN ST</AddressLine1>
          <City>EAST STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18301</ZIPCode>
        </AddressUS>
        <EIN>206560453</EIN>
        <PrimaryActivities>SELF INSURANC</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A I</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>POCONO AMB SURG CTR</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>STROUDSBURG PA 18360</AddressLine1>
          <City>STROUDSBURG</City>
          <State>PA</State>
          <ZIPCode>18360</ZIPCode>
        </AddressUS>
        <EIN>232611442</EIN>
        <PrimaryActivity>SURGERY</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <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>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>