EVERY HOSPITAL IN NEW YORK STATE SUFFERS UNDER GOVERNOR S MID-YEAR BUDGET CUTS

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FOR IMMEDIATE RELEASE AUGUST 13, 2008 FOR MORE INFORMATION WILLIAM VAN SLYKE (518) 431-7770 (518) 527-3547 EVERY HOSPITAL IN NEW YORK STATE SUFFERS UNDER GOVERNOR S MID-YEAR BUDGET CUTS Slashing Medicaid Would Devastate N.Y. Hospitals By Nearly $1 Billion ALBANY, N.Y. Governor David Paterson s proposal to cut Medicaid would take $974.1 million away from New York s hospitals and health care providers over the next two years, according to an analysis completed by the Healthcare Association of New York State (HANYS). A facility-specific breakdown of the impacts is available on the attached chart. For years, hospitals have struggled just to break even. In today s economy, that struggle has been made even more difficult, HANYS President Daniel Sisto said. Now, the Governor plans to take nearly $1 billion away from an industry whose members are barely treading water. Every hospital loses under this plan, and as a result, every community in New York faces the possibility of losing as well. HANYS estimates include both the state and federal share of proposed Medicaid reductions. The analysis the cumulative impact on health care facilities for State Fiscal Year () 2008-2009 and for. Taking funding away from health care providers puts critical services in jeopardy and threatens the viability of institutions that people rely on, Mr. Sisto said. Times are tough in New York, and the Governor is making it even tougher to provide the vital health care services New Yorkers deserve.

HANYS, the only statewide hospital and continuing care association in New York State, represents more than 550 non-profit and public hospitals, nursing homes, home care agencies, and other health care organizations. - 30 -

Impact by Hospital Impact for and New York State Hospital Impacts ($320,403,000) ($653,696,000) ($974,099,000) New York City ($234,221,000) ($433,745,000) ($667,966,000) Bellevue Hospital Center (11,185,000) (17,906,000) (29,091,000) Beth Israel Medical Center -- Kings Highway Division (418,000) (771,000) (1,189,000) Beth Israel Medical Center -- Milton and Carroll Petrie Division (7,179,000) (13,831,000) (21,010,000) Bronx-Lebanon Hospital Center (11,183,000) (17,594,000) (28,777,000) Brookdale University Hospital and Medical Center (5,329,000) (8,692,000) (14,021,000) Calvary Hospital (886,000) (1,651,000) (2,537,000) Coler - Goldwater Specialty Hospital and Nursing Facility (includes Coler Hospital Site) (3,429,000) (5,103,000) (8,532,000) Coler - Goldwater Specialty Hospital and Nursing Facility (includes Goldwater Hospital Site) (5,596,000) (8,221,000) (13,817,000) Coney Island Hospital (3,673,000) (6,370,000) (10,043,000) Elmhurst Hospital Center (6,449,000) (10,796,000) (17,245,000) Flushing Hospital Medical Center (1,028,000) (2,228,000) (3,256,000) Forest Hills Hospital (476,000) (1,291,000) (1,767,000) Harlem Hospital Center (5,045,000) (8,085,000) (13,130,000) Hospital for Special Surgery (455,000) (2,339,000) (2,794,000) Interfaith Medical Center (All Divisions) (4,031,000) (6,128,000) (10,159,000) Jacobi Medical Center (8,670,000) (13,800,000) (22,470,000) Jamaica Hospital Medical Center (2,755,000) (4,880,000) (7,635,000) Kings County Hospital Center (9,547,000) (15,334,000) (24,881,000) Kingsbrook Jewish Medical Center (2,083,000) (3,737,000) (5,820,000) Lenox Hill Hospital (1,466,000) (4,291,000) (5,757,000) Lincoln Medical and Mental Health Center (6,326,000) (10,289,000) (16,615,000) Long Island College Hospital (1,738,000) (3,553,000) (5,291,000) Long Island Jewish Medical Center (5,396,000) (12,090,000) (17,486,000) Lutheran Medical Center (2,616,000) (5,636,000) (8,252,000) Maimonides Medical Center (5,202,000) (10,514,000) (15,716,000) Mary Immaculate Hospital and St. John's Queens Hospital (2,502,000) (4,762,000) (7,264,000) Memorial Sloan-Kettering Cancer Center (3,473,000) (10,702,000) (14,175,000) Metropolitan Hospital Center (5,748,000) (9,083,000) (14,831,000) Montefiore Medical Center (12,386,000) (24,458,000) (36,844,000) Mount Sinai Hospital of Queens (755,000) (1,661,000) (2,416,000) Mount Sinai Medical Center (10,204,000) (19,930,000) (30,134,000) New York Community Hospital of Brooklyn (337,000) (828,000) (1,165,000) New York Eye and Ear Infirmary (152,000) (588,000) (740,000) New York Hospital Queens (2,731,000) (6,008,000) (8,739,000)

Impact by Hospital Impact for and New York State Hospital Impacts ($320,403,000) ($653,696,000) ($974,099,000) New York Methodist Hospital (3,261,000) (6,766,000) (10,027,000) New York Westchester Square Medical Center (331,000) (838,000) (1,169,000) NewYork - Presbyterian Healthcare (All Four NY Presbyterian Hospitals) (21,392,000) (42,935,000) (64,327,000) North Central Bronx Hospital (2,467,000) (3,996,000) (6,463,000) North General Hospital (2,461,000) (4,073,000) (6,534,000) New York Downtown Hospital (512,000) (1,470,000) (1,982,000) NYU Hospital for Joint Diseases (691,000) (1,824,000) (2,515,000) NYU Medical Center (3,038,000) (8,567,000) (11,605,000) The New Parkway Hospital (382,000) (531,000) (913,000) The North Division of Montefiore Medical Center (2,460,000) (4,450,000) (6,910,000) Peninsula Hospital Center (933,000) (1,696,000) (2,629,000) Queens Hospital Center (4,725,000) (7,683,000) (12,408,000) Richmond University Medical Center (2,260,000) (4,490,000) (6,750,000) Rockefeller University Hospital (108,000) (151,000) (259,000) St. Barnabas Hospital (5,302,000) (8,738,000) (14,040,000) St. John's Episcopal Hospital South Shore (1,959,000) (3,458,000) (5,417,000) St. Luke's-Roosevelt Hospital Center (7,267,000) (14,123,000) (21,390,000) St. Vincent's Hospital and Medical Center -- includes NYC and Westchester Divisions (5,181,000) (9,812,000) (14,993,000) Staten Island University Hospital -- All Divisions (3,323,000) (7,797,000) (11,120,000) SUNY Downstate Medical Center (3,311,000) (5,908,000) (9,219,000) The Brooklyn Hospital Center (2,237,000) (4,414,000) (6,651,000) Woodhull Medical and Mental Health Center (7,853,000) (12,348,000) (20,201,000) Wyckoff Heights Medical Center (2,318,000) (4,527,000) (6,845,000) Western New York ($9,688,000) ($25,760,000) ($35,448,000) Bertrand Chaffee Hospital (42,000) (120,000) (162,000) Brooks Memorial Hospital (76,000) (273,000) (349,000) Cuba Memorial Hospital (7,000) (31,000) (38,000) Erie County Medical Center (2,570,000) (4,730,000) (7,300,000) Inter-Community Memorial Hospital (39,000) (160,000) (199,000) Jones Memorial Hospital (128,000) (345,000) (473,000) Kaleida Health (2,224,000) (6,629,000) (8,853,000) Kenmore Mercy Hospital (233,000) (787,000) (1,020,000) Lockport Memorial Hospital (175,000) (432,000) (607,000) Medina Memorial Health Care System (65,000) (239,000) (304,000) Mercy Hospital of Buffalo (631,000) (1,952,000) (2,583,000)

Impact by Hospital Impact for and New York State Hospital Impacts ($320,403,000) ($653,696,000) ($974,099,000) Mount St. Mary's Hospital and Health Center (253,000) (710,000) (963,000) Niagara Falls Memorial Medical Center (501,000) (1,077,000) (1,578,000) Olean General Hospital (159,000) (559,000) (718,000) Roswell Park Cancer Institute (470,000) (1,726,000) (2,196,000) Sheehan Memorial Hospital (378,000) (568,000) (946,000) Sisters of Charity Hospital of Buffalo (528,000) (1,512,000) (2,040,000) St. Joseph Hospital (133,000) (522,000) (655,000) TLC Health Network (220,000) (473,000) (693,000) United Memorial Medical Center (212,000) (609,000) (821,000) WCA Hospital (344,000) (983,000) (1,327,000) Westfield Memorial Hospital (16,000) (64,000) (80,000) Kaleida Health - Women and Children's Hospital of Buffalo (159,000) (938,000) (1,097,000) Wyoming County Community Health System (125,000) (321,000) (446,000) Rochester Regional ($10,900,000) ($27,493,000) ($38,393,000) Arnot Ogden Medical Center (815,000) (1,827,000) (2,642,000) Clifton Springs Hospital and Clinic (179,000) (480,000) (659,000) Corning Hospital (247,000) (681,000) (928,000) F.F. Thompson Hospital (117,000) (499,000) (616,000) Geneva General Hospital (130,000) (518,000) (648,000) Highland Hospital of Rochester (795,000) (2,243,000) (3,038,000) Ira Davenport Memorial Hospital, Inc. (58,000) (167,000) (225,000) Lakeside Memorial Hospital (83,000) (283,000) (366,000) Monroe Community Hospital - - - Nicholas H. Noyes Memorial Hospital (117,000) (373,000) (490,000) Rochester General Hospital (1,443,000) (4,534,000) (5,977,000) Schuyler Hospital, Inc. (67,000) (179,000) (246,000) Soldiers and Sailors Memorial Hospital (37,000) (136,000) (173,000) St. James Mercy Hospital (372,000) (749,000) (1,121,000) St. Joseph's Hospital of Elmira (442,000) (929,000) (1,371,000) Strong Memorial Hospital (4,775,000) (10,575,000) (15,350,000) Unity Health System (1,011,000) (2,814,000) (3,825,000) Newark-Wayne Community Hospital (212,000) (506,000) (718,000) Iroquois - Central ($12,404,000) ($32,121,000) ($44,525,000) Albert Lindley Lee Memorial Hospital (91,000) (294,000) (385,000) Auburn Memorial Hospital (294,000) (723,000) (1,017,000)

Impact by Hospital Impact for and New York State Hospital Impacts ($320,403,000) ($653,696,000) ($974,099,000) Canton-Potsdam Hospital (275,000) (677,000) (952,000) Carthage Area Hospital (70,000) (204,000) (274,000) Cayuga Medical Center at Ithaca (437,000) (1,196,000) (1,633,000) Chenango Memorial Hospital (154,000) (447,000) (601,000) Claxton-Hepburn Medical Center (375,000) (879,000) (1,254,000) Clifton-Fine Hospital (16,000) (42,000) (58,000) Community General Hospital of Greater Syracuse (311,000) (980,000) (1,291,000) Community Memorial Hospital (89,000) (272,000) (361,000) Cortland Regional Medical Center (339,000) (766,000) (1,105,000) Crouse Hospital (1,729,000) (3,834,000) (5,563,000) E.J. Noble Hospital of Gouverneur (68,000) (158,000) (226,000) Faxton - St. Luke's Healthcare (621,000) (1,956,000) (2,577,000) Lewis County General Hospital (125,000) (300,000) (425,000) Little Falls Hospital (43,000) (165,000) (208,000) Massena Memorial Hospital (192,000) (476,000) (668,000) Oneida Healthcare Center (159,000) (473,000) (632,000) Oswego Health (214,000) (549,000) (763,000) Our Lady of Lourdes Memorial Hospital (588,000) (1,849,000) (2,437,000) River Hospital (23,000) (75,000) (98,000) Rome Memorial Hospital (104,000) (501,000) (605,000) Samaritan Medical Center (540,000) (1,403,000) (1,943,000) St. Elizabeth Medical Center (862,000) (2,039,000) (2,901,000) St. Joseph's Hospital Health Center (1,021,000) (3,379,000) (4,400,000) SUNY Upstate Medical University (2,183,000) (4,783,000) (6,966,000) United Health Services Hospitals, Inc. (1,481,000) (3,701,000) (5,182,000) Iroquois - Northeastern ($10,661,000) ($28,365,000) ($39,026,000) Adirondack Medical Center (141,000) (471,000) (612,000) Albany Medical Center -- South Clinical Campus (29,000) (144,000) (173,000) Albany Medical Center (3,276,000) (6,996,000) (10,272,000) Albany Memorial Hospital (154,000) (595,000) (749,000) Alice Hyde Medical Center (170,000) (469,000) (639,000) Amsterdam Memorial Hospital (24,000) (140,000) (164,000) Aurelia Osborn Fox Memorial Hospital (324,000) (787,000) (1,111,000) Bellevue Women's Care Center (113,000) (284,000) (397,000) Champlain Valley Physicians Hospital Medical Center (747,000) (1,942,000) (2,689,000) Cobleskill Regional Hospital (44,000) (168,000) (212,000)

Impact by Hospital Impact for and New York State Hospital Impacts ($320,403,000) ($653,696,000) ($974,099,000) Columbia Memorial Hospital (298,000) (793,000) (1,091,000) Delaware Valley Hospital (134,000) (250,000) (384,000) Eddy Cohoes Rehabilitation Center (12,000) (59,000) (71,000) Elizabethtown Community Hospital (10,000) (58,000) (68,000) Ellis Hospital (753,000) (1,973,000) (2,726,000) Ellis Hospital McClellan Campus (375,000) (900,000) (1,275,000) Glens Falls Hospital (718,000) (2,284,000) (3,002,000) Margaretville Memorial Hospital (18,000) (68,000) (86,000) Mary Imogene Bassett Hospital (633,000) (1,973,000) (2,606,000) Moses-Ludington Hospital (18,000) (88,000) (106,000) Nathan Littauer Hospital (275,000) (676,000) (951,000) O'Connor Hospital (15,000) (85,000) (100,000) Samaritan Hospital (368,000) (995,000) (1,363,000) Saratoga Hospital (283,000) (982,000) (1,265,000) Seton Health (351,000) (1,120,000) (1,471,000) St. Mary's Hospital (386,000) (959,000) (1,345,000) St. Peter's Hospital (847,000) (2,735,000) (3,582,000) Sunnyview Rehabilitation Hospital (145,000) (368,000) (513,000) Tri Town Regional Hospital - (3,000) (3,000) Long Island ($21,077,000) ($57,720,000) ($78,797,000) Brookhaven Memorial Hospital Medical Center (681,000) (2,040,000) (2,721,000) Brunswick Hospital Center (127,000) (303,000) (430,000) Eastern Long Island Hospital (399,000) (700,000) (1,099,000) Franklin Hospital (408,000) (1,137,000) (1,545,000) Glen Cove Hospital (267,000) (1,131,000) (1,398,000) Good Samaritan Hospital Medical Center (1,000,000) (3,264,000) (4,264,000) Huntington Hospital (912,000) (2,384,000) (3,296,000) John T. Mather Memorial Hospital (483,000) (1,554,000) (2,037,000) Long Beach Medical Center (375,000) (879,000) (1,254,000) Mercy Medical Center (708,000) (2,038,000) (2,746,000) Nassau University Medical Center (5,163,000) (8,606,000) (13,769,000) New Island Hospital (194,000) (754,000) (948,000) North Shore University Hospital -- Manhasset and Syosset Divisions (2,878,000) (9,504,000) (12,382,000) Peconic Bay Medical Center (224,000) (667,000) (891,000) Plainview Hospital (237,000) (1,089,000) (1,326,000) South Nassau Communities Hospital (843,000) (2,478,000) (3,321,000)

Impact by Hospital Impact for and New York State Hospital Impacts ($320,403,000) ($653,696,000) ($974,099,000) Southampton Hospital (274,000) (740,000) (1,014,000) Southside Hospital (1,106,000) (2,611,000) (3,717,000) St. Catherine of Siena Medical Center (406,000) (1,387,000) (1,793,000) St. Charles Hospital (336,000) (1,247,000) (1,583,000) St. Francis Hospital-The Heart Center (554,000) (2,740,000) (3,294,000) Stony Brook University Medical Center (2,374,000) (6,121,000) (8,495,000) Winthrop-University Hospital (1,128,000) (4,346,000) (5,474,000) Northern Metropolitan ($21,452,000) ($48,492,000) ($69,944,000) Benedictine Hospital (455,000) (1,012,000) (1,467,000) Blythedale Children's Hospital (1,755,000) (2,672,000) (4,427,000) Bon Secours Community Hospital (313,000) (772,000) (1,085,000) Catskill Regional Medical Center (595,000) (1,248,000) (1,843,000) Catskill Regional Medical Center/Grover M. Hermann Division (17,000) (44,000) (61,000) Community Hospital at Dobbs Ferry (42,000) (163,000) (205,000) Ellenville Regional Hospital (94,000) (173,000) (267,000) Good Samaritan Hospital (671,000) (2,092,000) (2,763,000) Helen Hayes Hospital (255,000) (630,000) (885,000) Hudson Valley Hospital Center (247,000) (870,000) (1,117,000) Lawrence Hospital Center (235,000) (1,019,000) (1,254,000) Mount Vernon Hospital (771,000) (1,430,000) (2,201,000) Northern Dutchess Hospital (101,000) (372,000) (473,000) Northern Westchester Hospital (328,000) (1,171,000) (1,499,000) Nyack Hospital (805,000) (1,814,000) (2,619,000) Orange Regional Medical Center (919,000) (2,644,000) (3,563,000) Phelps Memorial Hospital Center (815,000) (1,892,000) (2,707,000) Putnam Hospital Center (351,000) (1,077,000) (1,428,000) Riverside Health Care System (1,519,000) (2,765,000) (4,284,000) Saint Joseph's Medical Center (735,000) (1,463,000) (2,198,000) Sound Shore Medical Center of Westchester (1,262,000) (2,450,000) (3,712,000) St. Anthony Community Hospital (90,000) (378,000) (468,000) Saint Francis Hospital and Health Centers (812,000) (1,783,000) (2,595,000) St. Luke's Cornwall Hospital (658,000) (1,672,000) (2,330,000) Summit Park Hospital -- Rockland County Infirmary (426,000) (802,000) (1,228,000) The Burke Rehabilitation Hospital, Inc. (212,000) (566,000) (778,000) The Kingston Hospital (474,000) (1,059,000) (1,533,000) Vassar Brothers Medical Center (1,086,000) (2,963,000) (4,049,000)

Impact by Hospital Impact for and New York State Hospital Impacts ($320,403,000) ($653,696,000) ($974,099,000) Westchester Medical Center (4,937,000) (9,726,000) (14,663,000) White Plains Hospital Center (472,000) (1,770,000) (2,242,000)