became the new occupant in Harlem. The challenge for NGH, for its entire existence, was laden with fiscal stress, partly owed to a need for capital expenditures to restore and upgrade an aged, decaying building – a facility that NGH did not own in the beginning. NGH also weathered fiscal stress from treating significantly higher percentage of patients who were either uninsured or low income or both. 1987 On October 27, 1987, Joint Diseases North General Hospital shortened its name to "North General Hospital." By then, Governor Mario Cuomo had approved a state grant of $118 million toward the North General hospital construction. That year, the hospital was operating on a $42 million budget with 1,900 employees – 70 percent living in Harlem. 1991 – new building, new location On December 12, 1991, North General Hospital moved into a newly built, modern facility at 1879 Madison Avenue, between 120th and 121st Streets, two blocks south of its old address. Signs of systemic financial duress By 2004, private hospitals in New York City were in arrears by more than $100 million in payments to employee benefit and pension funds, double the amount of 2003. Wall Street debt analysts rated hospitals of New York State the weakest in the nation and stated that the situation was worsening. Eight accounted for two-thirds of the debt: (1) Brookdale in Brooklyn, (2) Jamaica and (3) Parkway Hospitals in Queens, (4) Saint Vincent's and (5) Beth Israel Medical Center, each with several locations in multiple boroughs and headquartered in Manhattan, (6) North General Hospital, (7) Cabrini Medical Center, both in Manhattan, and (8) Our Lady of Mercy Medical Center in the Bronx. 2010 – closing At May 31, 2010, North General Hospital had a debt of $293 million. Barely two months after the closing of Saint Vincent's Hospital in Greenwich Village, North General Hospital – which, according to the New York Times, had become a symbol of New York City's political and philanthropic commitment to Harlem – announced on June 28, 2010, that it would close four days later – on July 2, 2010. On that same day – July 2, 2010 – North General Hospital filed for Chapter 11 bankruptcy and actually closed on July 9, 2010. Effective June 30, 2011, the United States Bankruptcy Court for the Southern District of New York approved a Chapter 11 Plan of Liquidation for North General Hospital and