Overall, Buffalo and Upstate New York are more religious than Downstate New York. This means Upstate NY has a population density far lower than that of downstate. There is no clear official boundary between Upstate New York and Downstate New York. Two chairs were appointed, one for ESD Downstate and the other for ESD Upstate. Hospitals in Flatbush include Kings County Hospital and SUNY Downstate Medical Center. SUNY Downstate Medical Center is the fourth largest employer in Brooklyn. Newburgh is situated in the Northeastern United States, in Downstate New York's Hudson Valley Area. Trump meanwhile won most of the downstate rural counties by large margins. Phillipe completed his bachelor's degree at SUNY Downstate Medical Center. In 1992, Arthur Ashe established the Institute in partnership with SUNY Downstate intentionally. He is imprisoned at Downstate Correctional Facility. In Illinois, Bush lost a number of downstate counties that previously went for Reagan. He died in a downstate Illinois prison in May 2010. It was founded to relieve a chronic shortage of physicians in downstate Illinois. The majority of Illinois surface bedrock belongs to the Pennsylvanian period, particularly the downstate region.