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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Capodilupo</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Edward D Feldstein Esq</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.10</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Fernandez</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael L Hanna</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Phillip Kydd</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alan H Litwin</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>9.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Martha B Mainiero MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Pare</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lawrence B Sadwin</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shivan Subramaniam</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.25</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jane Williams PhD RN</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sarah T Dowling JD LLM</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter K Markell</PersonNm>
        <TitleTxt>EVP &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>898059</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>11896904</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1025517</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>true</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Marcum LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>155 South Main Street Suite 100</AddressLine1Txt>
            <CityNm>Providence</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02903</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Audit Services</ServicesDesc>
        <CompensationAmt>136500</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5293031</GovernmentGrantsAmt>
      <TotalContributionsAmt>5293031</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Client Fees</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>105357</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>105357</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>22804512</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22804512</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Program Service Fees</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>458453</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>458453</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Rent</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>610161</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>610161</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>23978483</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>34664</TotalRevenueColumnAmt>
        <ExclusionAmt>34664</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>379908</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>364476</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>15432</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>15432</TotalRevenueColumnAmt>
        <ExclusionAmt>15432</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Mainstream Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>684112</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>684112</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Management Fees</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>562532</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>562532</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>350614</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>350614</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1597258</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30918868</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25575741</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>50096</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>258037</TotalAmt>
        <ManagementAndGeneralAmt>258037</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>20487438</TotalAmt>
        <ProgramServicesAmt>18662551</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1824887</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>622848</TotalAmt>
        <ProgramServicesAmt>545938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76910</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3482583</TotalAmt>
        <ProgramServicesAmt>3499445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-16862</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1302784</TotalAmt>
        <ProgramServicesAmt>1141915</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160869</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>135000</TotalAmt>
        <ManagementAndGeneralAmt>135000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1804</TotalAmt>
        <ProgramServicesAmt>1804</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>645426</TotalAmt>
        <ProgramServicesAmt>32006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>613420</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>222796</TotalAmt>
        <ProgramServicesAmt>150709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72087</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1326310</TotalAmt>
        <ProgramServicesAmt>354287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>972023</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>6001</TotalAmt>
        <ProgramServicesAmt>2584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3417</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>71298</TotalAmt>
        <ManagementAndGeneralAmt>71298</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
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        <TotalAmt>367527</TotalAmt>
        <ManagementAndGeneralAmt>367527</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>228162</TotalAmt>
        <ManagementAndGeneralAmt>228162</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Purchased Services</Desc>
        <TotalAmt>4595470</TotalAmt>
        <ManagementAndGeneralAmt>4595470</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Mainstream Expenses</Desc>
        <TotalAmt>659545</TotalAmt>
        <ManagementAndGeneralAmt>659545</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>543054</TotalAmt>
        <ProgramServicesAmt>117849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>425205</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscellaneous expense</Desc>
        <TotalAmt>105743</TotalAmt>
        <ProgramServicesAmt>45534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60209</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>112638</TotalAmt>
        <ProgramServicesAmt>69892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42746</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>35174464</TotalAmt>
        <ProgramServicesAmt>24624514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10549950</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4929504</BOYAmt>
        <EOYAmt>3472289</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1914076</BOYAmt>
        <EOYAmt>1589914</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>25059</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5162818</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2983510</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2530546</BOYAmt>
        <EOYAmt>2179308</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>763412</BOYAmt>
        <EOYAmt>869043</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>442151</BOYAmt>
        <EOYAmt>447346</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>15498</BOYAmt>
        <EOYAmt>10729</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3025750</BOYAmt>
        <EOYAmt>3359827</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>13645996</BOYAmt>
        <EOYAmt>11928456</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1986346</BOYAmt>
        <EOYAmt>2224314</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1305128</BOYAmt>
        <EOYAmt>100000</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1919514</BOYAmt>
        <EOYAmt>1803903</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1223951</BOYAmt>
        <EOYAmt>426675</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>6434939</BOYAmt>
        <EOYAmt>4554892</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5995253</BOYAmt>
        <EOYAmt>5980618</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1215804</BOYAmt>
        <EOYAmt>1392946</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7211057</BOYAmt>
        <EOYAmt>7373564</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13645996</BOYAmt>
        <EOYAmt>11928456</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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        <PersonNm>Ziya L Gokaslan MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1511572</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>152000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>7524</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>18300</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>31660</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1721056</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7: Non-Fixed payments not listed above</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria comprised of various quality and productivity markers.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22015553" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Lawrence A. Aubin, Sr., Chairman, and Michael L. Hanna, Director, are partners in the same for-profit organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Lifespan Corporation is the sole member of Gateway.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Effective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and Emma Pendleton Bradley Hospital approved a restructuring of their governance. Gateway joined the Lifespan health system on July 1, 2013 and adopted this restructured governance. The restructuring has increased governance effectiveness and has streamlined governance operation, as well as provided a single strategic perspective for the Lifespan system hospitals. Pursuant to the restructuring, the bylaws of each of the affiliates were amended such that the composition of the boards of trustees of each of the hospitals and Newport Health Care Corporation is defined as those persons serving from time to time as the directors of Lifespan. As a result, the Boards of each entity are comprised of the same individuals. The Board of each entity retains its responsibilities and authorities notwithstanding the revision in its composition. The Board of Directors of Lifespan consists of not less than fourteen nor more than thirty-one directors, including the President and CEO of Lifespan, who serves ex-officio with vote.Additionally, the bylaws of Gateway confer certain reserved powers upon Lifespan to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Lifespan include: to elect and remove Gateway directors and to approve the election of and removal of certain officers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Gateway Board is comprised of the same individuals who serve on the Lifespan Board. Lifespan has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Executive Vice President &amp; Chief Financial Officer (EVP/CFO) and Lifespan's Finance Department. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and is reviewed by the Corporate Services Tax Compliance Manager and the Director of Finance. The draft Form 990 is then provided to the EVP/CFO for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is posted to Gateway's Board of Trustees website portal in advance of its next Board meeting. At the time of the Board Meeting the 990 is presented by the Lifespan Director of Finance and EVP/CFO, at which time all questions and concerns of the members of the Board are addressed by the EVP/CFO and incorporated into the Form 990 when appropriate. Once the Form 990 is complete and ready to be filed, the members of the Board are notified via email that a copy of the final version of the Form 990 is accessible through the same password-protected website portal. The EVP/CFO is authorized to file the Form 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Lifespan, the sole member of Gateway, currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. Gateway's financial statements are included in the audited consolidated financial statements of Gateway Healthcare, Inc. and Related Entities, which in turn are included in the audited consolidated financial statements of Lifespan Corporation and Affiliates. In addition, copies of Gateway's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Lifespan EVP/CFO, either in person or by mail.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Funded Status of Pension Plan = -$61407</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Joint venture activity = $4410566</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>Established in 1995 as a community mental health center for residents of northern and central Rhode Island, Gateway now includes more than 30 locations across Rhode Island, including Pawtucket, Central Falls, Johnston, Cranston, Lincoln, Smithfield, Providence, and Charlestown. Gateway's size and statewide reach sets it apart from other community-based mental health and substance abuse organizations; it is Rhode Island's largest non-profit behavioral health organization. Gateway and its affiliates employ 325 full-time equivalent employees and reach more than 25,000 Rhode Islanders annually through high quality, comprehensive residential, outpatient, and community-based programs. Gateway's network affiliates include The Autism Project, Capital City Community Centers, Inc., and Families Reaching into Each New Day, Inc., d/b/a FRIENDS WAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a (continued):</FormAndLineReferenceDesc>
        <ExplanationTxt>Adult health home and rehabilitative treatment services provide community-based services through outreach efforts and support to adults aged 18 and older who live with severe and persistent mental illness in the community. The Adult Emergency Services Program is designed to help people reach a level of recovery that will allow them to lead productive, satisfactory, and independent lives. Services include supportive counseling, advocacy, encouragement and assistance in accessing resources, individual and family psychotherapy, substance abuse treatment, skill-building groups, rehabilitative services for social integration, vocational needs, educational goals, crisis intervention, nursing services, daily living skills training, evaluations of responses to treatment interventions, and ongoing assessments of needs. Substance abuse services include substance abuse education as well as individual, family, and group counseling in an office-based outpatient setting. Case management, outreach, and crisis intervention services are also provided. Psychiatric services and assessments are available, as well as medication-assisted therapy for people suffering from addiction or dealing with the effects of medications needed for treatment of co-occurring substance abuse and other emotional disorders.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Gateway, and administered by Lifespan's Corporate Compliance Department as follows: Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter, an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes this policy.If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Lifespan Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Lifespan Corporation.Annually, the Lifespan Compliance Officer shall review and report to the Lifespan Executive Corporate Compliance Committee and to the Lifespan Audit and Compliance Committee on the administration of this policy.Failure on the part of any designated person to comply with this policy, including failure to submit in a timely fashion the conflict of interest disclosure statement, will be grounds for removal from his/her position and/or termination of his/her employment with Lifespan.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1b:</FormAndLineReferenceDesc>
        <ExplanationTxt>*Shivan S. Subramaniam, Trustee, is the Lead Director on the Board of Directors at Citizens Bank, N.A. During fiscal year 2023, Lifespan paid Citizens Bank, N.A.,in its normal course of business as part of Lifespan's accounts payable function.*Lawrence A. Aubin, Sr., Chair, and Michael Hanna, Trustee, are owners of New England Real Estate Holding Group, LLC (NEREHG), with which Lifespan has entered into an operating lease of a health care facility. During fiscal year 2023, Lifespan paid rent to NEREHG under the terms of its lease. Terms of the rent expense related to the lease have been established at fair market value.*Phillip Kydd, Trustee, has a family relationship with a principal owner of The Gemini Group. During fiscal year 2023, RIH paid The Gemini Group to provide business consulting and advisory services to RIH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Lines 15a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The following applies to Lifespan and all of its affiliates, including Gateway:EXECUTIVE COMPENSATIONLifespan's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Lifespan as well as other officers, senior management, and key employees. Lifespan's executive compensation program complies both with law and with contemporary ethical norms, and is administered consistent with the organization's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (IRC) and the avoidance of transactions subject to intermediate sanctions under Section 4958 of the IRC. Executive compensation is also administered consistent with Lifespan's Corporate Compliance Policy on Excess Benefit Transactions.The Compensation Committee of the Lifespan Corporation Board of Directors (the Committee), comprised of disinterested Lifespan Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include:* Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees* Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual incentive and executive benefit plans* Approving performance objectives associated with Lifespan's annual incentive plan, including measuring points, and using verified actual performance relative to these objectives as a precondition to approving the payment of any awards under the plan* Authorizing periodic performance benchmark studies to be conducted for purposes of assessing Lifespan's performance within the healthcare industry and the degree to which total remuneration levels at Lifespan are generally commensurate with Lifespan performance relative to healthcare industry performance* Conducting an annual performance review of Lifespan's Chief Executive Officer. The Chair of the Committee conducts and documents this review, based on his/her observations and interpretation of feedback from members of the Board of Directors.* Selecting and engaging qualified, independent, third-party compensation valuation consultants that the Committee charges with rendering opinions with respect to the reasonableness and comparability of compensation as well as the comparative organizations against which compensation is assessed, in accordance with relevant sections of the IRC and Lifespan's executive compensation philosophy.Lifespan's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Lifespan's performance relative to compensation-related performance objectives.The Committee's deliberations and actions are documented in minutes prepared for each meeting.PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants.Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, certain members of the Lifespan CEO's leadership team work with the Committee's independent compensation consultant or rely on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude with acceptance of a reasonable compensation offer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Gateway was included in Gateway and Related Entities' audited consolidated financial statements as of and for the fiscal year ended September 30, 2023, which consist of Gateway, Pathways, Inc., Mill River Community Housing Corporation, Obed Apartments, Inc., Wentworth Corporation, L.J.R. Corporation, TLR Realty, JM Apartments, Inc., Shore Courts, Inc., Westerly Courts, Inc., Bayberry Courts, Inc., Alternative Living Concepts, Inc., d/b/a Human Services Realty, Inc., Families Reaching into Each New Day, Inc., d/b/a FRIENDS Way, The Autism Project, and Capital City Community Centers, Inc.. The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of Gateway's consolidated financial statements and the selection of Lifespan's independent accountant.</ExplanationTxt>
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          <BusinessNameLine1Txt>Lifespan of Massachusetts Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Lifespan Physician Group Inc</BusinessNameLine1Txt>
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          <CityNm>Providence</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LJR Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02905</ZIPCd>
        </USAddress>
        <EIN>030508346</EIN>
        <PrimaryActivitiesTxt>Housing for Elderly and Mentally Ill</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mill River Community Housing Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02905</ZIPCd>
        </USAddress>
        <EIN>050427152</EIN>
        <PrimaryActivitiesTxt>Housing for Elderly and Mentally Ill</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Newport Health Care Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11 Friendship Street</AddressLine1Txt>
          <CityNm>Newport</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02840</ZIPCd>
        </USAddress>
        <EIN>222535537</EIN>
        <PrimaryActivitiesTxt>Holding Company/Mgmnt Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Newport Health Property Management</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11 Friendship Street</AddressLine1Txt>
          <CityNm>Newport</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02840</ZIPCd>
        </USAddress>
        <EIN>222335539</EIN>
        <PrimaryActivitiesTxt>Property Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12(I)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Newport Health Care Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Newport Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11 Friendship Street</AddressLine1Txt>
          <CityNm>Newport</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02840</ZIPCd>
        </USAddress>
        <EIN>050258914</EIN>
        <PrimaryActivitiesTxt>Health Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Newport Hospital Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11 Friendship Street</AddressLine1Txt>
          <CityNm>Newport</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02840</ZIPCd>
        </USAddress>
        <EIN>222535533</EIN>
        <PrimaryActivitiesTxt>Philanthropic Activities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NHCC Medical Associates Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11 Friendship Street</AddressLine1Txt>
          <CityNm>Newport</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02840</ZIPCd>
        </USAddress>
        <EIN>050472268</EIN>
        <PrimaryActivitiesTxt>Health Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Obed Apartments Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02905</ZIPCd>
        </USAddress>
        <EIN>050422771</EIN>
        <PrimaryActivitiesTxt>Housing for Elderly and Mentally Ill</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Pathways Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02905</ZIPCd>
        </USAddress>
        <EIN>050393004</EIN>
        <PrimaryActivitiesTxt>Housing for Elderly and Mentally Ill</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rhode Island Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>593 Eddy Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>050258954</EIN>
        <PrimaryActivitiesTxt>Health Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rhode Island Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>167 Point Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>050468736</EIN>
        <PrimaryActivitiesTxt>Philanthropic Activities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RIH Ventures</BusinessNameLine1Txt>
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          <AddressLine1Txt>593 Eddy Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>050448686</EIN>
        <PrimaryActivitiesTxt>Parking Facilities/Phleb otomy Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shore Courts Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02905</ZIPCd>
        </USAddress>
        <EIN>050504003</EIN>
        <PrimaryActivitiesTxt>Housing for Elderly and Mentally Ill</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Autism Project</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>249 Roosevelt Avenue</AddressLine1Txt>
          <CityNm>Pawtucket</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02860</ZIPCd>
        </USAddress>
        <EIN>050512037</EIN>
        <PrimaryActivitiesTxt>Services for Children with Autism</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Miriam Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>164 Summit Avenue</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02906</ZIPCd>
        </USAddress>
        <EIN>050258905</EIN>
        <PrimaryActivitiesTxt>Health Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Miriam Hospital Foundation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>167 Point Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>050377502</EIN>
        <PrimaryActivitiesTxt>Philanthropic Activities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>TLR Realty</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
          <CityNm>Providence</CityNm>
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          <ZIPCd>02905</ZIPCd>
        </USAddress>
        <EIN>043742771</EIN>
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          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <USAddress>
          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
          <CityNm>Providence</CityNm>
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          <ZIPCd>02905</ZIPCd>
        </USAddress>
        <EIN>050488520</EIN>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <AddressLine1Txt>1 Virginia Avenue Suite 200</AddressLine1Txt>
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          <BusinessNameLine1Txt>Coastal Medical Physicians Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>10 Davol Square</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>844944884</EIN>
        <PrimaryActivitiesTxt>Physician Health Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RI Sound Enterprises Insurance Co Ltd</BusinessNameLine1Txt>
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          <CityNm>Hamilton</CityNm>
          <ProvinceOrStateNm>HM 12</ProvinceOrStateNm>
          <CountryCd>BD</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Offshore Insurance Captive</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
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        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lifespan Corporation</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Lifespan Health Alliance LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>167 Point Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>812732225</EIN>
        <PrimaryActivitiesTxt>Account. Care. Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <BusinessNameLine1Txt>Lifespan MSO Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>167 Point Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>050508717</EIN>
        <PrimaryActivitiesTxt>Mgmnt Svcs</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Lifespan Corp</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Lifespan Risk Services Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>167 Point Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>050459767</EIN>
        <PrimaryActivitiesTxt>Risk Mgmnt</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lifespan Corp</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VNA Technicare Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>200 Corliss Street</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02904</ZIPCd>
        </USAddress>
        <EIN>050472710</EIN>
        <PrimaryActivitiesTxt>DME Sales</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>The Miriam Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALC dba HSR</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>324873</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Capital City Community Centers Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>101436</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Capital City Community Centers Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>160000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Autism Project</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>50781</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>