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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA WOLFE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON S ROBINSON</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>864218</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50078</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J BREEN</PersonNm>
        <TitleTxt>VP AND CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>458792</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46320</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARNOLD SARAZEN</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR (THRU 12/23)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>570474</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19911</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT KORNAS</PersonNm>
        <TitleTxt>CHIEF MED OFF, VP SCMG (THRU 12/23)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>481350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41384</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN CHARPENTIER</PersonNm>
        <TitleTxt>CHIEF MED OFF, VP SCMG</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>485469</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53660</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANETRIA GALMORE</PersonNm>
        <TitleTxt>VP, COO/CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>408848</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38414</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET REGAN THOMAS</PersonNm>
        <TitleTxt>VP, CHIEF HR OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>273036</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42205</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW PRESCOTT</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>269557</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21367</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IAN CLARK</PersonNm>
        <TitleTxt>VP, STRATEGY &amp; PERF EXCELL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>227103</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19878</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGIE MATHIEU</PersonNm>
        <TitleTxt>VP, CHIEF DIGITAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>218988</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22883</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN HEFFERNAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>543414</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43137</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL FASS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>572210</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12448</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID BADER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>614158</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30825</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA TABER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>501173</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24827</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MURPHY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>492677</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29250</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON WEISBORD MD</PersonNm>
        <TitleTxt>FORMER TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>446624</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49499</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALVATORE ABBRUZZESE JR DO</PersonNm>
        <TitleTxt>FORMER PRESIDENT OF MED STAFF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>121676</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7868445</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>576150</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>176</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NARRGANSETT BAY ANESTHESIA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE UNIVERSITY AVENUE STE 104</AddressLine1Txt>
            <CityNm>WESTWOOD</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02090</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>2237240</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ORTHOPEDICS RHODE ISLAND</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 CROSSING BLVD SUITE 310</AddressLine1Txt>
            <CityNm>WARWICK</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02886</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ORTHOPEDICS &amp; PT</ServicesDesc>
        <CompensationAmt>1196250</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AFFINITY PHYSICIANS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>455 TOLL GATE ROAD</AddressLine1Txt>
            <CityNm>WARWICK</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02886</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>798939</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHERN RI PULMONARY &amp; CRITICAL CARE L</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25 BURNS WAY</AddressLine1Txt>
            <CityNm>EAST GREENWICH</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02818</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>785000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALEXEY DEVELOPMENT &amp; CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>124 WAMPANOAG ROAD</AddressLine1Txt>
            <CityNm>EAST GREENWICH</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02818</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION MANAGEMENT</ServicesDesc>
        <CompensationAmt>676517</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>144715</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1000</AllOtherContributionsAmt>
      <TotalContributionsAmt>145715</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>236994960</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>236994960</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1248336</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1248336</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>238243296</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1125747</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4310</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1121437</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1331250</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>4582446</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-3251196</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-3251196</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-3251196</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>524490</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>524490</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>524490</TotalRevenueColumnAmt>
        <ExclusionAmt>524490</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>PURCHASE REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>345853</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>345853</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>SELF INSURED TRUST</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>333854</TotalRevenueColumnAmt>
        <ExclusionAmt>333854</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REVENUE FROM JOINT VENTURES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>262513</TotalRevenueColumnAmt>
        <ExclusionAmt>262513</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1065729</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>701281</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>364448</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>2007949</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>238796001</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>236039234</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4310</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2606742</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4045575</TotalAmt>
        <ManagementAndGeneralAmt>4045575</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>92536042</TotalAmt>
        <ProgramServicesAmt>89776327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2759715</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>2475061</TotalAmt>
        <ProgramServicesAmt>2300665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174396</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>14889043</TotalAmt>
        <ProgramServicesAmt>13837589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1051454</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>6301530</TotalAmt>
        <ProgramServicesAmt>5857516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>444014</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>406819</TotalAmt>
        <ManagementAndGeneralAmt>406819</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>12135</TotalAmt>
        <ManagementAndGeneralAmt>12135</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>83015</TotalAmt>
        <ManagementAndGeneralAmt>83015</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>98812</TotalAmt>
        <ManagementAndGeneralAmt>98812</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>17108056</TotalAmt>
        <ProgramServicesAmt>15163762</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1944294</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>522276</TotalAmt>
        <ProgramServicesAmt>461976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60300</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>6582049</TotalAmt>
        <ProgramServicesAmt>5822114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>759935</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>5635476</TotalAmt>
        <ProgramServicesAmt>4984828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>650648</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2899292</TotalAmt>
        <ProgramServicesAmt>2564552</ProgramServicesAmt>
        <ManagementAndGeneralAmt>334740</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>46505</TotalAmt>
        <ProgramServicesAmt>41136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5369</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>239853</TotalAmt>
        <ProgramServicesAmt>212161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27692</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1908427</TotalAmt>
        <ManagementAndGeneralAmt>1908427</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>10814187</TotalAmt>
        <ProgramServicesAmt>9049098</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1765089</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>5333617</TotalAmt>
        <ProgramServicesAmt>4717821</ProgramServicesAmt>
        <ManagementAndGeneralAmt>615796</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUG</Desc>
        <TotalAmt>52342402</TotalAmt>
        <ProgramServicesAmt>52342402</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>6476811</TotalAmt>
        <ProgramServicesAmt>6476811</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STATE LICENSE FEE</Desc>
        <TotalAmt>5026973</TotalAmt>
        <ProgramServicesAmt>5026973</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; LICENSES</Desc>
        <TotalAmt>607636</TotalAmt>
        <ProgramServicesAmt>537481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64378</ManagementAndGeneralAmt>
        <FundraisingAmt>5777</FundraisingAmt>
      </OtherExpensesGrp>
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        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SUPPLEMENTAL INFORMATION</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SUPPLEMENTAL INFORMATION</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>0.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SUPPLEMENTAL INFORMATION</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SUPPLEMENTAL INFORMATION</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SUPPLEMENTAL INFO</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTH COUNTY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: THE HOSPITAL ALSO PARTICIPATED IN A STATEWIDE COMPREHENSIVE CHNA LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS AND ENGAGED COMMUNITY RESEARCH CONSULTING (CRC).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTH COUNTY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: AS PART OF THE CHNA, SOUTH COUNTY HEALTH IN PARTNERSHIP WITH HEALTHY BODIES HEALTHY MINDS WASHINGTON COUNTY HOSTED A VIRTUAL PARTNER MEETING ON MARCH 15, 2022. A TOTAL OF 44 PEOPLE ATTENDED REPRESENTING HEALTH AND SOCIAL SERVICE AGENCIES, SENIOR SERVICES, LOCAL GOVERNMENT, AND CIVIC ORGANIZATIONS. THE OBJECTIVE OF THE FORUM WAS TO SHARE DATA FROM THE CHNA AND GARNER FEEDBACK ON COMMUNITY HEALTH PRIORITIES, AS WELL AS OPPORTUNITIES FOR COLLABORATION AMONG PARTNER AGENCIES. RESEARCH FROM THE CHNA WAS PRESENTED AT THE SESSION. SMALL GROUP DIALOGUE WAS FACILITATED TO DISCUSS RESEARCH FINDINGS, EXISTING RESOURCES AND INITIATIVES TO ADDRESS PRIORITY AREAS, THE IMPACT OF COVID-19 ON COMMUNITIES AND SERVICES, AND NEW OR INNOVATIVE OPPORTUNITIES FOR CROSS-SECTOR COLLABORATION.IN SUPPORT OF SOUTH COUNTY HEALTH'S COMMUNITY BENEFIT ACTIVITIES AND TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS, SOUTH COUNTY HEALTH PARTICIPATED IN A STATEWIDE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND ITS MEMBER HOSPITALS.THE 2022 CHNA WAS CONDUCTED FROM JULY 2021 TO MAY 2022 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES WITHIN THE HOSPITAL SERVICE AREAS COMPARED TO HEALTH INDICATORS ACROSS RHODE ISLAND AND THE NATION.THE ASSESSMENT WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT (ACA), AS WELL AS TO FURTHER SCH'S COMMITMENT OF COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT.IN SUPPORT OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ONGOING COMMUNITY BENEFIT INITIATIVES, SOUTH COUNTY HEALTH PLANS TO IMPLEMENT STRATEGIES TO IMPACT AND MEASURE COMMUNITY HEALTH IMPROVEMENT, PARTICULARLY IN THE AREA OF BEHAVIORAL HEALTH AND CHRONIC DISEASE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTH COUNTY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: CARE NEW ENGLAND HEALTH SYSTEMS, CHARTERCARE, LANDMARK MEDICAL CENTER, AND THE L&amp;M WESTERLY HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTH COUNTY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE OTHER ORGANIZATIONS THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: THE HOSPITAL ASSOCIATION OF RHODE ISLAND, AND THE RHODE ISLAND DEPARTMENT OF HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTH COUNTY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE 2022 PRIORITY HEALTH NEEDS IDENTIFIED FOR WASHINGTON COUNTY WERE BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE) AND CHRONIC DISEASE. RHODE ISLAND HAS A HIGHER PREVALENCE OF SUBSTANCE USE DISORDER, INCLUDING ALCOHOL AND OPIOID USE DISORDER, THAN THE NATION. CONSISTENT WITH THE 2019 CHNA, WASHINGTON COUNTY ADULTS HAVE A HIGHER PREVALENCE OF ALCOHOL USE DISORDER THAN THE STATE; THE PREVALENCE OF ADULTS REPORTING EXCESSIVE DRINKING INCREASED FROM THE 2019 CHNA FROM 21.4% TO 24.4%. BOTH RHODE ISLAND AND WASHINGTON COUNTY HAVE HISTORICALLY HAD A HIGHER ACCIDENTAL DRUG OVERDOSE DEATH RATE THAN THE NATION. SINCE THE COVID-19 PANDEMIC, THERE HAS BEEN AN INCREASE IN ACCIDENTAL DRUG OVERDOSE DEATHS STATEWIDE, FROM 308 IN 2019 TO 384 IN 2020.TO ADDRESS THESE NEEDS, SOUTH COUNTY HEALTH DEVELOPED A THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS WASHINGTON COUNTY. THE CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA, A CHANGING HEALTHCARE ENVIRONMENT, AND THE IMPACT OF THE COVID-19 PANDEMIC.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/ABOUT-SOUTH-COUNTY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/ABOUT-SOUTH-COUNTY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16B:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16C:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 22D:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL PROVIDES FREE CARE TO ALL INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PREPARES AN ANNUAL REPORT DETAILING MAJOR ACCOMPLISHMENTS AND COMMUNITY BENEFITS. IN ADDITION, THE ORGANIZATION MAINTAINS A COMPREHENSIVE WEBSITE INCLUDING INFORMATION ON AVAILABLE SERVICES, RESULTS OF VARIOUS QUALITY SURVEYS, AND GENERAL HEALTH EDUCATIONAL INFORMATION FOR THE COMMUNITY. THE HOSPITAL COMPLETED A CHNA WHICH IS AVAILABLE ON THE HOSPITAL WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(C), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,476,811.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL'S COMMUNITY HEALTH DIVISION PROVIDES VARIOUS PROGRAMS FREE OF CHARGE TO THE COMMUNITY IT SERVES WHICH ARE PARTIALLY FUNDED WITH FEDERAL/STATE GRANTS, TOWN SUBSIDIES, AND DONATIONS. THESE PROGRAMS CAN BE SUMMARIZED AS FOLLOWS;RIDOH HEZ CORE: HEALTHY BODIES HEALTHY MINDS (HBHM) INFRASTRUCTURE TO FACILIATE RIDOH PROGRAMS.RIDOH HEZ RURAL HEALTH: INITIAL STAGES OF THE COMMUNITY PARAMEDIC PROGRAM. A FOCUS ON THE PRELIMINARY PERSONNEL TRAINING IN THE CRISIS INTERVENTION TEAM WITH EMPHASIS IN MENTAL HEALTH FROM AN EMS PERSPECTIVE.RIDOH PDG B-5: IMPLEMENTING INCREDIBLE YEARS PARENTING AND 5-2-1-0 HEALTHY EATING AND ACTIVE LIVING CONSULTATION.RIDOH MENTAL HEALTH FIRST AID TRAINING SERVICES (EMS): SCHEDULE AND PROVIDE MENTAL HEALTH FIRST AID TRAININGS FOR REFERRED EMS AGENCIES AND THEIR STAFF.SAMHSA MHAT: MENTAL HEALTH AWARENESS &amp; TRAINING INITIATIVE (MHAT) AIMS TO IMPROVE PUBLIC AWARENESS OF MENTAL HEALTH INDICATORS AND RESPONSES BY TRAINING PUBLIC SERVICES PROVIDERS.SAMHSA ZERO SUICIDE: A 'POPULATION HEALTH' APPROACH TO ZERO SUICIDE BY IMPLEMENTING THE EVIDENCE-BASED FRAMEWORK IN 8 MAJOR HEALTHCARE ORGANIZATIONS IN WASHINGTON COUNTY. THE ZERO SUICIDE FRAMEWORK INCLUDES SEVEN ESSENTIAL ELEMENTS: LEAD, TRAIN, IDENTIFY, ENGAGE, TREAT, TRANSITION, AND IMPROVE.RIF FUND FOR A HEALTHY RI: TO IMPROVE ACCESS TO QUALITY BEHAVIORAL HEALTH SERVCES IN WASHINGTON COUNTY AND TO ADDRESS SOCIAL DETERMINANTS OF MENTAL HEALTH IN TWO SMALL COMMUNITIES WITH KNOWN DISPARITIES: BRADFORD AND DAVISVILLE.RIF THE GREATEST 8 (WCCC): THE GREATEST 8 TEXT MESSAGING SERVICE TO PROMOTE CHILDREN'S MENTAL HEALTH. PROVIDES WEEKLY TIPS/SUGGESTIONS TO PARENTS OF CHILDREN (AGES 0-8 YEARS OLD). HELP PARENTS INSTILL 8 KEY SKILLS IN THEIR CHILDREN FOR A LIFETIME OF MENTAL WELLNESS.WCCC: GENERAL WCCC FUNDING.RIDOH FIRST CONNECTIONS HOME VISITING: FIRST CONNECTIONS PROGRAM PROVIDED NURSING AND CHW SUPPORT FOR 1-3 VISITS FOR NEW MOMS AND BABIES TO SUPPORT EDUCATION AND REFERRAL TO OTHER APPROPRIATE PROGRAMS, AND CAPTA SUPPORT FOR DCYF BABIES AND CHILDREN. RIDOH FC-SOR HOME VISITING: FIRST CONNECTIONS INTERVENTIONS SPECIFICALLY SUPPORTING SUBSTANCE EFFECTED NEONATES.RIDOH HEALTHY FAMILIES: PARENTING DEVELOPMENT FROM PRENATAL TO 3 YEARS OF AGE INCLUDING CHILDHOOD SCREENING AND REFERRAL TO APPRORIATE PROGRAMMING.SCHH WELLNESS CLINICS: LIFESTYLE WELLNESS PROGRAM IS AN 8 WEEK EDUCATIONAL PROGRAM WITH FOCUS ON MANAGMENT OF CHRONIC DISEASE, COMMUNITY FLU CLINICS (14 ANNUALLY), HOME FLU PROGRAM AND BP CHECK IN BI AND SENIOR HOUSING CENTERS.SCHH PALLIATIVE CONSULTATION: NP/RN LIAISON WEEKLY REVIEW OF IDENTIFIED PATIENTS FOR SYMPTOM MANAGEMENT, GOALS OF CARE AND ADVANCED DIRECTIVES.SC CHT CARE TRANSFORMATION COLLABORATIVE OF RI (CTC-RI): SOCIAL WORKERS AND CHW THAT SUPPORT VULNERABLE COMMUNITY WITH PLACE BASED BH CARE AND BASIC NEEDS (SOCIAL DETERMINANTS OF HEALTH).SC CHT RI FOUNDATION: BEHAVIORAL HEALTH LICSW TO SUPPORT COMMUNITY WITH INCREASE IN BH NEEDS SUBSEQUENT TO COVID.SC CHT SCHH RIDOH FC-SOR: COMMUNITY HEALTH WORKER THAT SUPPORTS THE FIRST CONNECTION SOR PROGRAM CONNECTING NEW MOMS WITH SOCIAL SUPPORT SERVICES.SCSS WAVE VAN: TRANSPORTATION FOR COMMUNITY MEMBERS TO RECEIVE CARE AT THE CANCER CENTER, LAB, DI, COUMADIN, IN FOR SURGERY NOT HOME, AND PROVIDER APPOINTMENTS.SCH IN-PATIENT PALLIATIVE: MD/NP (HOPE HOSPICE) SUPPORTING INPATIENTS WITH CHRONIC DISEASE AND END OF LIFE WITH SYMPTOM MANAGEMENT, GOALS OF CARE, AND ADVANCED DIRECTIVES. EMPLOYED INTERFAITH CHAPLIAN FOR SPIRITUAL NEEDS. REFERRALS FOR ALL READMISSION TO SUPPORT REDUCTION GOALS.SCH CANCER CENTER PALLIATIVE CARE: NP TO SUPPORT SYMPTOM MANAGEMENT, GOALS OF CARE AND ADVANCED DIRECTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL PROVIDES VARIOUS PROGRAMS FREE OF CHARGE OR FOR A NOMINAL FEE TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREQUENT SUPPORT GROUP, WELLNESS SCREENING, LECTURES, SEMINARS AND PRESENTATIONS ON VARIOUS HEALTH TOPICS. A NUMBER OF THE PROGRAMS FOCUS ON CHRONIC DISEASE MANAGEMENT. THE HOSPITAL HAS CREATED A PATIENT CENTERED MEDICAL COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). A COST TO CHARGE RATIO WAS USED AS A COSTING METHOD FOR THE AMOUNTS REPORTED IN LINES 2 AND 3. THE HOSPITAL PROVIDES AN AUTOMATIC 40% SELF-PAY DISCOUNT. THE AMOUNT REPORTED ON THE HOSPITAL'S AUDITED STATEMENTS WAS UNDERSTATED BY THIS DISCOUNT OF THE GROSS CHARGES AND THE APPLICATION OF A COST TO CHARGE RATIO BASED ON GROSS CHARGES NOT NET CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE REFERENCES TO BAD DEBT EXPENSE ARE ON THE FOLLOWING PAGES IN THE ATTACHED AUDITED FINANCIAL STATEMENTS: PAGE 10 FN #2(E) .</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF ITS MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITAL'S CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY 2024 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PER THE HOSPITAL'S POLICY, PRIOR TO THE PATIENT'S DISCHARGE, REASONABLE EFFORTS ARE TAKEN BY STAFF TO COMPLETE THE REQUIRED DOCUMENTATION FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THESE EFFORTS CONTINUE AFTER DISCHARGE INCLUDING INFORMATION PROVIDED ON THE BILLING STATEMENT.SOUTH COUNTY HOSPITAL'S BILLING AND COLLECTION POLICY PROVIDES THE HOSPITAL CAN REFER AN ACCOUNT TO AN OUTSIDE AGENCY FOR COLLECTION BUT WILL NOT REFER ANY ACCOUNTS WHERE A PATIENT APPLIED FOR FINANCIAL ASSISTANCE AND HAS NOT BEEN NOTIFIED OF THE DECISION. BEFORE ENGAGING IN EXTRA ORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT THE AMOUNT DUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL IDENTIFIES ITS COMMUNITY'S HEALTH NEEDS BY PARTICIPATION IN COMMUNITY AND STATE COALITIONS, BOARDS, COMMITTEES, COMMISSIONS, PANELS AND ADVISORY GROUPS INCLUDING INPUT FROM COMMUNITY MEMBERS AND PROVIDERS, QUARTERLY (OR AS AVAILABLE) INTERNAL PATIENT SURVEYS AND PUBLICLY AVAILABLE DATA ON THE COMMUNITY INCLUDING DEMOGRAPHICS AND UTILIZATION ARE ANALYZED. THE HOSPITAL PARTICIPATES WITH OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS IN THE STATE FOR THE COMPLETION OF A CHNA. THE RHODE ISLAND DEPARTMENT OF HEALTH SERVES AS AN IMPORTANT SOURCE OF INFORMATION AND POPULATION BASED DISEASE OCCURENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITAL'S COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS BY PROVIDING FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES AND EXTERNAL PROGRAMS (INCLUDING MEDICAID ETC.) THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION PROCESSES. IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE, THE SAME INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS IS PROVIDED BY ONSITE PATIENT FINANCIAL SERVICES STAFF IN BOTH INPATIENT AND OUTPATIENT DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE HOSPITAL WEB SITE AND POSTED IN VARIOUS DEPARTMENTS. THE SELF-PAY BILLING STATEMENTS ADVISE PATIENTS TO CONTACT THE HOSPITAL REGARDING FINANCIAL ASSISTANCE ELIGIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIMARY SERVICE AREA INCLUDES ALL OF WASHINGTON COUNTY, RI COMMONLY KNOWN AS SOUTH COUNTY. THE SECONDARY SERVICE AREA INCLUDES THE POPULATION FROM ADJOINING COMMUNITIES IN KENT COUNTY (EAST GREENWICH AND WEST GREENWICH).BASED ON 2015-2019 POPULATION ESTIMATES, ONLY EIGHT ZIP CODES IN WASHINGTON COUNTY SAW POPULATION GROWTH. WASHINGTON COUNTY HAS THE SECOND HIGHEST PROPORTION OF OLDER ADULTS AGE 65 OR OLDER IN THE STATE. THE PROPORTION OF OLDER ADULTS IN THE COUNTY INCREASED MORE THAN TWO PERCENTAGE POINTS IN A FIVE-YEAR SPAN, FROM 17.2% IN 2011-2015 TO 19.9% IN 2015-2019. THE HOUSING UNITS WITHIN THE SOUTH COUNTY HOSPITAL SERVICE AREA INCLUDE 74%, WHICH ARE OWNER-OCCUPIED, AND 26% WHICH ARE RENTER-OCCUPIED. THE MEDIAN HOUSEHOLD INCOME IS $85,531. THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY WITHIN SOUTH COUNTY HOSPITAL'S SERVICE AREA WAS 8.6%, 9.2% OF WHICH ARE CHILDREN LIVING IN POVERTY. THEIR PERCENTAGES ARE LOWER THAN THE STATE AVERAGE (12.4% AND 17% RESPECTIVELY). THE CHNA ASSESSMENT COMPLETED IN 2019 PROVIDES ADDITIONAL INFORMATION ON THE COMMUNITY SERVED BY THE HOSPITAL AND IS AVAILABLE ON THE HOSPITAL WEBSITE AT THE FOLLOWING LINK: WWW.SOUTHCOUNTYHEALTH.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY'S HEALTH NEEDS BY CONTINUED INVESTMENT OF FUNDS INTO THE FACILITIES, EQUIPMENT, AND SERVICES PROVIDED. THE HOSPITAL IS COMMITTED TO PROVIDING FUNDS TO RECRUIT AND MAINTAIN PHYSICIANS IN THE COMMUNITY TO MEET THE POPULATION'S NEEDS. THE HOSPITAL AND ITS PHYSICIAN AND COMMUNITY PARTNERS HAVE EMBARKED ON THE CREATION OF A "PATIENT CENTERED MEDICAL COMMUNITY." THE PATIENT CENTERED MEDICAL COMMUNITY (PCMC) WILL OFFER AN INTEGRATED SYSTEM OF CARE THAT IMPROVES THE HEALTH STATUS OF THE POPULATION WE SERVE, PARTICULARLY THOSE WITH AND AT RISK FOR CHRONIC CONDITIONS. TO ACHIEVE THIS VISION, THE PCMC WILL:1. BE BUILT UPON A FOUNDATION OF STRONG PRIMARY CARE PRACTICES WITH ENHANCED LINKAGES TO THE HOSPITAL, SPECIALISTS AND COMMUNITY-BASED RESOURCES.2. ADOPT AND IMPLEMENT THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL BASED ON THE NCQA RECOGNITION STANDARDS AND GUIDELINES, SUPPORTED BY MULTIDISCIPLINARY TEAMS AND CHRONIC ARE SERVICES.3. FACILITATE ADOPTION OF HEALTH INFORMATION TECHNOLOGY TO ENSURE ELECTRONIC INFORMATION SHARING. EIGHTEEN (18) PRIMARY CARE PHYSICIANS IN SEVEN (7) SOUTH COUNTY BASED PRACTICES HAVE ADOPTED AND IMPLEMENTED THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL. THE SOUTH COUNTY "MEDICAL COMMUNITY" INITIATIVE (PCMC) WILL ADVANCE THAT CONCEPT INTO A BROADER SYSTEM OF COMMUNITY-BASED HEALTHCARE THAT LINKS PRIMARY CARE PHYSICIANS AND THEIR PATIENTS TO DISEASE MANAGEMENT SERVICES, SPECIALISTS, EMERGENCY SERVICES AND INPATIENT HOSPITAL SERVICES, SO THAT CARE IS OPTIMALLY COORDINATED AND INFORMATION FLOWS TO SUPPORT THE BEST OUTCOMES FOR PATIENTS AND SYSTEM EFFICIENCY. THE SOUTH COUNTY CONTINGENT IS A PARTICIPANT IN THE RI CHRONIC CARE SUSTAINABILITY INITIATIVE (CSI) WHICH IS A DEMONSTRATION PILOT OF THE PCMH MODEL. THIS PROVIDES A FOUNDATION BASED ON AN INTEGRATED COLLABORATIVE APPROACH THAT WILL ASSIST PHYSICIAN PRACTICES AND THE HOSPITAL TOWARD ENHANCING THE MANAGEMENT OF PATIENTS WITH CHRONIC DISEASES. THE CHNA IMPLEMENTATION PLAN, INCLUDED WITH THIS RETURN, PROVIDES ADDITIONAL DETAILS OF THE HOSPITAL'S CONTINUED COMMITMENT TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS PART OF AN AFFILIATED HEALTHCARE SYSTEM KNOWN AS SOUTH COUNTY HEALTH OFFERING A COMPREHENSIVE RANGE OF ADVANCED INPATIENT, OUTPATIENT, AND HOME HEALTH SERVICES. ACCREDITED BY THE JOINT COMMISSION, THE HEALTHCARE SYSTEM IS MADE UP OF THE HOSPITAL, SOUTH COUNTY HOME HEALTH, SOUTH COUNTY QUALITY CARE, AND SOUTH COUNTY SURGICAL SUPPLY. THE HOSPITAL IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>RI</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <BonusFilingOrganizationAmount>20814</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>310</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2288</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20595</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>241871</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SALVATORE ABBRUZZESE JR DO</PersonNm>
        <TitleTxt>FORMER PRESIDENT OF MED STAFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>120830</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>846</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>121676</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN EXECUTIVES RECEIVE BONUS/INCENTIVE PAYMENTS THAT ARE BASED ON THE DISCRETION OF MANAGEMENT AND/OR THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>RI HEALTH &amp; EDUCATION BLDG CORP SERIES 2015</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521300173</BondIssuerEIN>
        <BondIssuedDt>2015-08-12</BondIssuedDt>
        <IssuePriceAmt>45545000</IssuePriceAmt>
        <PurposeDesc>REFINANCE 2012 BOND ISSUE</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>RI HEALTH &amp; EDUCATION BLDG CORP SERIES 2018</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521300173</BondIssuerEIN>
        <BondIssuedDt>2018-12-27</BondIssuedDt>
        <IssuePriceAmt>10100000</IssuePriceAmt>
        <PurposeDesc>NEW CONSTRUCTION/ EQUIPMENT</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>23195000</RetiredAmt>
        <TotalProceedsAmt>45545000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>45545000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>4734375</RetiredAmt>
        <TotalProceedsAmt>10100000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>10100000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>MERRILL LYNCH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CAPITAL</BusinessNameLine2Txt>
        </HedgeProviderName>
        <TermOfHedgePct>30.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>CITIZENS BANK NA</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>10.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOND FUNDS WERE USED TO REFUND THE 10/1/2012 BOND ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 3A:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE BUSINESS USE: ANY MANAGEMENT OR SERVICE CONTRACTS THAT RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY ARE INCIDENTAL AND FALL UNDER THE SAFE HARBOR PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM MONITORS THEIR BOND FOR POST ISSUANCE BOND COMPLIANCE, BUT DOES NOT HAVE A SET OF WRITTEN PROCEDURES. THEY ARE IN THE PROCESS OF DEVELOPING WRITTEN PROCEDURES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTH COUNTY DERMATOLOGY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>194295</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>(B) TRUSTEE, ROBERT DYER, MD, HAS GREATER THAN 35% OWNERSHIP OF SOUTH COUNTY DERMATOLOGY.(D) THE TRANSACTION AMOUNT IN COLUMN (C) REPRESENTS RENT PAYMENTS THAT SOUTH COUNTY DERMATOLOGY PAYS TO SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM FOR OFFICE SPACE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO OPERATE AN INDEPENDENT, NON-PROFIT, ACUTE CARE HOSPITAL COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF INTEGRITY, CARING, RESPECT, EXCELLENCE, PARTNERSHIP, AND STEWARDSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF INTEGRITY, CARING, RESPECT, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE HOSPITAL REPORTED 5,253 DISCHARGES AND 19,132 INPATIENT DAYS. THE DISCHARGES INCLUDED 723 DELIVERIES AND 1,167 INPATIENT SURGERIES. THE HOSPITAL PROVIDED 84,616 OUTPATIENT VISITS; INCLUDING 28,300 OUTPATIENT EMERGENCY ROOM VISITS AND 46,195 EXPRESS CARE VISITS. THE PROVIDERS IN THE HOSPITAL MEDICAL GROUP PROVIDED 76,110 VISITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH COUNTY HOSPTIAL HEALTHCARE SYSTEM AND ITS AFFILIATED ENTITIES ARE KNOWN AS SOUTH COUNTY HEALTH ("SCH") WHICH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>SCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IT IS PERIODICALLY REVIEWED AND DISCUSSED AT BOARD MEETINGS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WOULD DISCUSS THE ITEM TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO'S SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. IN DETERMINING COMPENSATION, THE ORGANIZATION USES FORM 990 OF OTHER ORGANIZATIONS AND A COMPENSATION SURVEY. THE REVIEW IS DONE BY INDEPENDENT INDIVIDUALS OF THE GOVERNING BODY AND ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 16B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE FULL TAX COMPLIANCE. THE HOSPITAL DOES NOT HAVE A FORMAL POLICY BUT IN PRACTICE ALL JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE THE JOINT VENTURE DOES NOT JEOPARDIZE THE TAX STATUS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS 102,626. UNREALIZED CHANGE IN EQUITY INTERESTS ON INTEREST RATE SWAP -667,805. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 722,079. UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. 755,579. NET SERVICE COST COMPONENTS OF NET PENSION COST -289,004. OCEAN VIEW HEALTH VENTURES BEGINNING OF YEAR NET ASSETS 3,545,281.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OCEAN VIEW HEALTH VENTURE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KENYON AVENUE</AddressLine1Txt>
          <CityNm>WAKEFIELD</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02879</ZIPCd>
        </USAddress>
        <EIN>853789537</EIN>
        <PrimaryActivitiesTxt>LEASE OFFICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <TotalIncomeAmt>2162199</TotalIncomeAmt>
        <EndOfYearAssetsAmt>15673700</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SCH HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTH COUNTY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KENYON AVENUE</AddressLine1Txt>
          <CityNm>WAKEFIELD</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02879</ZIPCd>
        </USAddress>
        <EIN>854028860</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SCH HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTH COUNTY HOME HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>14 WOODRUFF AVENUE</AddressLine1Txt>
          <CityNm>NARRAGANSETT</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02882</ZIPCd>
        </USAddress>
        <EIN>056033975</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SCH HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KENYON AVENUE</AddressLine1Txt>
          <CityNm>WAKEFIELD</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02879</ZIPCd>
        </USAddress>
        <EIN>050259093</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SILVER SPRING HEALTH CARE MANAGEMENT</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 KENYON AVENUE</AddressLine1Txt>
          <CityNm>WAKEFIELD</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02879</ZIPCd>
        </USAddress>
        <EIN>050459095</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SCH HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>428101</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTH COUNTY QUALITY CARE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 KENYON AVENUE</AddressLine1Txt>
          <CityNm>WAKEFIELD</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02879</ZIPCd>
        </USAddress>
        <EIN>050491313</EIN>
        <PrimaryActivitiesTxt>PERSONAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SS HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>44902</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSHM SURGICAL SUPPLY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 KENYON AVENUE</AddressLine1Txt>
          <CityNm>WAKEFIELD</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02879</ZIPCd>
        </USAddress>
        <EIN>050478937</EIN>
        <PrimaryActivitiesTxt>RETAIL OF MED EQP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SS HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>10130</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE REMAINDER TRUSTS (3)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>CHARITABLE TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SSHM SURGICAL SUPPLY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>664198</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOUTH COUNTY HOME HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>648036</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>