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            <AddressLine1>3 MICHELLE LANE</AddressLine1>
            <City>MYSTIC</City>
            <State>CT</State>
            <ZIPCode>06355</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>630000</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>FRIAR ASSOCIATES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>281 FARMINGTON AVE</AddressLine1>
            <City>FARMINGTON</City>
            <State>CT</State>
            <ZIPCode>06032</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>DESIGN SERVICES</DescriptionOfServices>
        <Compensation>270835</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DIALYSIS CTR OF NEWINGTON</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>C/O DSD - NE REGIONAL OFFICE</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>022413696</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>254458</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MARTIN LAVIERO CONTRACTOR</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1659</AddressLine1>
            <City>BRISTOL</City>
            <State>CT</State>
            <ZIPCode>060111659</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACTOR SERVICES</DescriptionOfServices>
        <Compensation>207613</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>21</NumberOfContractorsGT100K>
      <RelatedOrganizations>720254</RelatedOrganizations>
      <GovernmentGrants>1226970</GovernmentGrants>
      <NoncashContributions>9020</NoncashContributions>
      <TotalContributions>1947224</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE REVENU</Description>
        <BusinessCode>541380</BusinessCode>
        <TotalRevenueColumn>128018896</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>126741534</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1277362</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OCCUPATIONAL HEALTH RE</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>719459</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>719459</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>128738355</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>285251</TotalRevenueColumn>
        <ExclusionAmount>285251</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>339339</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>339339</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>339339</TotalRevenueColumn>
        <ExclusionAmount>339339</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISC. PROGRAM AND HEAL</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>894888</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>894888</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>JOINT VENTURES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>584869</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>480979</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>103890</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>419108</TotalRevenueColumn>
        <ExclusionAmount>419108</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>293690</TotalRevenueColumn>
        <ExclusionAmount>293690</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>2192555</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>133502724</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>128836860</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1381252</UnrelatedBusinessRevenue>
        <ExclusionAmount>1337388</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>1437611</Total>
        <ManagementAndGeneral>1437611</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>53914329</Total>
        <ProgramServices>46366323</ProgramServices>
        <ManagementAndGeneral>7548006</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>2905052</Total>
        <ProgramServices>2324042</ProgramServices>
        <ManagementAndGeneral>581010</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>8100751</Total>
        <ProgramServices>6480601</ProgramServices>
        <ManagementAndGeneral>1620150</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>4165954</Total>
        <ProgramServices>3332763</ProgramServices>
        <ManagementAndGeneral>833191</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>492340</Total>
        <ManagementAndGeneral>492340</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>84996</Total>
        <ManagementAndGeneral>84996</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>9423269</Total>
        <ProgramServices>7778061</ProgramServices>
        <ManagementAndGeneral>1645208</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>728157</Total>
        <ProgramServices>47330</ProgramServices>
        <ManagementAndGeneral>680827</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>17690737</Total>
        <ProgramServices>15921663</ProgramServices>
        <ManagementAndGeneral>1769074</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2114173</Total>
        <ProgramServices>2114173</ProgramServices>
      </InformationTechnology>
      <Occupancy>
        <Total>3434609</Total>
        <ProgramServices>2953764</ProgramServices>
        <ManagementAndGeneral>480845</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>262248</Total>
        <ProgramServices>222360</ProgramServices>
        <ManagementAndGeneral>39888</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>1688566</Total>
        <ProgramServices>1688566</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>5241260</Total>
        <ProgramServices>4193008</ProgramServices>
        <ManagementAndGeneral>1048252</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>2127714</Total>
        <ProgramServices>2064918</ProgramServices>
        <ManagementAndGeneral>62796</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>10944348</Total>
        <ProgramServices>10944348</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIR AND MAINTENANCE</Description>
        <Total>1698343</Total>
        <ProgramServices>1698343</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SERVICES FEES</Description>
        <Total>1685993</Total>
        <ProgramServices>1685993</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>COLLECTION FEES</Description>
        <Total>1091825</Total>
        <ProgramServices>1091825</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL</Description>
        <Total>603845</Total>
        <ProgramServices>603194</ProgramServices>
        <ManagementAndGeneral>651</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1151513</Total>
        <ProgramServices>1143515</ProgramServices>
        <ManagementAndGeneral>7998</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>130987633</Total>
        <ProgramServices>112654790</ProgramServices>
        <ManagementAndGeneral>18332843</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>6746197</BOY>
        <EOY>8286702</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>96062</BOY>
        <EOY>96165</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>16448223</BOY>
        <EOY>15483112</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>1641730</BOY>
        <EOY>1439654</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2819609</BOY>
        <EOY>2581093</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>130519447</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>93518978</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>35160154</BOY>
        <EOY>37000469</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>10754969</BOY>
        <EOY>12001102</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>13299723</BOY>
        <EOY>12654647</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>5393223</BOY>
        <EOY>5465804</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>2068883</BOY>
        <EOY>2637040</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>94428773</BOY>
        <EOY>97645788</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>22029417</BOY>
        <EOY>23412362</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>647673</BOY>
        <EOY>607691</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>25486746</BOY>
        <EOY>25042967</EOY>
      </TaxExemptBondLiabilities>
      <LoansFromOfficersDirectors>
        <BOY>319228</BOY>
        <EOY>312490</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2471657</BOY>
        <EOY>2749252</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>36234792</BOY>
        <EOY>37300493</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>87189513</BOY>
        <EOY>89425255</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-255398</BOY>
        <EOY>755592</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>939739</BOY>
        <EOY>800850</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>6554919</BOY>
        <EOY>6664091</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7239260</BOY>
        <EOY>8220533</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>94428773</BOY>
        <EOY>97645788</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>39000</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>13350</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>52350</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>THE HOSPITAL IS A MEMBER OF THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THE ASSOCIATIONS MAY BE USED FOR LOBBYING PURPOSES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>12016137</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>1587194</InvestmentEarningsOrLosses>
        <OtherExpenditures>722254</OtherExpenditures>
        <EndOfYearBalance>12881077</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>13256619</BeginningOfYearBalance>
        <Contributions>570728</Contributions>
        <InvestmentEarningsOrLosses>-523731</InvestmentEarningsOrLosses>
        <OtherExpenditures>1287479</OtherExpenditures>
        <EndOfYearBalance>12016137</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.42050</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.51730</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.06220</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>1581762</OtherCostOrOtherBasis>
        <BookValue>1581762</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>56257285</OtherCostOrOtherBasis>
        <Depreciation>34587039</Depreciation>
        <BookValue>21670246</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2307017</OtherCostOrOtherBasis>
        <Depreciation>2027877</Depreciation>
        <BookValue>279140</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>67716900</OtherCostOrOtherBasis>
        <Depreciation>56904062</Depreciation>
        <BookValue>10812838</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2656483</OtherCostOrOtherBasis>
        <BookValue>2656483</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>37000469</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>FUNDS HELD FOR MALPRACTICE SELF-INSURANCE</Description>
        <BookValue>6461527</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ASSETS HELD IN TRUST BY OTHERS</Description>
        <BookValue>2840135</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>FUNDS HELD UNDER BOND INDENTURE</Description>
        <BookValue>2506470</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>DONOR RESTRICTED INVESTMENTS</Description>
        <BookValue>394142</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>DEBT SERVICE FUND</Description>
        <BookValue>452373</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>12654647</TotalOfBookValueSecurities>
      <InvestmentsProgramRelated>
        <Description>INVESTMENTS IN JOINT VENTURES</Description>
        <BookValue>1264054</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>INTEREST IN NET ASSETS OF FOUNDATION</Description>
        <BookValue>4201750</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>5465804</TotalOfBookValueProgramRelated>
      <OtherLiabilities>
        <Description>ACCRUED POSTRETIREMENT BENEFIT LIABILITY</Description>
        <Amount>6148004</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LINE OF CREDIT</Description>
        <Amount>3771110</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATIONS</Description>
        <Amount>2026281</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION LIABILITY</Description>
        <Amount>25355098</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>37300493</TotalOfAmounts>
      <TotalRevenue>133502724</TotalRevenue>
      <TotalExpenses>130987633</TotalExpenses>
      <ExcessOrDeficitForYear>2515091</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>1426300</NetUnrealizedGLOnInvestments>
      <OtherAmount>-2960118</OtherAmount>
      <TotalAdjustments>-1533818</TotalAdjustments>
      <ExcessOrDeficitPerFS>981273</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>132773450</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>132773450</RevenueSubtotal>
      <OtherRevenuesNotIncluded>729274</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>729274</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>133502724</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>130987633</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>130987633</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>130987633</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4:</Identifier>
        <ReturnReference>Description of Intended Use of Endowment Funds:</ReturnReference>
        <Explanation>THE HOSPITAL'S ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES, SUCH AS CAPITAL EXPENDITURES, OPERATING EXPENSES, AND OTHER SPECIFIED DONOR AND BOARD RESTRICTED USES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740 "INCOME TAXES" (FASB ASC 740), WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS WITHIN THE FINANCIAL STATEMENTS. WITH THESE CHANGES, THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2010 AND 2009. AS OF SEPTEMBER 30, 2010 AND 2009, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>INCREASE IN PERMANENTLY RESTRICTED NET ASSETS: 109172. TRANSFER TO CCMM: -665510. ADJUSTMENT FOR MINIMUM PENSION LIABILITY: -1945671. CHANGES IN JOINT VENTURES: -69493. changes in postretirement health &amp; welfare benefits: -546188. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION: 886846. NONCASH VACCINE CONTRIBUTIONS: -9020. CONTRIBUTION FROM BRISTOL HOSPITAL DEVELOPMENT FUND: -720254.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>NONCASH VACCINE CONTRIBUTIONS: 9020. CONTRIBUTION FROM BRISTOL HOSPITAL DEVELOPMENT FUND: 720254.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>0</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>92500</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>92500</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>10257000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7972000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2285000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01900</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>9359000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7198000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2161000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01800</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>19708500</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15170000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4538500</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03780</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>115452</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>2046</NetCommunityBenefitExpense>
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          <BusinessNameLine1>CENTRAL CT ENDOSCOPY CENTER</BusinessNameLine1>
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          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06010</ZIPCode>
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      <Form990ScheduleHPartVI>
        <ShortfallAsCommunityBenefit>Part III, Line 8: The calculated Medicare shortfall should be considered community benefit because it represents unreimbursed costs for patient services. These unreimbursed costs are Bristol Hospital expenses that ultimately benefit the community Bristol Hospital services.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: Part III, Line 9b- It is the policy of Bristol Hospital to provide every patient from the community we serve with medically necessary health services regardless of their ability to pay. The policy sets specific guidlines for the collection of patient payments and establishes a hierarchy for payment methods that are both friendly to the patient and beneficial to the hospital. Patients who are unable to pay their liability are referred to a financial counselor who will assess the patient's eligibility for charity care or alternative funding sources. Funding Sources include Charity Care, Outside Financing, Hospital Payment Plans, Federal, State and Local programs and the Hospital Financial Assistance Program.</DebtCollectionPolicy>
        <NeedsAssessment>Part VI, Line 2: Hospital assessment of the health care needs of the community it serves is a dynamic process that involves all levels of hospital administration, staff, the Board of Directors (BOD), and Medical staff. Various committees and groups at the hospital meet periodically to discuss the needs of the community we serve as well as the resources and services available at the hospital and other agencies in the area. The Hospital is represented at community level organizations and groups that are also involved with assessment of the community needs. Hospital resources are frequently called upon to participate in programs and projects put together to address those needs.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: At Bristol Hospital, patients are notified of their ability to discuss financial assistance options including charity care in all of their billing statements. The hospital encourages patients to find out their eligibility for assistance and provides financial counselors to assist patients in applying for charity care.Patients can contact the Financial Assistance department within the hospital at 860-585-3878. This support also includes a representative through the State of Connecticut (representative paid by Bristol Hospital) so we ensure that all aspects of assistance are provided for each patient.The Financial Assistance department also discusses government benefits with patients that they may be eligible for.Contact information for our Financial Counselor is also included on the hospital website for patients to reference. The hospital also offers many free programs for the uninsured including free blood pressure clinics, skin cancer screening clinics and seminars to provide patients access to as much free health information as possible.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: Bristol Hospital is committed to providing the best patient experience in the region. Our 134-bed, full-service health care institution provides comprehensive inpatient and outpatient care for the greater Bristol, Connecticut area.Bristol is a suburban city located in Hartford County, Connecticut, United States 20 miles southwest of Hartford. Bristol has a total area of 26.8 square miles and a population of approx 62K. In Bristol, 84.2% of the people speak English and 4.8% of people speak Spanish. In Bristol, 54.6% of people are married and 92.2% of residents were born in the US.Community Information:The primary service area (PSA) for our hospital includes:Bristol (zip code 06010,06011)- 2011 census 62,078Burlington (zip code 06013)- 2011 census- 10,011Plainville (zip code 06062)- 2011 census 17,767Plymouth (zip code 06781,06782,06786)- 2011 census 12,605The total population from the 2011 census for our PSA is- 102,461In 2009, the latest date data became available and the following data points were provided for Bristol:Median Household Income: $57,781Families below poverty level- 5.6%Individuals below poverty level- 7.7%Race: White- 87.6%, Black or African American- 3.6%, American Indian or Alaska Native- 0.3%, Asian- 1.8%, Other Race- 3.9%The secondary service area (SSA) for our hospital includes:Farmington (zip code 06085,06087)- 2011 census 6,058Southington (zip code 06489)- 2011 census 33,560Wolcott (zip code 06716)- 2011 census 17,458Thomaston (zip code 06787)- 2011 census 8,512Harwinton (zip code 06791)- 2011 census 5,938The total population from the 2011 census for our SSA is- 71,526Both the PSA (Primary Service Area) and SSA (Secondary Service Area) are primarily suburban and rural areas but also include some urban areas as well. Some of the major health problems prevalent in our PSA are associated with Behavioral Health, Chemical Dependency, Obesity, and Pulmonary Disease.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: Bristol Hospital takes great pride in serving the community. As part of its mission, Bristol Hospital incorporates a broad array of community outreach and wellness activities, delivering educational material and counseling, offering free or low cost health screenings and hosting patient and family support groups. We understand the importance and value of emphasizing good health, fitness, safety and the promotion of early detection of illness or disease. Therefore, all of our outreach efforts reflect our strong desire to improve the quality of life for all who live and work in the communities we serve. Bristol Hospital provides financial support and access to appropriate clinical care for several life-saving initiatives, including the Bristol Community Breast Health Project and the Colon Cancer Awareness Project of Greater Bristol, which allow us to offer free breast, and colorectal cancer screenings to those who, due to insurance or income factors, might not otherwise have access to these valuable diagnostic screening services. The Eye Care Project of Greater Bristol provides vital access to services for those suffering from vision impairment.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: At Bristol Hospital we understand the importance of our role as an exempt healthcare provider to the community we service. Our leadership team is committed to providing outstanding patient care and promoting the health of the community. Bristol Hospital attempts to promote our free and non-revenue generating programs in a variety of ways. Three times a year, the hospital mails a "Pathways to Your Health" catalog. The catalog contains a listing of programs available to the Greater Bristol community. This catalog is mailed to over 60,000 residents and provides information on free health screenings, support groups, health education, wellness programs, etc. The catalog is also included on our hospital website to provide increased access to patients. The Pathways catalog is delivered and displayed in each department within the hospital and is free for all patients to take. Programs are also listed on our website under an "events" section where patients can register for free, directly online. We also promote our programs monthly in the Bristol Press, Bristol Observer, Hartford Courant and Plymouth Connection. We subscribe to an "on-hold" system for our phones which allows us to record messages for patients when they call the hospital. Many of these messages are about free programs and services, health education facts and services to the community.</OtherInformation>
        <ReportsFiledWithStates>CT</ReportsFiledWithStates>
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          <BusinessNameLine1>PETER FREYTAG</BusinessNameLine1>
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        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>The Hospital paid $3,661 in golf club membership fees for its President during fiscal 2010.</Explanation>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b:</ReturnReference>
        <Explanation>Kurt Barwis, President, participates in the Hospital's 457(F) Defined Contribution Plan.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE ORIGINAL 990 AS FILED WITH THE IRS WAS NOT PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING, ALTHOUGH PART VI, SECTION B, LINE 11 WAS ANSWERED YES. THE FORM 990 WAS REVIEWED INTERNALLY BY MEMBERS OF THE FINANCE DEPARTMENT AND MANAGMENT. THIS AMENDED RETURN WILL BE PRESENTED TO THE BOARD FOR THEIR REVIEW AND COMMENTS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>ANNUALLY, ALL APPLICABLE PARTIES ARE REQUIRED TO RECEIVE AND SIGN A STATEMENT ACKNOWLEDGING THAT THEY HAVE READ, UNDERSTOOD AND AGREE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS DETERMINED VIA COMBINED USE OF COMPARISON STUDIES AND EXPERIENCE LEVELS AND IS SUBJECT TO BOARD APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 2C:</Identifier>
        <Explanation>THE HOSPITAL'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESSES OF OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AMENDED RETURN EXPLANATION AND CHANGES:</Identifier>
        <Explanation>This return is being amended to properly include additional information and to make changes to incorrectly reported information for the Forms, Schedules and Parts indicated below: Form 990, Part II, Signer of return changed to George W. Eighmy, VP &amp; CFO Form 990, Part IV, Question 4: Answer changed to yes Form 990, Part VII, Line 1a, Column (F): Kurt Barwis amount increased by $76,335 to include additional deferred compensation Form 990, Schedule C, Parts II-B and Part IV completed Form 990, Schedule O: Description of 990 review process changed Form 990 Schedule H, Part I, Line 7: changes made to table amounts Form 990, Schedule H, Part II, Lines 5-10: Amounts moved to table in Part I Line 7 Form 990, Schedule J, Part I, Line 1a: Health or social club dues box checked and description added to Part III Form 990, Schedule J, Part I, Line 1b: Answered yes Form 990, Schedule J, Part I, Line 3: Additional boxes checked for Compensation committee, Independent compensation consultant, written employment contract Form 990, Schedule J, Part I, Line 4b: Answer changed to yes and description added to Part III Form 990, Schedule J, Part II, Column (c): Kurt Barwis amount increased by $76,335 to include additional deferred compensation</Explanation>
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        <NameOfDisregardedEntity>
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          <State>CT</State>
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        </AddressUS>
        <EIN>222577726</EIN>
        <PrimaryActivities>HEALTHCARE PARENT COMPANY</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>11B, TYPE II</PublicCharityStatus>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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          <State>CT</State>
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        </AddressUS>
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        <DirectControllingEntityName>
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        </AddressUS>
        <EIN>222577731</EIN>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDWORKS LLC</BusinessNameLine1>
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          <City>NEWINGTON</City>
          <State>CT</State>
          <ZIPCode>06111</ZIPCode>
        </AddressUS>
        <EIN>061490483</EIN>
        <PrimaryActivity>REHAB &amp; OCCUPATIONAL HEALTH</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BRISTOL MSO LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>25 COLLINS ROAD</AddressLine1>
          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06010</ZIPCode>
        </AddressUS>
        <EIN>061506024</EIN>
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        <LegalDomicileState>CT</LegalDomicileState>
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        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BRISTOL HOSPITAL EMS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 977</AddressLine1>
          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06011</ZIPCode>
        </AddressUS>
        <EIN>061547648</EIN>
        <PrimaryActivity>EMERGENCY MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>BRISTOL HEALTH SERVICES INC</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BRISTOL HEALTH SERVICES INC</BusinessNameLine1>
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          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06011</ZIPCode>
        </AddressUS>
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        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>BRISTOL HOSPITAL AND HEALTH CARE GROUP INC</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL CONNECTICUT MEDICAL MANAGEMENT INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 MAIN STREET</AddressLine1>
          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06011</ZIPCode>
        </AddressUS>
        <EIN>222577728</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>BRISTOL HEALTH SERVICES INC</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GREATER BRISTOL PRIMARY CARE GROUP PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 MAIN STREET</AddressLine1>
          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06011</ZIPCode>
        </AddressUS>
        <EIN>061466555</EIN>
        <PrimaryActivity>PRIMARY CARE SERVICES</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BRISTOL PSYCHIATRIC SERVICES PC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>200 MAIN STREET</AddressLine1>
          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06011</ZIPCode>
        </AddressUS>
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        <LegalDomicileState>CT</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MED-HELP PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 MAIN STREET</AddressLine1>
          <City>BRISTOL</City>
          <State>CT</State>
          <ZIPCode>06011</ZIPCode>
        </AddressUS>
        <EIN>061484522</EIN>
        <PrimaryActivity>URGENT CARE CENTER</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
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      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
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      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>BRISTOL HOSPITAL EMS LLC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>BRISTOL HOSPITAL EMS LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRISTOL HEALTH CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRISTOL HEALTH CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRISTOL HOSPITAL EMS LLC</BusinessNameLine1>
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        <TransactionType>I</TransactionType>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CENTRAL CONNECTICUT MEDICAL MANAGEMENT INC</BusinessNameLine1>
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        <TransactionType>B</TransactionType>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>