﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-08-15T11:38:28-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>111986323</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>MARCUM LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>555 LONG WHARF DRIVE</AddressLine1Txt>
        <CityNm>NEW HAVEN</CityNm>
        <StateAbbreviationCd>CT</StateAbbreviationCd>
        <ZIPCd>06511</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>510192422</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HOPEHEALTH HOSPICE &amp; PALLIATIVE CARE</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>HOPE</BusinessNameControlTxt>
      <PhoneNum>4014154200</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1085 NORTH MAIN STREET</AddressLine1Txt>
        <CityNm>PROVIDENCE</CityNm>
        <StateAbbreviationCd>RI</StateAbbreviationCd>
        <ZIPCd>02904</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DIANA FRANCHITTO</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <PhoneNum>4014154200</PhoneNum>
      <SignatureDt>2024-08-14</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MARY ANTONETTI</PreparerPersonNm>
      <PTIN>P00431862</PTIN>
      <PhoneNum>2037819600</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2024-08-08 14:25:15Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>DIANA FRANCHITTO</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1085 NORTH MAIN STREET</AddressLine1Txt>
        <CityNm>PROVIDENCE</CityNm>
        <StateAbbreviationCd>RI</StateAbbreviationCd>
        <ZIPCd>02904</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>83520667</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.HOPEHEALTHCO.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1976</FormationYr>
      <LegalDomicileStateCd>RI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDE SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES, AS WELL AS THOSE (SEE SCHEDULE O) EXPERIENCING SERIOUS ILLNESS AND LOSS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>24</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>24</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>504</TotalEmployeeCnt>
      <TotalVolunteersCnt>214</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2486654</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2357984</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>69762341</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>77158905</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>162818</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>274105</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>203377</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>443140</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>72615190</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>80234134</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>43177574</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>46429707</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>878836</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>28331602</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>42646626</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>71509176</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>89076333</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1106014</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-8842199</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>77592188</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>48468538</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>41354075</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>20395146</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>36238113</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>28073392</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PROVIDE SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES, AS WELL AS THOSE EXPERIENCING SERIOUS ILLNESS AND LOSS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>74709904</ExpenseAmt>
      <RevenueAmt>77239950</RevenueAmt>
      <Desc>HOPEHEALTH HOSPICE &amp; PALLIATIVE CARE (HHHPC) IS THE SECOND-OLDEST HOSPICE IN THE NATION AND THE LARGEST AND MOST EXPERIENCED HOSPICE AND PALLIATIVE CARE AGENCY IN RHODE ISLAND. THE AGENCY PROVIDES QUALITY, COMPASSIONATE HEALTH CARE TO PEOPLE FACING THE ADVANCED STAGES OF SERIOUS ILLNESS.AT HOPEHEALTH, SAFETY CONTINUES TO BE OUR TOP PRIORITY. AS THE PANDEMIC SITUATION IMPROVES AND GUIDELINES ARE MODIFIED, WE ARE COMMITTED TO KEEPING OUR STAFF, PATIENTS AND COMMUNITY SAFE WHILE PROVIDING THE VERY BEST PATIENT CARE. (SEE SCHEDULE O)WE HAVE THE PRIVILEGE TO CARE FOR PATIENTS AT END OF LIFE. PROVIDING A WELCOMING AND WARM ATMOSPHERE IS AT THE CORE OF OUR CARE PHILOSOPHY. HOPEHEALTH CONTINUES TO TAKE ALL NECESSARY PRECAUTIONS TO KEEP OUR PATIENTS AND EMPLOYEES SAFE.HHHPC OFFERS A COMPREHENSIVE SCOPE OF MEDICAL AND PSYCHOSOCIAL SERVICES AND BRINGS PEACE, DIGNITY, AND COMFORT TO PATIENTS AND THEIR FAMILIES INCLUDING BEREAVEMENT SUPPORT TO FAMILIES ABOVE AND BEYOND THE TIME FRAME REQUIRED AFTER A PATIENT'S DEATH. HHHPC HAS SERVED THE COMMUNITY FOR OVER 40 YEARS AND OWNS AND OPERATES THE ONLY FREE-STANDING HOSPICE INPATIENT CENTER IN THE STATE, THE PHILIP HULITAR HOSPICE CENTER, IN PROVIDENCE. THE AGENCY ALSO OFFERS PALLIATIVE CARE SERVICES, DESIGNED TO PROVIDE CONSULTATION SERVICES AT THE REQUEST OF PHYSICIANS AND OTHER HEALTH CARE PROVIDERS FOR MANAGING THE PAIN AND CARE OF PATIENTS WITH COMPLEX MEDICAL CONDITIONS, MANY OF WHICH ARE NOT HOSPICE PATIENTS.THESE PROGRAMS, WHICH ARE OFFERED TO PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE, HISTORICALLY HAVE BEEN SIGNIFICANTLY UNDERFUNDED BY GOVERNMENTAL AND NON GOVERNMENTAL PAYORS. HHHPC PROVIDES SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY, MAKING CHARITY CARE AND FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS WITH LIMITED OR NO FINANCIAL RESOURCES BASED ON THE AGENCY'S SLIDING-SCALE PROGRAM.OUR PHYSICIANS, WHO MAKE HOME, NURSING HOME AND HOSPITAL VISITS, ARE NATIONALLY RECOGNIZED FOR THEIR CUTTING-EDGE ACADEMIC RESEARCH AND EXPERTISE IN HOSPICE AND PALLIATIVE CARE. THE ORGANIZATION HAS NURSES AND SOCIAL WORKERS WHO WORK 24 HOURS A DAY AND RESPOND READILY TO URGENT PATIENT AND FAMILY NEEDS. FREE CONSULTATIONS ARE OFFERED TO PATIENTS AND FAMILIES AT ANY TIME AND WHEREVER THEY CHOOSE.A VARIETY OF COMPLEMENTARY SERVICES ARE OFFERED THROUGH HHHPC'S ROBUST VOLUNTEER PROGRAM INCLUDING PET THERAPY, REIKI, MASSAGE AND MUSIC THERAPIES, TO PATIENTS AND FAMILY MEMBERS IN COMBINATION WITH TRADITIONAL MEDICAL THERAPIES. THE AGENCY HAS ADOPTED THE HIGHEST STANDARDS IN HOSPICE AND PALLIATIVE CARE, AS VALIDATED BY ITS ACCREDITATION FROM THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP), AND IT WAS NAMED A 2014 HOSPICE HONORS RECIPIENT, RECOGNIZING THE AGENCY AS ONE OF THE TOP HOSPICE AGENCIES IN THE COUNTRY FOR FAMILY SATISFACTION. HHHPC IS THE MAJOR TEACHING AFFILIATE FOR HOSPICE AND PALLIATIVE MEDICINE OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, AS WELL AS AN EDUCATION SITE FOR URI COLLEGES OF NURSING AND PHARMACY AND THE RHODE ISLAND COLLEGES OF NURSING AND SOCIAL WORK.NUMEROUS SPECIAL EVENTS, SUCH AS THE SPRING CELEBRATION OF REMEMBRANCE AND LIGHT UP A LIFE TREE LIGHTINGS WERE HELD THROUGHOUT THE YEAR FOR THE BENEFIT OF CURRENT AND FORMER FAMILY MEMBERS OF PATIENTS CARED FOR BY HHHPC, AS WELL AS THE GENERAL COMMUNITY. NUMEROUS BEREAVEMENT AND SUPPORT GROUPS ARE OFFERED TO CURRENT FAMILIES, FAMILY MEMBERS OF FORMER PATIENTS, AND THE GENERAL COMMUNITY AT LARGE, INCLUDING CAMP BRAVEHEART, A FREE, TWO-DAY SUMMER CAMP FOR GRIEVING CHILDREN AND TEENS. OTHER SUPPORT PROGRAMS INCLUDE A BROAD ARRAY OF BEREAVEMENT SUPPORT GROUPS FOR A VARIETY OF AGES AND LIFE STAGES. THE AGENCY MANAGES AND SUPPORTS A STRONG VOLUNTEER SERVICES PROGRAM STAFFED BY A DEDICATED MANAGER AND STAFF OF VOLUNTEER COORDINATORS. IN FY 2023, 214 NEW VOLUNTEERS WERE TRAINED. VOLUNTEERS OFFERED AN ARRAY OF SERVICES FROM ADMINISTRATIVE SUPPORT TO COMPLEMENTARY SERVICES FOR A TOTAL OF 16,310 VOLUNTEER HOURS DURING THE FISCAL YEAR.HHHPC SPEAKER'S BUREAU OFFERED VARIOUS EDUCATIONAL AND COMMUNITY SUPPORT PRESENTATIONS DESIGNED TO MEET VARIOUS COMMUNITY NEEDS BY PROVIDING EDUCATIONAL OPPORTUNITIES. THIS PROGRAM PROVIDED SPEAKERS AT NO CLOST TO CLUBS, ORGANIZATIONS, FAITH-BASED GROUPS, SENIOR CENTERS, AND OTHER INTERESTED AUDIENCES. OTHER UNFUNDED COMMUNITY SUPPORT ACTIVITIES INCLUDED VARIOUS EDUCATIONAL SEMINARS AND WORKSHOPS OFFERED BY THE AGENCY'S LIAISON STAFF, BEREAVEMENT COUNSELORS, PHYSICIANS AND REGISTERED NURSE PRACTITIONERS. AGENCY STAFF ALSO MET WITH POTENTIAL PATIENTS AND FAMILY MEMBERS ON AN UNREIMBURSED BASIS, PROVIDING EDUCATION AND INFORMATION ON HOSPICE AND OTHER HEALTH CARE SUPPORT OPTIONS.BEYOND SERVICES PROVIDED TO HHHPC'S PATIENTS AND FAMILIES, MEMBERS OF THE AGENCY'S LEADERSHIP AND STAFF PROVIDED COMMUNITY LEADERSHIP IN A VARIETY OF WAYS FROM SERVING ON LOCAL NOT-FOR-PROFIT BOARDS AND PARTICIPATING IN OTHER COMMUNITY AND HEALTH FORUMS.AS PART OF ITS WE HONOR VETERAN'S PROGRAM, THE ORGANIZATION PROVIDES EDUCATION TO STAFF AND COMMUNITY MEMBERS ON THE UNIQUE NEEDS OF VETERAN'S RECEIVING HOSPICE SERVICES. THE ORGANIZATION'S JOINED IN CARE: DEMENTIA PROGRAM EDUCATION SERVICES PROVIDES INFORMATION AND COPING STRATEGIES TO CAREGIVERS, STAFF AND COMMUNITY MEMBERS ON THE UNIQUE NEEDS OF INDIVIDUALS WITH ADVANCED DEMENTIA WHO ARE RECEIVING HOSPICE SERVICES.</Desc>
      <TotalProgramServiceExpensesAmt>74709904</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc1053100001">1</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>0</InvestTaxExemptBondsInd>
      <EscrowAccountInd>0</EscrowAccountInd>
      <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>216</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>504</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>24</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>24</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>1</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>OFFICE OF THE PRESIDENTCEO</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>4014154635</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1085 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02904</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH ARNOLD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.06</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.18</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE BABCOCK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.08</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.24</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARIE BAILEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY BRADLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET COOPER NELSON REV</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH CORNWALL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA COTTAM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.03</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.09</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DISANDRO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUTH FAIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE FASCHING</PersonNm>
        <TitleTxt>DIRECTOR (LEFT 12/31/22)</TitleTxt>
        <AverageHoursPerWeekRt>0.03</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.09</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC GAGNON</PersonNm>
        <TitleTxt>DIRECTOR (LEFT 12/31/22)</TitleTxt>
        <AverageHoursPerWeekRt>0.03</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.09</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC HUDAK</PersonNm>
        <TitleTxt>DIRECTOR (LEFT 12/31/22)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER KARCZMAR MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.06</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.18</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH KELLY</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAYER LEVITT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.03</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.09</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS MARSELLA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.06</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.18</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE MEYER</PersonNm>
        <TitleTxt>DIRECTOR (LEFT 12/31/22)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA MOORE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.08</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.24</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT MOR</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MURPHY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARTHUR ROBBINS</PersonNm>
        <TitleTxt>DIRECTOR (LEFT 12/31/22)</TitleTxt>
        <AverageHoursPerWeekRt>0.08</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.24</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY ROGERS</PersonNm>
        <TitleTxt>DIRECTOR (LEFT 12/31/22)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRED SCHIFFMAN MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN SOSCIA</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL STAJDUHAR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK TRACY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE VARGAS</PersonNm>
        <TitleTxt>DIRECTOR (LEFT 1/16/23)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK YOUNG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.33</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN DESANTO-MADEYA</PersonNm>
        <TitleTxt>DIRECTOR (START 01/01/23)</TitleTxt>
        <AverageHoursPerWeekRt>0.08</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.24</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AUDREY KYDD</PersonNm>
        <TitleTxt>DIRECTOR (START 01/01/23)</TitleTxt>
        <AverageHoursPerWeekRt>0.08</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.24</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KWAME DAPAAH-AFRIYIE</PersonNm>
        <TitleTxt>DIRECTOR (START 01/01/23)</TitleTxt>
        <AverageHoursPerWeekRt>0.06</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.18</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANA FRANCHITTO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>0.11</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>38.33</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>474084</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34376</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADDY KANE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>36.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>286018</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD MARTIN</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>35.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>422308</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28251</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN D MIKOLASKO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>245479</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMARA FEINGOLD-LINK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>247856</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15846</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH COHEN</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>34.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>263778</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34518</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA GUYER</PersonNm>
        <TitleTxt>SUPERVISOR, LIFESPAN CANCER</TitleTxt>
        <AverageHoursPerWeekRt>34.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>276494</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34746</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA MACDONELL-YILMAZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>263773</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27170</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1297380</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1182410</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>237334</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>57</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIMITREE HEALTHCARE CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4130 WHITNEY AVENUE</AddressLine1Txt>
            <CityNm>HAMDEN</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06518</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>528667</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IMAGEFIRST (BERSTEIN MAGOON GAY LLC)</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 EAST 9TH AVENUE</AddressLine1Txt>
            <CityNm>KING OF PRUSSIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19406</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE LAUNDRY</ServicesDesc>
        <CompensationAmt>218432</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JAMES J MELFI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>90 ROCKLAND ROAD</AddressLine1Txt>
            <CityNm>NORTH SCITUATE</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02857</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>211300</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARCUM LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>555 LONG WHARF DRIVE 8TH FLOOR</AddressLine1Txt>
            <CityNm>NEW HAVEN</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06511</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING</ServicesDesc>
        <CompensationAmt>169282</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOME INSTEAD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1125 STATE ROAD UNIT A4</AddressLine1Txt>
            <CityNm>WESTPORT</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02790</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT SERVICES</ServicesDesc>
        <CompensationAmt>119271</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>5627</FederatedCampaignsAmt>
      <FundraisingAmt>317401</FundraisingAmt>
      <AllOtherContributionsAmt>2034956</AllOtherContributionsAmt>
      <NoncashContributionsAmt>22753</NoncashContributionsAmt>
      <TotalContributionsAmt>2357984</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>73153027</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>73153027</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER CONTRACT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2522669</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2522669</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GOVERNMENT CONTRACT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1437609</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1437609</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PCCS HOMECARE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>45600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45600</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>77158905</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>264401</TotalRevenueColumnAmt>
        <ExclusionAmt>264401</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3066349</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3056645</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>9704</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9704</TotalRevenueColumnAmt>
        <ExclusionAmt>9704</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>132247</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>317401</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>229888</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-97641</TotalRevenueColumnAmt>
        <ExclusionAmt>-97641</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>301880</TotalRevenueColumnAmt>
        <ExclusionAmt>301880</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DINING SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>81045</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>81045</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>WC SHARED EARNINGS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>66387</TotalRevenueColumnAmt>
        <ExclusionAmt>66387</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>91469</TotalRevenueColumnAmt>
        <ExclusionAmt>91469</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>540781</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>80234134</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>77239950</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>636200</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>945469</TotalAmt>
        <ProgramServicesAmt>267994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>677475</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>37041455</TotalAmt>
        <ProgramServicesAmt>30752144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6283576</ManagementAndGeneralAmt>
        <FundraisingAmt>5735</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>409272</TotalAmt>
        <ProgramServicesAmt>286940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117250</ManagementAndGeneralAmt>
        <FundraisingAmt>5082</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5920301</TotalAmt>
        <ProgramServicesAmt>5318872</ProgramServicesAmt>
        <FundraisingAmt>601429</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2113210</TotalAmt>
        <ProgramServicesAmt>1458115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>629525</ManagementAndGeneralAmt>
        <FundraisingAmt>25570</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>297842</TotalAmt>
        <ManagementAndGeneralAmt>297842</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>146066</TotalAmt>
        <ManagementAndGeneralAmt>146066</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>30000</TotalAmt>
        <ManagementAndGeneralAmt>30000</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>27518</TotalAmt>
        <ManagementAndGeneralAmt>27518</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>5518561</TotalAmt>
        <ProgramServicesAmt>4072179</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1428432</ManagementAndGeneralAmt>
        <FundraisingAmt>17950</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>150926</TotalAmt>
        <ProgramServicesAmt>1773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149153</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>686176</TotalAmt>
        <ProgramServicesAmt>137606</ProgramServicesAmt>
        <ManagementAndGeneralAmt>533810</ManagementAndGeneralAmt>
        <FundraisingAmt>14760</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>913238</TotalAmt>
        <ProgramServicesAmt>18792</ProgramServicesAmt>
        <ManagementAndGeneralAmt>887626</ManagementAndGeneralAmt>
        <FundraisingAmt>6820</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>920484</TotalAmt>
        <ProgramServicesAmt>610069</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299720</ManagementAndGeneralAmt>
        <FundraisingAmt>10695</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1034161</TotalAmt>
        <ProgramServicesAmt>1017365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15383</ManagementAndGeneralAmt>
        <FundraisingAmt>1413</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>110942</TotalAmt>
        <ProgramServicesAmt>28234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81486</ManagementAndGeneralAmt>
        <FundraisingAmt>1222</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>327699</TotalAmt>
        <ManagementAndGeneralAmt>327699</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1110747</TotalAmt>
        <ProgramServicesAmt>763532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>333980</ManagementAndGeneralAmt>
        <FundraisingAmt>13235</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>570371</TotalAmt>
        <ProgramServicesAmt>14761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>555610</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DISCHARGE OF DEBT(HHVN)</Desc>
        <TotalAmt>13536595</TotalAmt>
        <ProgramServicesAmt>13536595</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ROOM &amp; BOARD EXPENSE</Desc>
        <TotalAmt>10974221</TotalAmt>
        <ProgramServicesAmt>10974221</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS/MEDICAL SUPPLIES</Desc>
        <TotalAmt>4826556</TotalAmt>
        <ProgramServicesAmt>4822819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3737</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIET &amp; NUTRITION</Desc>
        <TotalAmt>407730</TotalAmt>
        <ProgramServicesAmt>407730</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1056793</TotalAmt>
        <ProgramServicesAmt>220163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>661705</ManagementAndGeneralAmt>
        <FundraisingAmt>174925</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>89076333</TotalAmt>
        <ProgramServicesAmt>74709904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13487593</ManagementAndGeneralAmt>
        <FundraisingAmt>878836</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>8712172</BOYAmt>
        <EOYAmt>6234990</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2017862</BOYAmt>
        <EOYAmt>2011116</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>66713</BOYAmt>
        <EOYAmt>87876</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>11220318</BOYAmt>
        <EOYAmt>8268979</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>519417</BOYAmt>
        <EOYAmt>785502</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>26839702</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13306920</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14062616</BOYAmt>
        <EOYAmt>13532782</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7668276</BOYAmt>
        <EOYAmt>11786398</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>33324814</BOYAmt>
        <EOYAmt>5760895</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>77592188</BOYAmt>
        <EOYAmt>48468538</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>9140179</BOYAmt>
        <EOYAmt>8253454</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>10340962</BOYAmt>
        <EOYAmt>10094386</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>21872934</BOYAmt>
        <EOYAmt>2047306</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>41354075</BOYAmt>
        <EOYAmt>20395146</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>34488049</BOYAmt>
        <EOYAmt>25898803</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1750064</BOYAmt>
        <EOYAmt>2174589</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>36238113</BOYAmt>
        <EOYAmt>28073392</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>77592188</BOYAmt>
        <EOYAmt>48468538</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-8842199</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>258898</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>418580</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1486884</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1571495</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3833184</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2486654</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2357984</CurrentTaxYearAmt>
        <TotalAmt>11736201</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>53232912</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>62941935</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>67167330</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>69762341</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>77158905</CurrentTaxYearAmt>
        <TotalAmt>330263423</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>54719796</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>64513430</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>71000514</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>72248995</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>79516889</CurrentTaxYearAmt>
        <TotalAmt>341999624</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus1YearAmt>43484</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>88280</CurrentTaxYearAmt>
        <TotalAmt>131764</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus1YearAmt>43484</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>88280</CurrentTaxYearAmt>
        <TotalAmt>131764</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>341867860</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>130414</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>162935</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>116425</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>113409</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>264401</CurrentTaxYearAmt>
        <TotalAmt>787584</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>130414</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>162935</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>116425</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>113409</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>264401</CurrentTaxYearAmt>
        <TotalAmt>787584</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>97927</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>306298</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>319110</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>184580</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>540781</CurrentTaxYearAmt>
        <TotalAmt>1448696</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>54948137</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>64982663</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>71436049</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>72546984</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>80322071</CurrentTaxYearAmt>
        <TotalAmt>344235904</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99310</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99450</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00230</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00200</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>DINING SERVICES - 2021 AMOUNT: $ 59,234. 2022 AMOUNT: $ 81,045. OTHER REVENUE - 2018 AMOUNT: $ 97,927. 2019 AMOUNT: $ 306,298. 2020 AMOUNT: $ 116,076. 2021 AMOUNT: $ 5,020. 2022 AMOUNT: $ 91,469. WC SHARED EARNINGS - 2020 AMOUNT: $ 203,034. 2021 AMOUNT: $ 120,326. 2022 AMOUNT: $ 66,387. INSURANCE INCOME - 2022 AMOUNT: $ 301,880.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>30000</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>30000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>HHPC PAYS CAPITAL CITY GROUP $2,500 PER MONTH AS A LOBBYING CONSULTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>1551876</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>115058</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>13861</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>3973</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1649100</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1818793</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-263134</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>3783</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1551876</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1436536</BeginningYearBalanceAmt>
        <ContributionsAmt>59500</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>326324</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>3567</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1818793</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1427579</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>12362</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>3405</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1436536</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1472048</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>30373</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>59283</GrantsOrScholarshipsAmt>
        <AdministrativeExpensesAmt>15559</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1427579</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>872300</OtherCostOrOtherBasisAmt>
        <BookValueAmt>872300</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10004824</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3168830</DepreciationAmt>
        <BookValueAmt>6835994</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>8594688</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4257675</DepreciationAmt>
        <BookValueAmt>4337013</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>7367890</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5880415</DepreciationAmt>
        <BookValueAmt>1487475</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>13532782</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN TRUST</Desc>
        <BookValueAmt>1649099</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTY</Desc>
        <BookValueAmt>1528029</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ESTIMATED AMOUNTS DUE FROM INSURANCE COMPANY</Desc>
        <BookValueAmt>92212</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>457B INVESTMENT</Desc>
        <BookValueAmt>386592</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CAPITAL FINANCING COSTS</Desc>
        <BookValueAmt>112371</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST RECEIVABLE</Desc>
        <BookValueAmt>16161</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>8573</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST RATE SWAP AGREEMENT</Desc>
        <BookValueAmt>1568099</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASES - RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>399759</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>5760895</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED WORKERS' COMPENSATION CLAIMS</Desc>
        <Amt>92212</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTY</Desc>
        <Amt>1173357</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>457B PAYABLE</Desc>
        <Amt>386592</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>395145</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2047306</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS ARE HELD IN TRUST BY THE RHODE ISLAND FOUNDATION TO BE UTILIZED TO SUPPORT THE ORGANIZATION. ANNUAL GRANTS ARE MADE BY THE RI FOUNDATION TO HHHPC TO SUPPORT THE ORGANIZATION'S MISSION AND PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BELOW IS AN EXCERPT FROM FOOTNOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HOPEHEALTH. HOPEHEALTH'S ENTITIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF</Event1Nm>
        <GrossReceiptsEvent1Amt>167398</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>92321</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>75077</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>31720</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>36588</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>24794</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>5212</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GALA</Event2Nm>
        <GrossReceiptsEvent2Amt>282250</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>225080</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>57170</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>894</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>3600</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>58800</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>1552</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>66728</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>449648</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>317401</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>132247</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>32614</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>40188</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>83594</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1552</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>71940</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>229888</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-97641</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANA FRANCHITTO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>445712</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>28372</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>29476</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>508460</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD MARTIN</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>387435</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>16050</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>18823</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23351</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>450559</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADDY KANE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>274396</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11622</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31850</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>322768</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA GUYER</PersonNm>
        <TitleTxt>SUPERVISOR, LIFESPAN CANCER</TitleTxt>
        <BaseCompensationFilingOrgAmt>267194</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>300</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5665</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29081</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>311240</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH COHEN</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>263508</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>270</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5412</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29106</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>298296</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA MACDONELL-YILMAZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>256423</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7050</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>300</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27170</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>290943</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN D MIKOLASKO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>245179</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>300</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5036</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20641</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>271156</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMARA FEINGOLD-LINK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>232316</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15300</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>240</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4179</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11667</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>263702</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER A REVIEW OF PERFORMANCE METRICS, INDIVIDUALS ARE AWARDED BONUS AMOUNTS WITHIN GIVEN PARAMETERS. THE BONUS AMOUNTS ARE REVIEWED AS PART OF AN INDIVIDUALS' FULL COMPENSATION PACKAGE TO MAKE SURE IT IS REASONABLE. BONUS AMOUNTS FOR MANAGERS AND DIRECTORS ARE APPROVED BY THE PRESIDENT &amp; CEO. OTHER BONUS AMOUNTS ARE APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>RHODE ISLAND HEALTH &amp; EDUCATIONAL BLDG CORP</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521300173</BondIssuerEIN>
        <BondIssuedDt>2019-11-01</BondIssuedDt>
        <IssuePriceAmt>11000000</IssuePriceAmt>
        <PurposeDesc>REFINANCE &amp; EXPANSION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>905614</RetiredAmt>
        <TotalProceedsAmt>11000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>139015</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>2839058</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>8021027</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>CITIZEN'S BANK</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>20.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OTHER SPENT PROCEEDS ON LINE 11 WAS USED TO REFUND THE RIHEBC REVENUE BONDS (HOSPICE CARE RHODE ISLAND - SERIES 2008).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>111987</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>211170</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>2226947</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>284545</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>204007</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>451046</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>315250</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUBSTANTIAL CONTRIBUTOR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>682055</TransactionAmt>
        <TransactionDesc>PROVISION OF SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTOR MEMBERS KEITH KELLY AND BARBARA COTTAM ARE BOTH EMPLOYED BY RBS CITIZENS FINANCIAL GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF HOPEHEALTH HOSPICE &amp; PALLIATIVE CARE IS HOPEHEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD SHALL CONSIST OF SEVEN PERSONS; THE CHAIR, SECRETARY AND TREASURER OF THE MEMBER, SERVING EX OFFICIO WITH VOTE, AND FOUR AT-LARGE DIRECTORS. THE PRESIDENT OF THE MEMBER SHALL ALSO SERVE ON THE BOARD, EX OFFICIO, WITHOUT VOTE. THE AT-LARGE DIRECTORS SHALL BE NOMINATED BY THE MEMBER'S CORPORATE GOVERNANCE COMMITTEE AND ELECTED BY THE MEMBER'S BOARD OF DIRECTORS AT THE MEMBER'S ANNUAL MEETING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POWERS OF THE MEMBER SHALL BE LIMITED TO TAKING ACTION ON THE ACTIVITIES ENUMERATED BELOW AND THOSE ACTIVITIES EXPRESSLY REQUIRING ACTION OF THE MEMBER PURSUANT TO LAW, THE ARTICLES OF INCORPORATION OR ELSEWHERE IN THE BYLAWS. THE FOLLOWING ACTIONS SHALL REQUIRE THE APPROVAL OF THE HHPC'S BOARD AND APPROVAL BY THE MEMBER'S BOARD OF DIRECTORS: (A) AMENDING THE CORPORATION'S ARTICLES OF INCORPORATION OR THESE BYLAWS; (B) AUTHORIZING (1) THE MERGER, AFFILIATION OR CONSOLIDATION OF HHPC WITH ANY OTHER ENTITY; (2) THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF HHPC; OR (3) THE VOLUNTARY DISSOLUTION OF HHPC, THE PLAN OF DISTRIBUTION OF ASSETS UPON DISSOLUTION AND REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; (C) CAUSING HHPC TO COMMENCE BANKRUPTCY, RECEIVERSHIP OR OTHER INSOLVENCY PROCEEDINGS, OR ASSIGNING FOR THE BENEFIT OF CREDITORS ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF HHPC; (D) ESTABLISHING A CLINICAL SERVICE LINE OR AFFILIATE OF HHPC THAT IS NOT CURRENTLY IN EXISTENCE, OR CHANGING THE SERVICE LINE RESPONSIBILITIES AMONG HHPC AND ANY OF THE MEMBER'S OTHER SUBSIDIARIES, AS SUCH TERM IS DEFINED IN THE MEMBER'S BYLAWS; (E) HIRING OR FIRING OF HHPC'S CHIEF EXECUTIVE OFFICER; (F) ENTERING INTO ANY LOAN AGREEMENT OR OTHERWISE INCURRING DEBT IN EXCESS OF TWENTY THOUSAND DOLLARS ($20,000) AND ENTERING INTO A MORTGAGE, PLEDGE OR GRANT OF A SECURITY INTEREST IN PROPERTY OR ASSETS OF HHPC IN CONNECTION WITH ANY SUCH INDEBTEDNESS; AND (G) ADOPTING THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, INCLUDING ANY REVISIONS THERETO DURING THE FISCAL YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY MANAGEMENT AND PRESENTED TO THE AUDIT COMMITTEE FOR APPROVAL. THE FORM 990 IS THEN DISTRIBUTED TO BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT OR PRIOR TO CONSIDERATION BY THE BOARD OR A COMMITTEE OF A MATTER, TRANSACTION OR ARRANGEMENT AS TO WHICH ANY DIRECTOR, OFFICER, MEMBER, EMPLOYEE OR VOLUNTEER HAS A POTENTIAL CONFLICT OF INTEREST, THE INDIVIDUAL HAVING SUCH CONFLICT SHALL DISCLOSE THE SAME TO THE BOARD/ COMMITTEE, COMPLIANCE OFFICER IF EMPLOYEE OR VOLUNTEER AS THE CASE MAY BE. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH SUCH CONFLICT SHALL NOT BE PRESENT DURING DISCUSSION OR VOTING ON SUCH MATTER AS RELATES TO THE CONFLICT. APPROVAL OF ANY TRANSACTION OR ARRANGEMENT THAT INVOLVES A CONFLICT SHALL INVOLVE A CONSENSUS OF THOSE REMAINING THAT THE TRANSACTION IS IN THE INTERESTS OF THE ORGANIZATION AND FOR ITS BENEFIT, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND THAT THE ORGANIZATION COULD NOT OBTAIN A MORE ADVENTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORT. THE BOARD OR COMMITTEE MAY, IF DEEMED APPROPRIATE, APPOINT A NON-INTERESTED COMMITTEE OR INDIVIDUAL TO INVESTIGATE ALTERNATIVES TO SUCH TRANSACTION OR ARRANGEMENT. THE BOARD SHALL, IN THE CASE OF VIOLATION OF THIS POLICY BY ANY INDIVIDUAL TAKE SUCH DISCIPLINARY OR OTHER CORRECTIVE ACTION AS IS NECESSARY TO PROTECT THE INTERESTS OF ORGANIZATION. THE MINUTES OF THE BOARD AND COMMITTEE MEETINGS SHALL RECORD DISCLOSURES AND OTHER PROCEEDINGS DESCRIBED ABOVE, INCLUDING THE NAMES OF ALL PERSONS PRESENT AND PARTICIPATING THEREIN AND ALL DETERMINATION, MADE PURSUANT TO SUCH PROCEDURES. ANNUALLY ALL CONFLICT OF INTEREST DISCLOSURE STATEMENTS WILL BE REVIEWED AT A MINIMUM, BY THE PRESIDENT/CHIEF EXECUTIVE OFFICE AND CHAIRMAN OF THE BOARD TO ENSURE THAT SUCH CONFLICTS ARE REASONABLE AND CONSISTENT WITH GENERAL KNOWLEDGE AND UNDERSTANDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS SALARIES FOR THE CEO AND OTHER KEY MEMBERS OF SENIOR LEADERSHIP. THE PROCESS INCLUDES PERIODIC PROCUREMENT OF COMPARABILITY DATA FROM EXTERNAL INDEPENDENT SOURCES INCLUDING THE REVIEW OF FORM 990 OF OTHER ORGANIZATIONS. THE BOARD OF DIRECTORS REVIEW AND APPROVE THE SALARY OF THE CEO AND ANNUALLY APPROVES THE BUDGET WHICH INCLUDES SALARIES FOR THE OTHER MEMBERS OF THE SENIOR MANAGEMENT TEAM. SULLIVANCOTTER WAS RETAINED BY THE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS (BOARD) OF HOPEHEALTH TO CONDUCT A COMPETITIVE ASSESSMENT OF THE TOTAL COMPENSATION PROGRAM FOR ITS TOP LEADERSHIP POSITIONS. THE MARKET DATA IS COMPILED FROM RELIABLE AND INDEPENDENT SURVEYS. THE DATA WAS DRAWN FROM NATIONAL PUBLISHED COMPENSATION SURVEYS AND REGIONAL IRS FORM 990 DATA (IF AVAILABLE).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS FOR PUBLIC INSPECTION UPON REQUEST AT ITS ADMINISTRATIVE OFFICES IN PROVIDENCE, RHODE ISLAND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 321,357. CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST 97,223.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH THE RESPONSIBILITY FOR THE SELECTION OF THE ORGANIZATION'S INDEPENDENT AUDITORS, AND FOR THE OVERSIGHT OF ITS FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOPEHEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1085 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02904</ZIPCd>
        </USAddress>
        <EIN>454391049</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOPEHEALTH VISITING NURSE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6 BLACKSTONE PLACE</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02865</ZIPCd>
        </USAddress>
        <EIN>050259111</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOME CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOPEHEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOPEHEALTH COMMUNITY VNA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10 EMORY STREET</AddressLine1Txt>
          <CityNm>ATTLEBORO</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02703</ZIPCd>
        </USAddress>
        <EIN>042475924</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOME CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOPEHEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOPEHEALTH VISITING NURSE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>2923123</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOPEHEALTH COMMUNITY VNA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>734681</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>