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        <Desc>Inpatient Care: Respiratory Services include caring for people who have made conscious decisions to live on life support. These patients require significant medical attention along with services to enhance quality of life. Our goal is to liberate patients from ventilator dependency so that they can resume their lives. The hospital for special care is recognized for having the highest ventilator-weaning rate in Connecticut and consistently exceeds the national average. Services for the clinical management of patients with serious respiratory conditions are provided on three distinct units. HSC's 36-bed Laurie Coleman Puglisi respiratory care unit and the 38-bed respiratory step-down unit provide care for patients with multi-system problems and ventilator assistance (27,183 Patient Days).</Desc>
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        <OtherCompensationAmt>9730</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kelly Mazza</PersonNm>
        <TitleTxt>VP, HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>90996</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>616</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Megan McGovern Esq</PersonNm>
        <TitleTxt>VP, Legal</TitleTxt>
        <AverageHoursPerWeekRt>38.90</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.10</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>12591</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>101</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald Buccilli PsyD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.23</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.23</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ashley Calabrese</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.23</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Diane R Chase Esq</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>0.23</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lloyd Stephen</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Dodenhoff MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Ficocello</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kimberly Joerg DNP APRN PNP</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.23</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Selette Jemison DBA</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kathryn Pizzi</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Leigner</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.01</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tracy McKaveney CPA</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angelo Messina CPA Esq</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.23</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Tevnan CPA</PersonNm>
        <TitleTxt>Vice Chairman</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.25</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alexandra Thomas Esq</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Watson MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.23</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mother Janice Zdunczyk</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.23</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <TotReportableCompRltdOrgAmt>156418</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>434665</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>159</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>USRN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>318 MAIN ST</AddressLine1Txt>
            <CityNm>FARMINGTON</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06032</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP NURSE STAFFING</ServicesDesc>
        <CompensationAmt>664670</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Hassan Minhas</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>28 1st Sreet</AddressLine1Txt>
            <CityNm>Stamford</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06905</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Physician</ServicesDesc>
        <CompensationAmt>296649</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ONESTAFF MEDICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3544</AddressLine1Txt>
            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRAVELLING NURSES</ServicesDesc>
        <CompensationAmt>574738</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEW ENGLAND PSYCHIATRIC ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>420 SOUTH MAIN ST</AddressLine1Txt>
            <CityNm>CHESHIRE</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06410</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Services</ServicesDesc>
        <CompensationAmt>495024</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOLIANT HEALTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 934411</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31193</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP MEDICAL STAFFING</ServicesDesc>
        <CompensationAmt>573345</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>570745</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>686068</AllOtherContributionsAmt>
      <TotalContributionsAmt>1256813</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Fees</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>280519</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>280519</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Rev Net</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>128996574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>128996574</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>129277093</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3490516</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3490516</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>59776</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>59776</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>59776</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59776</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Cafeteria Meals</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>179615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>179615</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1754723</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1754723</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>136018536</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>134761723</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4459844</TotalAmt>
        <ManagementAndGeneralAmt>4459844</ManagementAndGeneralAmt>
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      </CompDisqualPersonsGrp>
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        <ProgramServicesAmt>67285534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5064503</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>976638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73510</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>10974711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>826054</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5202661</ProgramServicesAmt>
        <ManagementAndGeneralAmt>391598</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>273124</TotalAmt>
        <ManagementAndGeneralAmt>273124</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>297050</TotalAmt>
        <ManagementAndGeneralAmt>297050</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>68960</TotalAmt>
        <ManagementAndGeneralAmt>68960</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>6511080</TotalAmt>
        <ProgramServicesAmt>6417103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93977</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>731566</TotalAmt>
        <ProgramServicesAmt>731566</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>11584536</TotalAmt>
        <ProgramServicesAmt>8360540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3223996</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>133419</TotalAmt>
        <ManagementAndGeneralAmt>133419</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>2427883</TotalAmt>
        <ProgramServicesAmt>2305281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122602</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>49459</TotalAmt>
        <ProgramServicesAmt>19348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30111</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>82487</TotalAmt>
        <ProgramServicesAmt>38070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44417</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>989933</TotalAmt>
        <ManagementAndGeneralAmt>989933</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>6247976</TotalAmt>
        <ProgramServicesAmt>3311427</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2936549</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>1039616</TotalAmt>
        <ManagementAndGeneralAmt>1039616</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Pharmacy</Desc>
        <TotalAmt>2958633</TotalAmt>
        <ProgramServicesAmt>2958633</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
        <TotalAmt>2020575</TotalAmt>
        <ProgramServicesAmt>1821433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199142</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Recruiting Costs</Desc>
        <TotalAmt>427262</TotalAmt>
        <ProgramServicesAmt>385816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41446</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Memberships and Fees</Desc>
        <TotalAmt>140139</TotalAmt>
        <ProgramServicesAmt>36983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103156</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
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        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital for Special Care "community" is defined as individuals living with chronic conditions or physical disabilities, statewide. Our patients and program participants regularly offer input on their challenges to meeting health needs beyond the services provided by HFSCs inpatient and outpatient programs. Both inpatient and outpatient satisfaction and outcomes surveys offer insight to health needs and access to community care. HFSCs Patient and Family Advisory Council (PFAC), established in 2020, invites input on topics of concern to individuals using hospital services.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Access to Care / Health Equity Rated as high impact, hard to implement.To ensure access to coordinated, patient-centered specialty care and care management services, HFSC will provide care to existing and new patients in our medical home programs and advocate on systems issues. Issues include reimbursement for care coordination and nurse navigators, and educating patients and families on navigating healthcare systems. Methods will include: Offering multidisciplinary clinics so outpatients can see all clinicians in one visit; Continuing the use of telehealth visits when appropriate, to reduce trips to HFSC; Serving as a resource for medically complex children and adults (accepting Medicaid for all programs). Autism Services: Rated as high impact, hard to implement. HFSC will continue to add capacity to serve more children and adolescents with Autism Spectrum Disorder (ASD) and welcome new patients to our medical home program for autism. Adding eight beds to our inpatient program (2022) and continuing to expand offered services, such as the Partial Hospital Program (PHP) have helped to expand the success of HFSC's models of care.Health Care Workforce Shortages Rated as high impact, hard to implement. At Hospital for Special Care, weve invested in building the pipeline for years, helping to create the New Britain High School Health Academy, providing high school students with experiential learning opportunities, in addition to other academic affiliations, which include partnering with almost every major academic program in the state to provide clinical internships and residencies. We have collaborated with Connecticuts workforce development leaders to expand training for certified nursing assistants. Our donors have funded scholarships to help students manage the high cost of nursing, physical therapy and medical education. HFSC offers high schools and colleges training health care professionals clinical rotations and shadowing experiences to student groups so they may experience Long Term Acute Care Hospital (LTACH) level of care. Increasing Physical Activity Levels Rated as high impact, easy to implement. Our Adaptive Sports program and member support to our Aquatic and Fitness Center are constrained by our ability to raise philanthropic dollars. Programs will: Offer opportunities to reduce obesity and encourage heart-healthy lifestyles, and introduce individuals to adaptive sports and inclusive recreation programs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable are considered delinquent and written off when all attempts to collect from individuals or other Payor sources have been exhausted. As described in Note 1 Summary of Significant accounting Policies on page 11 of the audited financial statement. It is also the Hospital's practice to review patient accounts regularly to reserve for any potential bad debt.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Part III, Line 8Medicare costs per the Medicare Cost Report worksheet D series.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Collection policies are the same for all patients. Our Hospital does not pursue collection of amounts from patients determined to qualify for financial assistance. Our policy provides that we will not refer any accounts for collection until we can determine whether the individual is insured and therefore not eligible for financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Abir Rahman</PersonNm>
        <TitleTxt>Neurologist</TitleTxt>
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        <PersonNm>Anne Wojskowicz</PersonNm>
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        <PersonNm>Charles Whitaker</PersonNm>
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        <PersonNm>Felicia Dedominicis</PersonNm>
        <TitleTxt>Fmr SVP Legal</TitleTxt>
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        <PersonNm>Jeffrey Lawton</PersonNm>
        <TitleTxt>VP MM, Faciliti</TitleTxt>
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        <PersonNm>Jennifer Farley</PersonNm>
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        <PersonNm>Laurie Rudman</PersonNm>
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        <PersonNm>Lynn Ricci FACHE</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
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        <PersonNm>Marc Brunetti</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marcy Goldstein MD</PersonNm>
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        <PersonNm>Natalie Sajkowicz</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nathan Nartey</PersonNm>
        <TitleTxt>Internist</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stanislaw Jankowski</PersonNm>
        <TitleTxt>VP, CIO</TitleTxt>
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        <PersonNm>Wendy D'Angelo Fuchs</PersonNm>
        <TitleTxt>Fmr VP, Development</TitleTxt>
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        <BonusFilingOrganizationAmount>18729</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>4205</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>10521</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>120575</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>133888</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Pesce DO</PersonNm>
        <TitleTxt>DO, CMO</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7: Non-Fixed payments not listed above</FormAndLineReferenceDesc>
        <ExplanationTxt>Discretionary bonuses are awarded based on performance.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Inpatient Autism Services: This is a 20 bed program for individuals ages 10 to 21 experiencing the most acute complex Autism Spectrum Disorders and co-occurring psychiatric disorders.(6,280 Patient Days ) OTHER PROGRAM SERVICES 5: Inpatient Care: Satellite unit/Hartford location is a 25-bed unit located within the walls of the north campus of Saint Francis Hospital and Medical Center in Hartford. The Satellite Unit is specifically for patients needing comprehensive wound management, ventilator-weaning, complex respiratory care, or management of complex medical issues. (8,470 Patient Days). OTHER PROGRAM SERVICES 6: The Maximilian E. &amp; Marion O. Hoffman Foundation Outpatient Center is designed to meet the needs of patients that require assistance but do not require hospitalization. Whether from illness, surgery or injury, therapy may be needed to improve muscle strength, coordination and mobility. The Center offers a comprehensive team approach provided by our highly-skilled physical and occupational therapists, and speech-language pathologists. Outpatient Programs include Aquatic Therapy, Autism Services, Body Weight Support Elliptical Trainer, Concussion Management, Physical Therapy, Psychology and Neuropsychology Services, Occupational Therapy, Orthotics Program, Pulmonary Rehab, Speech Therapy, Swallowing Disorders Center, Neuromuscular Clinic including Parkinson's Clinic (54,040 Visits)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital for Special Care's sole member is the Center of Special Care, Inc. The Center for Special Care, Inc. is the parent organization for The Hospital for Special Care and all of its subsidiaries.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center of Special Care, Inc. is the parent and sole member of Hospital for Special Care. As such, it approves the appointment of all members of the Hospital's Board.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center of Special Care, Inc is the parent and sole member of The Hospital for Special Care. As such, it has final approval over all strategic and financial decisions made by the Hospital's Board.</ExplanationTxt>
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        <ExplanationTxt>The organization provides the 990 to the Finance Committee of the Board of Directors for an independent review. Any questions or concerns are addressed prior to the 990 being files. Prior to filing, a copy of the completed 990 is provided to the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization requires all officers, directors, managers and other key employees to complete a conflict of interest statement annually. Every year the statement is presented to those individuals required to complete the form and completion of the form is monitored for compliance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for determining the compensation for the organization's CEO, Officers, and key employees is as follows: The organization utilizes a Compensation Committee consisting entirely of independent members of the Board of Directors. Annually, the Committee reviews recommendations from an independent consultant regarding the compensation of those employees identified above. The Committee has the sole discretion to accept to revise the recommendations of the consultant in setting the compensation of the previously identified employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for determining the compensation for the organization's CEO, Officers, and key employees is as follows: The organization utilizes a Compensation Committee consisting entirely of independent members of the Board of Directors. Annually, the Committee reviews recommendations from an independent consultant regarding the compensation of those employees identified above. The Committee has the sole discretion to accept to revise the recommendations of the consultant in setting the compensation of the previously identified employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents and conflict of interest policies available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Assets Released from Restrictions = -$279679</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Equity = $531771</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Interest Rate Swap = $291673</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Investment Income = $1888</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding = $9</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to Affiliates = -$583432</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>Manes &amp; Motions Therapeutic Riding Ctr</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>