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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH MOONEY</PersonNm>
        <TitleTxt>CFO (UNTIL 1/2024)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>220048</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY GILHULY</PersonNm>
        <TitleTxt>CFO (FROM 1/2024)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH P SACCO</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>309022</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN TARUTIS</PersonNm>
        <TitleTxt>DIRECTOR OF BUSINESS DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>149610</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EVELYN BARNUM</PersonNm>
        <TitleTxt>COMPLIANCE PI MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>132765</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET MORSE LEATHEM</PersonNm>
        <TitleTxt>REGISTERED NURSING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>150753</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>962</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE WALKER</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>152857</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33616</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN ENDERS</PersonNm>
        <TitleTxt>DIRECTOR OF HOME CARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>145030</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>948</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1621538</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>71150</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIMPLE SOLUTIONS CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 364</AddressLine1Txt>
            <CityNm>ELIZABETHTOWN</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>172344</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARCUM LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 95000-2288</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19195</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDITING AND TAX SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THORNBERRY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 844762</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SUPPORT SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>3360535</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>16704351</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FOOD SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2434</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>16706785</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>346992</TotalRevenueColumnAmt>
        <ExclusionAmt>346992</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1750000</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1750000</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </GainOrLossGrp>
      <GrossSalesOfInventoryAmt>2265</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>2579</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>-314</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INSURANCE CLAIM</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>62612</TotalRevenueColumnAmt>
        <ExclusionAmt>62612</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>11537</TotalRevenueColumnAmt>
        <ExclusionAmt>11537</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>74149</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>20488147</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16706471</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>421141</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>250000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>337837</ProgramServicesAmt>
        <ManagementAndGeneralAmt>571305</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>8473592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>682517</ManagementAndGeneralAmt>
        <FundraisingAmt>151427</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>45799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4670</ManagementAndGeneralAmt>
        <FundraisingAmt>807</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1062360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>155365</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>620747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88476</ManagementAndGeneralAmt>
        <FundraisingAmt>10703</FundraisingAmt>
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        <ProgramServicesAmt>14896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107246</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>115905</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>510942</ProgramServicesAmt>
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        <FundraisingAmt>2212</FundraisingAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>28409</ManagementAndGeneralAmt>
        <FundraisingAmt>35253</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <FundraisingAmt>4726</FundraisingAmt>
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        <ProgramServicesAmt>80858</ProgramServicesAmt>
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        <ProgramServicesAmt>669666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187462</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>159923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2759</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>5840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6518</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>171508</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>114409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49032</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>150000</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>333717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53380</ManagementAndGeneralAmt>
        <FundraisingAmt>5046</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>17435308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2961572</ManagementAndGeneralAmt>
        <FundraisingAmt>228968</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3616760</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>3358019</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>323486</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>175223</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>368871</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>7486007</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2805530</EOYAmt>
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        <EOYAmt>4254109</EOYAmt>
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        <EOYAmt>135340</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>9290757</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>24328095</EOYAmt>
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        <EOYAmt>1318349</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>4026199</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>5344548</EOYAmt>
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        <EOYAmt>16626642</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>2356905</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19080724</BOYAmt>
        <EOYAmt>18983547</EOYAmt>
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        <EOYAmt>24328095</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <OtherChangesInNetAssetsAmt>6684</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>5994864</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3817685</CurrentTaxYearMinus2YearsAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1441</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3194</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>55528</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>346992</CurrentTaxYearAmt>
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      <UnrelatedBusinessNetIncm170Grp>
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      <OtherIncome170Grp>
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        <CurrentTaxYearAmt>76414</CurrentTaxYearAmt>
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      <GrossReceiptsRltdActivitiesAmt>85826505</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.69100</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE CONNECTICUT HOSPICE, INC., AND THE CONNECTICUT HOSPICE INSTITUTE (A/K/A THE JOHN D. THOMPSON HOSPICE INSTITUTE FOR EDUCATION, TRAINING, AND RESEARCH, INC.) HOSPICE AND THE INSTITUTE ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. 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, 2024 AND 2023, 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 PENDING OR IN PROGRESS.</ExplanationTxt>
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          <CityNm>BRANFORD</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>064054003</ZIPCd>
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        <OtherDesc>HOSPICE</OtherDesc>
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        <FormAndLineReferenceDesc>THE CONNECTICUT HOSPICE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: FEEDBACK WAS SOLICITED FROM PATIENTS AS WELL AS ORGANIZATIONAL LEADERS, COMMUNITY PARTNERS AND OTHER STAKEHOLDERS TO BETTER UNDERSTAND THE STRATEGIES CURRENTLY USED TO CARE FOR DYING PATIENTS, THEIR EXPERIENCES WITH ACCESSING HOSPICE SERVICES AND BARRIERS TO CARE, AND THEIR PERCEPTIONS OF GAPS IN CARE AND COMMUNITY RESOURCES</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE CONNECTICUT HOSPICE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: AS DESCRIBED IN SCHEDULE H, PART VI, LINE 2. HOSPICE CONTINUALLY WORKS WITH THE COMMUNITY TO ASSESS THE NEEDS OF THE POPULATION. SINCE HOSPICE IS A SPECIALTY HOSPITAL, THE EVALUATION OF THE COMMUNITY HEALTH NEEDS IS TARGETED TO THE POPULATION IN CONNECTICUT REQUIRING HOSPICE AND PALLIATIVE CARE. IN ADDITION, HOSPICE IS COMMITTED TO EDUCATING THE BROADER COMMUNITY REGARDING THE IMPORTANCE OF THIS TYPE OF CARE. THE RESOURCES OF THE ORGANIZATION ARE FOCUSED ON MEETING THESE TWO COMMUNITY NEEDS. HOSPICE WILL UTILIZE THE RECENTLY COMPLETED 2024 COMMUNITY HEALTH NEEDS ASSESSMENT TO UPDATE AND IMPLEMENT ITS FINANCIAL ASSITANCE POLICIES, PROCEDURES AND OTHER AREAS OF NEED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERALLY, CT HOSPICE UTILIZES THE HHS/CMS GUIDELINES FOR HOSPICE AND HOMECARE ELIGIBILITY. ALL PATIENTS ARE REFRERRED FROM AREA PROVIDERS WHO BASE THE APPROPRIATENESS OF THEIR REFERRALS BASED ON THEIR UNDERSTANDING OF THE CMS GUIDELINES. CTH IS IN THE PROCESS OF UPDATING ITS FINANCIAL ASSISTANCE POLICY AND EXPECTS TO APPROVE IT IN FISCAL YEAR 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONNECTICUT HOSPICE, INC. HAS COMPLETED ITS 2024 NEEDS ASSESSMENT AND WILL UPDATE ITS FINANCIAL ASSISTANCE POLICY AND RELATED DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE MEDICAID AMOUNTS REPORTED ON LINE 7B. IN FISCAL YEAR 2024, THERE WAS $0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONNECTICUT HOSPICE, BRANFORD, CT'S 2ND LARGEST EMPLOYER, IS A GOOD NEIGHBOR TO THE CONNECTICUT SHORELINE COMMUNITY IN WHICH IT IS LOCATED. IT ALLOWS THE COMMUNITY TO USE ITS OUTDOOR POOL TO PROMOTE PHYSICAL WELLNESS AND OPENS ITS GROUNDS TO ALLOW COMMUNITY MEMBERS TO ENJOY THE FOURTH OF JULY FIREWORKS. IN ADDITION, HOSPICE PROVIDES MEMORIAL SERVICES AND BEREAVEMENT SUPPORT TO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED AS BAD DEBT EXPENSE WAS CALCULATED AS THE DIRECT WRITE OFF OF BAD DEBTS FOR HOSPITAL PATIENTS. HOSPICE HAS INCLUDED THIS ENTIRE AMOUNT AS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY SINCE THE MAJORITY OF ALL PATIENTS QUALIFY FOR SOME TYPE OF BENEFITS. UNFORTUNATELY, IN SOME CASES, THE PATIENT PASSES AWAY BEFORE THE APPLICATION FOR ASSISTANCE IS COMPLETE. IF THE FAMILIES DID NOT COMPLETE THE APPLICATION ON BEHALF OF THE DECEASED PATIENT, HOSPICE OPTED TO WRITE OFF THE BALANCE RATHER THAN PURSUE ANY COLLECTION ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONNECTICUT HOSPICE PROVIDES CARE TO ITS TERMINALLY ILL PATIENTS. MANY OF THE INDIVDIUALS, UNFORTUNATELY PASS AWAY PRIOR TO THE COMPLETION OF THEIR ENROLLMENT FOR FINANCIAL ASSISTANCE. THE AMOUNTS ARE THEN WRITTEN OFF TO BAD DEBT. HOSPICE BELIEVES THAT THE MAJORITY OF THESE BAD DEBTS WOULD HAVE BEEN FOR INDIVDIUALS WHO SHOULD HAVE BEEN COVERED BY FINANCIAL ASSISTANCE HAD THEY COMPLETED THE APPLICATION. THE AMOUNT OF THIS BAD DEBT EXPENSE SHOULD BE TREATED AS CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE DOES NOT HAVE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. THE BELOW STATEMENT IS AN EXCERPT FROM FOOTNOTE 2 FOUND ON PAGE 13 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CONNECTICUT HOSPICE, INC. AND THE CONNECTICUT HOSPICE INSTITUTE FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND SEPTEMBER 30, 2023 RELATING TO ACCOUNTS RECEIVABLE:ACCOUNTS RECEIVABLE ARE REPORTED NET OF AN ALLOWANCE FOR CREDIT LOSSES, WHICH REPRESENTS THE ORGANIZATION'S ESTIMATE OF EXPECTED LOSSES AT THE BALANCE SHEET DATE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THE ADEQUACY OF THE ORGANIZATION'S ALLOWANCE FOR CREDIT LOSSES IS REVIEWED ON AN ONGOING BASIS, USING HISTORICAL PAYMENT TRENDS, WRITE-OFF EXPERIENCE, ANALYSES OF RECEIVABLE PORTFOLIOS BY PAYOR SOURCE AND AGING OF RECEIVABLES, A REVIEW OF SPECIFIC ACCOUNTS, AND EXPECTED FUTURE ECONOMIC CONDITIONS AND MARKET TRENDS. ADJUSTMENTS ARE MADE TO THE ALLOWANCE AS NECESSARY. THE ALLOWANCE FOR CREDIT LOSS WAS $163,460 AND $253,886 AS OF SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY.SEE NOTE 3 (PAGE 17) FOR FURTHER INFORMATION ON ACCOUNTS RECEIVABLE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE BELIEVES THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT AMOUNT. HOSPICE IS COMMITTED TO PROVIDING HOSPICE AND PALLIATIVE CARE SERVICES TO THE ELDERLY. WE PROVIDE AN EXPERT LEVEL OF PAIN AND SYMPTOM MANAGEMENT, AND OFFER AN EXTENSIVE ARRAY OF SYMPTOM MANAGEMENT AND COMFORT-ORIENTED MEASURES TO PATIENTS. WE ATTEND TO THE QUALITY OF LIFE INTERVENTIONS THAT PEOPLE FIND IMPORTANT WHEN THEY ARE VERY SICK. UNFORTUNATELY, MEDICARE DOES NOT FULLY COVER THE COST OF THESE SERVICES WHICH WE BELIEVE ARE ESSENTIAL TO OUR PATIENTS. SINCE WE ARE COMMITTED TO PATIENT CARE, WE PROVIDE THESE SERVICES AT A LOSS AND BELIEVE THE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENTIN 1974, THE CONNECTICUT HOSPICE BECAME AMERICA'S FIRST HOSPICE. HOSPICE CONTINUES TO EVALUATE THE NEEDS OF HOSPICE AND PALLIATIVE CARE SERVICES IN THE COMMUNITY BY WORKING WITH VARIOUS LOCAL ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. SOME EXAMPLES INCLUDE WORKING WITH ORGANIZATIONS SUCH AS SHORELINE ELDER CARE ALLIANCE AND SHORELINE VILLAGE TO EVALUATE THE NEEDS OF THE COMMUNITY TO MEET THE GOAL OF HELPING ELDERLY PEOPLE REMAIN IN THEIR HOMES; PARTICIPATING IN AN ELDER LAW CLINIC; AND, WORKING WITH ASSISTED LIVING COMMUNITIES TO RAISE UNDERSTANDING ABOUT HOSPICE AND PALLIATIVE CARE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEHOSPICE'S WEBSITE CONTAINS INFORMATION ABOUT THE REQUIREMENTS FOR APPLYING FOR ASSISTANCE THROUGH MEDICARE AND MEDICAID FOR HOSPICE AND PALLIATIVE CARE. IN ADDITION TO THE WEBSITE, PATIENT ADVOCATES WITHIN THE CENTRALIZED INTAKE DEPARTMENT ARE AVAILABLE SEVEN DAYS A WEEK TO ASSIST PATIENTS AND FAMILIES WITH QUESTIONS AND WITH APPLYING FOR FINANCIAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATIONHOSPICE IS LOCATED IN BRANFORD, CONNECTICUT IN NEW HAVEN COUNTY. NEW HAVEN COUNTY HAS AN ESTIMATED POPULATION OF 863,700 OF WHICH 18.3% IS GREATER THAN 65 YEARS OLD. BASED ON THE U.S. CENSUS DATA, THE RACE AND ETHNIC DIVERSITY OF THE MAJORITY OF THE POPULATION IS AS FOLLOWS (NOTING SOME INDIVIDUALS IDENTIFY IN MORE THAN ONE CATEGORY): 60.80% WHITE, 12.70% BLACK OR AFRICAN AMERICAN, 17.88% HISPANIC OR LATINO, AND 4.03% ASIAN (4.59% UNKNOWN). THE MEDIAN HOUSEHOLD INCOME WAS $75,043 AND 11.5% OF THE POPULATION LIVES IN POVERTY.WITHIN THIS COMMUNITY, THE SPECIFIC DEMOGRAPHIC SERVED BY THE HOSPITAL PART OF HOSPICE, IS PERSONS DIAGNOSED WITH A TERMINAL ILLNESS WITH A LIMITED PROGNOSIS, NORMALLY SIX MONTHS OR LESS ALONG WITH THEIR FAMILY UNIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTHSTRONG CONNECTIONS TO THE GREATER NEW HAVEN COUNTY COMMUNITY, AND FINANCIAL SUPPORT FROM GENEROUS DONORS ALLOWS HOSPICE TO MARSHAL COMMUNITY RESOURCES TO HELP STRENGTHEN SUPPORT AND KEEP CARE COSTS AS LOW AS POSSIBLE. THE HOSPICE BOARD OF DIRECTORS IS COMPRISED OF WELL RESPECTED MEMBERS OF THE LOCAL AND REGIONAL COMMUNITY. THROUGH ITS INTERNSHIP PROGRAM, HOSPICE PARTICIPATES WITH LOCAL INSTITUTIONS OF HIGHER EDUCATION TO ADVANCE THE EDUCATION AND LEARNING OF THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEMHOSPICE IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM BUT DOES HAVE A RELATED ENTITY, THE JOHN D. THOMPSON INSTITUTE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPICE OPERATES IN THE STATE OF CONNECTICUT WHICH DOES NOT REQUIRE REPORTING.</ExplanationTxt>
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          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06405</ZIPCd>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONNECTICUT HOSPICE, INC. PROVIDES GRANTS TO A RELATED TAX-EXEMPT ORGANIZATION TO FULFILL THEIR EXEMPT PURPOSE. AS SUCH, NO ADDITIONAL MONITORING IS REQUIRED.</ExplanationTxt>
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        <TitleTxt>CMO</TitleTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>WE PROVIDE HOSPICE AND PALLIATIVE CARE IN PATIENT HOMES OR AT OUR INPATIENT FACILITY WITH MEDICAL DIRECTED, NURSE-COORDINATED, INTERDISCIPLINARY TEAMS THAT CONTINUE TO PROVIDE SUPPORT FROM DIAGNOSIS THROUGH BEREAVEMENT. TOGETHER, OUR PHYSICIANS, NURSES, PHARMACISTS, SOCIAL WORKERS, CLERGY, ARTISTS, AND TRAINED VOLUNTEERS ACTIVELY ASSIST EACH PATIENT AND FAMILY TO NAVIGATE THE MYRIAD OF CHALLENGES SURROUNDING IRREVERSIBLE ILLNESS. THE CONNECTICUT HOSPICE INAUGURATED HOSPICE CARE IN AMERICA IN 1974. SINCE THEN, IT HAS BEEN THE BEACON AND TEACHER OF THE GROWING HOSPICE MOVEMENT THROUGHOUT THE NATION, AND BEYOND. THE CONNECTICUT HOSPICE ADDRESSES PHYSICAL, SPIRITUAL, SOCIAL, AND EMOTIONAL NEEDS OF PATIENTS WITH ADVANCED IRREVERSIBLE ILLNESS, AND THEIR FAMILIES. SUCH CARE IS PROVIDED REGARDLESS OF DIAGNOSIS AND AS LONG AS THE HOSPICE LEVEL OF CARE IS NEEDED BY THE PATIENTS. HOSPICE CARE IS PROVIDED IN THE HOME, OR INPATIENT SETTING BY A MEDICALLY DIRECTED, NURSE-COORDINATED, INTERDISCIPLINARY TEAM, AND CONTINUES THROUGHOUT THE PERIOD OF BEREAVEMENT. HOSPICE DOES NOT TAKE A NARROW VIEW OF COMPLEXITIES OF THE NEEDS OF PATIENTS WITH AN IRREVERSIBLE ILLNESS AND THEIR FAMILIES. WHILE THE CONTROL OF PHYSICAL PAIN AND OTHER PHYSICAL SYMPTOMS IS THE CENTRAL AND PRIMARY CONCERN FOR CAREGIVERS, IT IS NOT THE ONLY PRIORITY. THE PATIENT WITH AN IRREVERSIBLE ILLNESS EXPERIENCE AN ARRAY OF EMOTIONAL, SPIRITUAL, SOCIAL AND FINANCIAL PROBLEMS. THE RATIONALE FOR HOSPICE CAREGIVING IS THAT IT IS IMPOSSIBLE FOR ANY ONE DISCIPLINE TO PROVIDE THE RANGE OF SERVICES REQUIRED. THROUGH THE TEAM APPROACH, HOSPICE HELPS PATIENTS AND FAMILIES ATTAIN OPTIMUM QUALITY OF LIFE. THE CONNECTICUT HOSPICE DIFFERENCE: - COMPREHENSIVE PALLIATIVE AND HOSPICE CARE IN YOUR HOME OR IN OUR BEAUTIFUL IN-PATIENT FACILITY OVERLOOKING THE LONG ISLAND SOUND - EXPERIENCED, COMPASSIONATE SUPPORT AND CLINICAL CARE FOR PATIENTS AND THEIR FAMILIES FROM DIAGNOSIS THROUGH ACTIVE TREATMENT AND BEYOND - INTERDISCIPLINARY TEAMS OF PHYSICIANS, NURSES, PHARMACISTS, SOCIAL WORKERS, CLERGY, ARTISTS, AND VOLUNTEERS THAT WORK TOGETHER TO HELP EACH PATIENT AND THEIR FAMILY ACHIEVE OPTIMUM QUALITY OF LIFE - FLEXIBLE PLANS OF CARE THAT ENABLE PATIENTS TO MOVE BACK AND FORTH BETWEEN OUR HOME CARE AND IN-PATIENT SERVICES AS NEEDED - PHYSICIAN HOUSE CALLS; EXPERIENCED NURSES AVAILABLE TO SPEAK PERSONALLY BY PHONE WITH PATIENTS AND THEIR FAMILY TO ANSWER QUESTIONS AT ANY TIME OF DAY - EVENING AND WEEKEND ADMISSIONS TO OUR IN-PATIENT FACILITY IF NEEDED, FOR OUR HOME CARE PATIENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY SENIOR MANAGEMENT PRIOR TO FILING. A COMPLETE COPY OF FORM 990 AS FILED WAS PROVIDED TO THE BOARD AFTER FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE ANNUAL ELIGIBILITY TEST OF ALL BOARD MEMBERS. IF A CONFLICT ARISES, THE BOARD MEMBER WILL ABSTAIN FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMITTEE OF TWO OR MORE DIRECTORS OF THE BOARD MEETS PERIODICALLY TO REVIEW THE PERFORMANCE AND COMPATIBILITY DATA OF SIMILARLY SIZED HOSPITALS IN THE STATE OF CONNECTICUT. THEY DELIBERATE AND A FINAL DECISION IS MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FUNDS HELD IN TRUST BY OTHERS 6,684.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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