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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIDINE LIFESTYLES DBA FLIK INTERNATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2400 YORMONT RD</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28217</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT SERVICES - DIETARY &amp; EVS</ServicesDesc>
        <CompensationAmt>2163714</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARELINK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 MASSASOIT AVENUE SUITE 113</AddressLine1Txt>
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            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02914</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>495550</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>169536</MembershipDuesAmt>
      <GovernmentGrantsAmt>1010990</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>333043</AllOtherContributionsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
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        <TotalRevenueColumnAmt>9870919</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9870919</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9870919</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>291505</TotalRevenueColumnAmt>
        <ExclusionAmt>291505</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4204415</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2448177</SecuritiesAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1756238</TotalRevenueColumnAmt>
        <ExclusionAmt>1756238</ExclusionAmt>
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        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>34956</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>34956</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2047743</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ManagementAndGeneralAmt>302461</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5251152</ProgramServicesAmt>
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        <ProgramServicesAmt>52039</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>452475</TotalAmt>
        <ProgramServicesAmt>425873</ProgramServicesAmt>
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      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>447657</TotalAmt>
        <ProgramServicesAmt>404995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42662</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>51457</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>89835</TotalAmt>
        <ManagementAndGeneralAmt>89835</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>89970</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>2331617</TotalAmt>
        <ProgramServicesAmt>2221558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110059</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>13984</TotalAmt>
        <ProgramServicesAmt>13984</ProgramServicesAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
        <TotalAmt>261600</TotalAmt>
        <ProgramServicesAmt>261600</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>336</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>163808</ProgramServicesAmt>
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        <ProgramServicesAmt>101016</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>581854</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>NURSING SUPPLIES</Desc>
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        <ProgramServicesAmt>579966</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
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        <ProgramServicesAmt>347114</ProgramServicesAmt>
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        <ProgramServicesAmt>11269630</ProgramServicesAmt>
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        <EOYAmt>284560</EOYAmt>
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        <EOYAmt>27591</EOYAmt>
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        <EOYAmt>104113</EOYAmt>
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        <EOYAmt>5065188</EOYAmt>
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        <EOYAmt>16483745</EOYAmt>
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        <EOYAmt>683371</EOYAmt>
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        <EOYAmt>318616</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>222914</EOYAmt>
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        <EOYAmt>5372825</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>23972</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>24491092</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>110270</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>32008</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>84090</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>614776</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>493763</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>619460</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>11608995</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>11919641</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12102758</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12166336</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11384488</CurrentTaxYearAmt>
        <TotalAmt>58969326</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>265557</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>265894</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>286340</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>279699</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>330876</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>291505</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>127506</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20023</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26380</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34956</CurrentTaxYearAmt>
        <TotalAmt>224977</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>12397306</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12519951</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12523592</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11710949</CurrentTaxYearAmt>
        <TotalAmt>60886365</TotalAmt>
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      <PublicSupportCY509Pct>0.94560</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94470</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02780</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02860</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISC INCOME - 2016 AMOUNT: $ 16,112. 2017 AMOUNT: $ 127,506. 2018 AMOUNT: $ 20,023. 2019 AMOUNT: $ 26,380. 2020 AMOUNT: $ 34,956.</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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>
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        <InvestmentEarningsOrLossesAmt>1989781</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1079921</OtherExpendituresAmt>
        <EndYearBalanceAmt>16483745</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <EndYearBalanceAmt>15573885</EndYearBalanceAmt>
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        <ContributionsAmt>71467</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-675783</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>14245576</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>2092880</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>869561</OtherExpendituresAmt>
        <EndYearBalanceAmt>15659940</EndYearBalanceAmt>
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        <EndYearBalanceAmt>14436621</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <BuildingsGrp>
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        <Desc>INTEREST RATE SWAP CONTRACT</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>116098</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>89970</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>13266947</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>13266947</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>89970</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>89970</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13356917</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER HAS ESTABLISHED THE BOARD-DESIGNATED FUND AS A PERPETUAL ENDOWMENT MEANT TO PROVIDE ANNUAL DRAWDOWNS FROM TOTAL RETURN TO SUPPLEMENT THE CENTER'S OPERATING BUDGET, AS WELL AS TO PROVIDE CAPITAL FOR EXTRAORDINARY USES FROM TIME TO TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE CENTER IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE CENTER APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE CENTER'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN ITS FINANCIAL STATEMENTS. THE CENTER FILES A TAX RETURN IN THE U.S. FEDERAL JURISDICTION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN IN EQUITY OF JOINT VENTURE IN OCEAN STATE ASSISTED LIVING ("OSAL") 148,175. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -64,085.</ExplanationTxt>
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        <PersonNm>DEBORAH YASICK</PersonNm>
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        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1Txt>RBS CITIZENS NA</BusinessNameLine1Txt>
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        <TermOfHedgePct>8.800000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TIMOTHY REINER, BOARD MEMBER, AND DIANNE BOURGET, DIRECTOR OF FINANCE, ARE BROTHER AND SISTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER'S FINANCE TEAM MET TO REVIEW THE DRAFT 990 PRIOR TO FILING AND RECOMMENDED APPROVAL TO THE BOARD. IN ADDITION, ALL BOARD MEMBERS WERE PROVIDED WITH EITHER AN ELECTRONIC OR HARD COPY OF THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS UPDATE AND SIGN THE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH IS RETAINED. ANY CONFLICTS OF INTEREST ARISING IN THE INTERIM PERIOD ARE REQUIRED TO BE DISCLOSED WHEN KNOWN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE DIRECTOR COMPENSATION POLICY, MONITORS COMPLIANCE WITH THE POLICY AND APPROVES THE EXECUTIVE DIRECTOR'S SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE CENTER'S LOCATION - 100 BORDEN STREET, PROVIDENCE, RI 02903.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 243,792. MANAGEMENT AND GENERAL EXPENSES 110,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 353,851. CONTRACTED THERAPY: PROGRAM SERVICE EXPENSES 466,622. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 466,622. CONTRACTED DIETARY: PROGRAM SERVICE EXPENSES 819,221. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 819,221. CONTRACTED HOUSEKEEPING: PROGRAM SERVICE EXPENSES 420,467. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 420,467. CONTRACTED LAUNDRY: PROGRAM SERVICE EXPENSES 125,658. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,658. CONTRACTED MAINTENANCE: PROGRAM SERVICE EXPENSES 145,798. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,798.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADJUSTMENT FOR GAIN IN EQUITY OF JOINT VENTURE IN "OSAL" 148,175. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -64,085.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2(C):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE STEERE HOUSE FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 BORDEN STREET</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
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          <BusinessNameLine1Txt>OCEAN STATE ASSISTED LIVING DBA THE SEASONS</BusinessNameLine1Txt>
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          <AddressLine1Txt>5 SAINT ELIZABETH WAY</AddressLine1Txt>
          <CityNm>EAST GREENWICH</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02818</ZIPCd>
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        <EIN>050510787</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT RECEIVED</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>OCEAN STATE ASSISTED LIVING DBA THE SEASONS</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT OF GUARANTEE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>THE STEERE HOUSE FOUNDATION</BusinessNameLine1Txt>
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        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>37255</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST INCURRED</MethodOfAmountDeterminationTxt>
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