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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SR LOIS ANN PEREIRA FMM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY J FALLON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDY HOAR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDOLY ORTIZ LANGLOIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN E LARSEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANE L LUNDQUIST</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOESPH MITCHELL MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JAMES MANDELL</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOMINIQUE MORGAN-SOLOMON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IKE PAPADOPOULOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAY PIEPER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL YOGMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3584610</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>178168</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>51</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCLEAN HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25 DOLPHIN ROAD</AddressLine1Txt>
            <CityNm>NEWTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02459</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERV</ServicesDesc>
        <CompensationAmt>3182207</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PARK LANDSCAPE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24 ELMIRA ST</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02135</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LANDSCAPE &amp; CON</ServicesDesc>
        <CompensationAmt>715698</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NTT DATA SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7950 LEGACY DRIVE SUITE 900</AddressLine1Txt>
            <CityNm>PLANO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75024</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA MANAGMENT</ServicesDesc>
        <CompensationAmt>361122</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AGILITY HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6625 WEST 78TH STREET SUITE 300</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55439</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BIOMETRIC MAINT</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHILD NEUROLOGY ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6 TRINITY COURT</AddressLine1Txt>
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            <ZIPCd>02481</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERV</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>49</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>397941</FundraisingAmt>
      <GovernmentGrantsAmt>6627753</GovernmentGrantsAmt>
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      <TotalContributionsAmt>9414614</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>51605426</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>51605426</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DAY SCHOOL PROGRAM</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6119706</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6119706</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>57725132</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>110127</TotalRevenueColumnAmt>
        <ExclusionAmt>110127</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>16800</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>397941</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>179863</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-163063</TotalRevenueColumnAmt>
        <ExclusionAmt>-163063</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>228408</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>228408</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>129998</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>129998</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>358406</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>67445216</TotalRevenueColumnAmt>
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        <ExclusionAmt>-52936</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>116004</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>11047</ProgramServicesAmt>
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        <ProgramServicesAmt>310782</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <EOYAmt>39950486</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>7195779</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>76034183</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3300936</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>1335113</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc15">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
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      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <OtherActivitiesInd>false</OtherActivitiesInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTACT WITH AND REPRESENTATION BEFORE STATE AGENCIES RESPONSIBLE FOR THE HOSPITAL'S PAYMENT RATES AND REGULATORY REQUIREMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <OtherExpendituresAmt>240240</OtherExpendituresAmt>
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        <ExplanationTxt>PART X - FIN 48 FOOTNOTES PART X, LINE 2: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE HOSPITAL ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. UNDER ASC 740, AN ORGANIZATION MUST RECOGNIZE THE FINANICAL STATEMENT EFFECTS OF A TAX POSITION TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS, AND ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTION IN THE JURISDICATIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEARS ENDED SEPTEMBER 30,2020 AND 2019, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMNETS OF OPERATIONS. THE ORGANIZATION IS SUBJECT TO ROUTINE ADUITS BY TAXING AUTHORITIES. AS OF SEPTEMBER 30, 2020, THE ORGANIZATION WAS NOT SUBJECT TO ANY EXAMINATION BY A TAXING AUTHORITY.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 11: A MULTIDISCIPLINARY TEAM AT FRANCISCAN CHILDREN'S EXAMINED THE FINDINGS OF THE 2018 CHNA AND WORKED TO PRIORITIZE AREAS WHERE THE INSTITUTION COULD SUCCESSFULLY ENGAGE AND INTERVENE. THE PRIORITIZATION OF EACH ITEM IDENTIFIED BY THE COMMUNITY STEMMED FROM: 1) DEMONSTRATED NEED IN THE COMMUNITY AS EVIDENCED BY CHNA FINDING; 2) THE PERCEIVED IMPACT THAT FRANCISCAN CHILDREN'S INVOLVEMENT WOULD HAVE ON THIS NEED; 3) THE PERCEIVED FEASIBILITY OF FRANCISCAN CHILDREN'S INVOLVEMENT IN ADDRESSING THIS NEED, INCLUDING INSTITUTIONAL EXPERTISE AND RESOURCE ALLOCATION; AND 4) THE ALIGNMENT WITH FRANCISCAN CHILDREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. BASED UPON THIS PROCESS AND THESE CRITERIA, THE MULTIDISCIPLINARY TEAM IDENTIFIED THE FOLLOWING AREAS AS PRIORITIES. MENTAL HEALTH FOR CHILDREN AND ADOLESCENTS PRIMARY CARE FOR CHILDREN AND ADOLESCENTS CHILD WELLNESS (E.G. NUTRITION, CHILD DEVELOPMENT, PHYSICAL ACTIVITY) COMMUNITY ENGAGEMENT WITH ALLSTON/BRIGHTON/ORGANIZATIONS STRATEGIES TO ADDRESS THESE NEEDS ARE OUTLINED IN THE IMPLEMENTATION PLAN ATTACHED TO THE PREVIOUS 990 AND LOCATED ON FRANCISCAN'S WEBSITE. THE OTHER AREAS IDENTIFIED IN THE 2018 CHNA - INCOME, EDUCATION, EMPLOYMENT , HOUSING, DOMESTIC VIOLENCE, SUBSTANCE USE, AND A CENTRALIZED SOURCE OF INFORMATION - ARE AREAS THAT FRANCISCAN CHILDREN'S DID NOT MAKE A PRIORITY DUE TO A LOWER DEMONSTRATED NEED, LESS PERCEIVED IMPACT AND FEASIBILITY, AND/OR LACK OF ALIGNMENT WITH FRANCISCAN CHILDREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 18E USE OF A COLLECTION AGENCY FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 29E COLLECTION AGENCIES ATTEMPTED TO COLLECT OUTSTANDING BALANCES. FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 20E THE PATIENT ACCOUNTING DEPARTMENT SENDS THREE STATEMENTS TO PATIENTS BEFORE SENDING THE OUTSTANDING BALANCES TO COLLECTION AGENCY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A COSTING METHOLOLOGY WAS NOT USED TO CALCULATE AMOUNTS ON PART I, LINE 7. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLSTON/BRIGHTON COMMUNITY EVENT FOR FRANCISCAN CHILDREN'S ADAPTIVE PLAYGROUND FRANCISCAN CHILDREN'S OPENED ITS ADAPTIVE PLAYGROUND FOR THE ALLSTON/BRIGHTON COMMUNITY TO ACCESS AT AN EVENT HELD IN SEPTEMBER 2019. THE PLAYGROUND WAS DESIGNED FOR ALL AGES AND HAS WHEELCHAIR ACCESSIBLE EQUIPMENT, ENSURING ALL CHILDREN HAVE THE OPPORTUNITY TO PLAY.THE DESIRE FOR ADDITIONAL COMMUNITY SPACES FOR CHILDREN WAS IDENTIFIED IN FRANCISCAN'S 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) WALKS FRANCISCAN CHILDREN'S PROVIDED INFORMATION ON THE PREVALENCE OF MENTAL HEALTH AND THE ORGANIZATION'S MENTAL HEALTH PROGRAMMING BY EXHBITING AND PARTICIPATING IN AN ANNUAL WALK DEDICATED TO RAISING AWARENESS AND FUNDS FOR THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI). PEDIATRIC MENTAL HEALTH WAS IDENTIFIED AS AN ISSUE IN OUR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. EVENT DONATION TO ALLSTON BRIGHTON SUBSTANCE ABUSE TASKORCE THE ALLSTON BRIGHTON SUBSTANCE ABUSE TASK FORCE LEADS SUBSTANCE USE AND MISUSE PREVENTION AMONG YOUTH AND ADULTS, AS WELL AS SUPPORT FOR THE RECOVERY COMMUNITY. FRANCISCAN'S DONATION WILL HELP SUSTAIN AND EXPAND THIS IMPORTANT WORK SO THAT THE ALLSTON BRIGHTON SUBSTANCE ABUSE TASKFORCE CAN CONTINUE TO PROVIDE RESOURCES AND SERVICES TO EVEN MORE INDIVIDUALS IN NEED. MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES WERE IDENTIFIED AS NEEDS THROUGH FRANCISCAN'S COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
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        <ExplanationTxt>PART III, LINE 8: THE COSTING METHOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COST WAS THE COST TO OUTPATIENT ANCILLARY CHARGE RATIOS AS REPORTED ON THE MEDICARE 2552 COST REPORT FOR FYE 9/30/2020.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 9B: THE COLLECTION PROCESS ENCOMPASSES BILLING THE PATIENT'S HEALTH INSURANCE(S), FILING APPEALS FOR NON-PAYMENT AND BILLING THE PATIENT. THE STATEMENT/DATA MAILERS ARE PROCESSED BY THE HOSPITAL AND AN OUTSIDE COMPANY. THEY ARE SENT ONCE A MONTH, ONE BUSINESS DAY AFTER THE MONTH-END CLOSE. STATEMENTS/DATA MAILERS ARE SENT TO THE PATIENT'S RESPONSIBLE PARTY EACH MONTH FOR SERVICE NOT COVERED BY THE PATIENT'S INSURANCE COMPANY. THERE WILL BE THREE STATEMENTS FOR SELF AND SELF-PAY AFTER INSURANCE AND FIVE FOR SELF PAYMENT. THERE IS A DIFFERENT MASSAGE ON EACH STATEMENT INDICATING STATUS OF ACCOUNT CONTACT. LOW INCOME FAMILIES WHO MEET THE FOLLOWING CRITERIA ARE ELIGIBLE FOR PARTIAL FREE CARE: 1. MASSACHUSETTS RESIDENTS WHOSE FAMILY INCOME IS FROM 201% - 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEED THEIR FAMILY'S ANNUAL DEDUCTIABLE. THIS WILL BE DETERMINED BY A SLIDING FEE SCALE. 2. ANY PARTICIPANT IN THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INOCME IS FROM 201% - 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANICAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY ANNUAL DEDUCTIBLE. 3. ANY PARTICIPANT IN HEALTH START WHOSE FAMILY INCOME IS FROM 201% - 400% OF THE FEDERAL POVERTY INOCME GUIDELINES WILL BE ELIGIBLE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY ANNUAL DEDUCTIBLE. NOTE: THE ANNUAL DEDUCTIBLE FOR PARTIAL FREE CARE EQUALS 40% OF THE DIFFERENCE BETWEEN THE APPLICANT'S FAMILY INCOME AND 200% OF POVERTY INCOME GUIDELINES. THE PATIENT IS RESPONSIBLE FOR PAYMENT FOR ALL SERVICES PROVIDED UP TO THIS DEDUCTIBLE AMOUNT. THERE IS ONLY ONE DEDUCTIBLE PER APPROVED PERIOD. THEREFORE, IT IS THE RESPONSIBILITY OF THE PATIENT TO PROVIDE DOCUMENTATION THAT THEIR OBLIGATION HAS BEEN MET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>A MULTIDISCRIPLINARY TEAM AT FRANCISCAN CHILDREN'S EXAMINED THE FINDINGS OF THE 2018 CHNA AND WORKED TO PRIORITIZE AREAS WHERE THE INSTITUTION COULD SUCCESSFULLY ENGAGE AND INTERVENE. THE PRIORITIZATION OF EACH ITEM IDENTIFIED BY THE COMMUNITY STEMMED FROM: 1) DEMONSTRATED NEED IN THE COMMUNITY AS EVIDENCED BY CHNA FINDINGS; 2) THE PERCEIVED IMPACT THAT FRANCISCAN CHILDRENS'S INVOLVEMNET WOULD HAVE ON THIS NEED; 3) THE PERCEIVED FEASIBILITY OF FRANCISCAN CHILDREN'S INVOLVEMENT IN ADDRESSING THIS NEED, INCLUDING INSTITUTIONAL EXPERTISE AND RESOURCE ALLOCATION; AND 4) THE ALIGNMENT WITH FRANCISCAN CHIDLREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. BASED UPON THIS PROCESS AND THESE CRITERIA, THE MULTIDISCIPLINARY TEAM IDENTIFIED THE FOLLOWING AREAS AS PRIORITIES: MENTAL HEALTH FOR CHILDREN AND ADOLESCENTS CHILD WELLNESS (E.G. NUTRITION, CHILD DEVELOPMENT, PHYSICAL ACTIVITY) COMMUNITY ENGAGEMNET WITH ALLSTON/BRIGHTON ORGANIZATIONS STRATEGIES TO ADDRESS THESE NEEDS ARE OUTLINED IN THE IMPLEMENTATION PLAN ATTACHED TO THE 990 AND LOCATED ON FRANCISCAN'S WEBSITE. THE OTHER AREAS IDENTIFIED IN THE 2018 CHNA - INCOME, EDUCATION, EMPLOYMENT, HOUSING, DOMESTIC VIOLENCE, SUBSTANCE USE, AND A CENTRALIZED SOURCE OF INFORMATION - ARE AREAS THAT FRNACISCAN CHILDREN'S DID NOT ADDRESS DURING THE YEAR DUE TO A LOWER DEOMONSTRATED NEED, LESS PERCEIVED IMPACT AND FEASIBILITY, AND/OR LACK OF ALIGNMENT WITH FRANCISCAN CHIDLREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS MAINTAINED A RELATIONSHIP WITH BOSOTN UNIVERSITY SCHOOL OF DENTAL MEDICINE'S OUTPATIENT PEDIATRIC DENTAL PROGRAM. RESIDENTS OF THAT PROGRAM COMPLETE A ROTATION IN THE DENTAL CLINIC AT THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MASSACHUSETTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4: TARGET POPULATION - ALLSTON/BRIGHTON NEIGHBORHOOD BUT ALSO FROM METRO BOSTON AND BEYOND. 50% OF RESIDENTS ARE BETWEEN THE AGES OF 20 -29. NEARLY 90% OF HOUSEHOLDS ARE CHILDRENLESS (DO NOT HAVE CHILDREN UNDER 18) NEARLY 80% OF RESIDENTS REPORT RENTING RATHER THAN OWNING THEIR PRIMARY RESIDENCE. PART VI, LINE 3: INPATIENT: WE REVIEW ALL POTENTIAL PATIENTS' INSURANCE POLICIES BEFORE ADDMISSION FOR LENGTH OF STAY AND COVERAGE GUIDELINES AND LIMITATIONS. MOST PATIENTS WHO HAVE PRIVATE INSURANCE EXHAUST THEIR REHAB BENEFITS WHILE HERE. WE MEET WITH PARENTS/GUARDIANS TO EDUCATE THEM ON THEIR OPTIONS AND IF NECESSARY ASSIST THEM WITH APPLYING FOR GOVERNMENT ASSISTANCE. FOR THOSE WHO DO NOT APPLY OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE, THE HOSPITAL PROVIDES MEDICAL AND FINANCIAL HARDSHIP ASSISTANCE BASED ON THE FEDERAL AND STATE POVERTY GUIDELINES. OUTPATIENT: WE REVIEW ELIGIBILITY FOR EACH VISIT. WE CONTACT PARENT GUARDIAN IF THERE IS AN ISSUE. WE ALSO ASSIST PATIENTS WITH MASSHEALTH APPLICATION, FOR THOSE WHO DO NOT APPLY OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE. THE HOSPITAL PROVIDES MEDICAL AND FINANCIAL HARDSHIP ASSISTANCE BASED ON THE FEDERAL AND STATE POVERTY GUIDELINES. ALLSTON-BRIGHTON HAS A PREDOMINANTLY CAUCASION(WHITE) POPULATION; IT IS ALSO HOME TO A LARGE NUMBER OF DIVERSE GROUPS INCLUDING MANAY RECENT IMMIGRANTS FROM SPANISH-SPEAKING COUNTRIES, BRAZIL, CHINA, AND RUSSIA. THE MEDIAN INCOME OF ALLSTON-BRIGHTON RESIDENTS IS 38,274. THE UNEMPLOYMENT RATE IN ALLSTON-BRIGHTON WAS HALF THAT OF BOSTON, MA. PART VI, LINE 5: FAMILY SUPPORT GROUPS - FAMILY DINNERS AND SOCIAL EVENTS ARE ORGANIZED TO HELP FOSTER COMMUNITY AND EXPAND ACCESS TO FAMILY-TO-FAMILY LEARNING. PROVIDE SKILLED, RELIABLE INTERPRETER SERVICES TO INCREASE ACCESS TO CARE FOR FAMILIES WHOSE PRIMARY LANGUAGE IS NOT ENGLISH. CHILDREN SAFETY ADVOCACY - HOST PRESS CONFERENCES TO INFORM CAREGIVERS ABOUT POOL SAFETY AND HAZARDS TO AVOID. EDUCATION SUPPORT OF HIGHER EDUCATION - WE SERVE AS A SITE WHERE NURSING, PSYCHOLOGY AN DMEDICAL RESIDENTS DO THEIR CLINICAL ROTATION. PARTICIPATE IN THE ALLSTON-BRIGHTON SUBSTANCE ABUSE TASK FORCE THAT RECEIVED FUNDING TO CONDUCT A COMMUNITY ASSESSMENT. COMMUNITY BENEFIT HAPPENS VIA SEVERAL COMMITTEES THAT ARE MULTI-DISCIPLINARY - MEDICAL PARENT ADVISORY CONUCIL, BEHAVIORAL PARENT ADVISORY COUNCIL AND KENNEDY DAY SCHOOL ADVISORY GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN NASH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>472906</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>95000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24857</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15338</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>608101</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANE O'BRIEN</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>295789</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22886</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17121</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>345796</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE MILLER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>315359</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1898</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16571</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>333828</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLEY W LUBIN</PersonNm>
        <TitleTxt>VP DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>254796</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19380</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17121</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>316297</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID LESLIE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>289426</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>815</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17121</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>307362</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES KENDRICK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>280476</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3257</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11325</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>295058</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AIMEE CAREW LYONS</PersonNm>
        <TitleTxt>COO/CNO/VP PT CARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>246876</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>20058</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17121</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>294055</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELISABETH G SCHAINKER</PersonNm>
        <TitleTxt>ASSOCIATE CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>251430</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>19360</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>270790</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLIFFORD BIERMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>249367</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1530</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16571</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>267468</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER L FEXIS</PersonNm>
        <TitleTxt>VP PERFORMANCE IMPRO</TitleTxt>
        <BaseCompensationFilingOrgAmt>189489</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>9899</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17431</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>224319</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS M O'BRIEN</PersonNm>
        <TitleTxt>CORPORATE COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>185143</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>10248</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17121</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>212512</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY FORMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>155072</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10536</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165608</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc10">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>PEOPLE UNITED BANK</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>061213065</BondIssuerEIN>
        <BondIssuedDt>2020-03-24</BondIssuedDt>
        <IssuePriceAmt>13074915</IssuePriceAmt>
        <PurposeDesc>THE NEW TAX-EXEMPT BOND WAS TO CONSOLIDATE THE OUTSTANDING SERIES 2015 BOONDS, THE PROCEEDS OF WHICH</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>13074915</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>161970</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>13074915</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>PEOPLE UNITED BANK THE NEW TAX-EXEMPT BOND WAS TO CONSOLIDATE THE OUTSTANDING SERIES 2015 BOONDS, THE PROCEEDS OF WHICH WERE USED TO FINANCE PRELIMINARY CAPITAL COSTS WITH REPECT TO THE CONSTRUCTION OF APPROXIMATELY 75,000 SQUARE-FOOT ADDITON TO THE FACILITY AT 30 WARREN STEET, BRIGHTON, MASSACHUSETTS AND TO REINANCE THE OUTSTANDING MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS,FRANCISCAN HOSPITAL FOR CHILDREN ISSUE, SERIES A (2010), THE PROCEEDS OF WHICH WERE USED TO: (A) FINANCE THE CONSTRUCTION, FURNISHING AND EQUIPPING OF AN APPROXIMATELY 20,000 SQUARE-FOOT ADDITION TO THE KENNEDY DAY SCHOOL AND USED FOR EDUCATIONAL FACILITIES FOR SPECIAL NEEDS CHILDREN; AND (B) FINANCE VARIOUS RENOVATIONS SUCH AS ADDING FOUR INPATIENT MEDICAL BEDS, EQUIPMENT ACQUISITIONS, AND MISCELLANEOUS CAPITAL IMPROVEMNETS AT THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc11">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CAMBRIDGE APPLETON TRUST NA</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>CAMBRIDGE APPLETON TRUST NA</BusinessNameLine2Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMEBER</RelationshipDescriptionTxt>
        <TransactionAmt>28608</TransactionAmt>
        <TransactionDesc>INVESTMENT MANAGMT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF PERSON/COMPANY: CAMBRIDGE APPLETON TRUST, N.A. RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 49% OWNED BY APPLETON PARTNERS, INC. (DOUGLAS CHAMBERLAIN OWNS 35% OF API) MANAGEMENT FEES: 28,608 DESCRIPTION OF TRANSACTION: FRANCISCAN HOSPITAL FOR CHILDREN USES CAMBRIDGE APPLETON TRUST N.A. AS ITS INVESTMENT COMPANY</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc12">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE A COMPASSIONATE AND POSITIVE ENVIRONMENT WHERE CHILDREN WITH MEDICAL, MENTAL HEALTH AND EDUCATIONAL NEEDS RECEIVE SPECIALIZED CARE FROM PEOPLE WHO ARE COMMITTED TO EXCELLENCE, INNOVATION AND FAMILY SUPPORT. SO THAT CHILDREN CAN REACH THEIR FULLEST POTENTIAL AND LIVE THEIR BEST LIFE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 5, PART V, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE REPORTING TAX YEAR,THERE IS NO UNRELATED BUSINESS INCOME GENERATED FROM AN ONGOING TRADE OR BUSINESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 AND THE RELATED DISCLOSURES ARE PREPARED BY THE SENIOR DIRETOR OF FINANCE AND REVIEWED BY THE CFO AND THEN COPIES ARE MADE AVAILABLE TO THE BOARD OF DIRECORS FOR THEIR REVIEW. IN ADDITION, CFO REVIEWS KEY SCHEDULES AT FINANCE COMMITTEE. THE FORM 990 IS SIGNED BY THE CFO/SVP PRIOR TO SUBMISSION TO IRS ELECTRONICALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES THAT ALL MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY BOARD COMMITTEES DISCLOSE IN WRITING (AND UPDATE ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTERST AS DEFINED BY THE POLICY. THE WRITTEN DISCLOSURE SHALL INCLUDE AN ITEMIZATION OF ANY SUBSTANTIVE CONFLICT OF INTEREST FOR SUCH INDIVIDUAL BY VIRTURE OF HIS OR HER ACTIVITIES. THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE LEGAL DEPARTMENT TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION IN WHICH THEY ARE NOT INDEPENDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL COMPENSATION FOR THE CEO, AND SENIOR MANAGEMENT ARE DETERMINED AND REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL PERSONS LISTED ABOVE. THE COMPENSATION COMMITTEE PERFORMS ANNUAL REVIEWS AND APPROVES EXECUTIVE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME PROCESS AS DESCRIBE UNDER "COMPENSATION PROCESS FOR TOP OFFICIAL".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON HTE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTED FOR CAPITAL 871,157 ADJ TO MINIMUM PENSION LIABILITY 463,956 TOTAL 1,335,113</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc13">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FRANCISCAN PEDIATRICS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>30 WARREN STREET</BusinessNameLine2Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>30 WARREN STREET</AddressLine1Txt>
          <AddressLine2Txt>30 WARREN STREET</AddressLine2Txt>
          <CityNm>BRIGHTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02135</ZIPCd>
        </USAddress>
        <EIN>043160358</EIN>
        <PrimaryActivitiesTxt>PHYS GROUP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-545548</ShareOfTotalIncomeAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FRANCISCAN PEDIATRICS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>2258604</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FRANCISCAN PEDIATRICS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>1072193</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="RetDoc2">
      <ExplanationTxt>FORM 8868, APPLICATION FOR EXTENSION OF TIME TO FILE AN EXEMPT ORGANIZATION RETURN HAS BEEN APPROVED BY DEPARTMENT OF THE TREASURY WITH THE NOTICE NUMBER CP211A. THE NEW DUE DATE IS AUGUST15, 2021 PER IRS LETTER.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>