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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Home Health Aides</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AAA Nursing Care</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Stratford</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06614</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Nursing</ServicesDesc>
        <CompensationAmt>297407</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>East Rock Pharmacy</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>767 Orange Sr</AddressLine1Txt>
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            <ZIPCd>06511</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Drugs</ServicesDesc>
        <CompensationAmt>395334</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Arcadia Health Care</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4369 Main Street</AddressLine1Txt>
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            <ZIPCd>06606</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Home Health Aides</ServicesDesc>
        <CompensationAmt>236866</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ABM Janitorial Serv Northeast</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Housekeeping</ServicesDesc>
        <CompensationAmt>190530</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>15696764</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Inpatient Revenue</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10851104</TotalRevenueColumnAmt>
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      <TotalProgramServiceRevenueAmt>26547868</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>74671</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>293933</ExclusionAmt>
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        <ExclusionAmt>368604</ExclusionAmt>
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        <ProgramServicesAmt>4750000</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>87892</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <FundraisingAmt>15202</FundraisingAmt>
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        <ProgramServicesAmt>214068</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>697761</ProgramServicesAmt>
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        <FundraisingAmt>97938</FundraisingAmt>
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        <ProgramServicesAmt>501200</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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      <FSAuditedInd>true</FSAuditedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital provide services based on patients need regardless of ability to pay</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>A. Provided outdoor pool to promote physical wellness to</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>the community</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>B. Provided memorial services for emotional support to community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>C. Promoted Public policy discourse on institutional research use in the Medical Marijuana for pain relief.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial Statements do not contain any reference to bad</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7 col(f)</FormAndLineReferenceDesc>
        <ExplanationTxt>debts in the footnotes</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <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>MRS MARC A HURZLER</PersonNm>
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        <DeferredCompRltdOrgsAmt>4875</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>157662</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>69072</TotalCompensationRltdOrgsAmt>
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        <PersonNm>THOMAS MCGOVERN</PersonNm>
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        <DeferredCompRltdOrgsAmt>4875</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1176</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4249</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>132181</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25259</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONNY J KNIGHT</PersonNm>
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        <DeferredCompensationFlngOrgAmt>235</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5048</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>253</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5442</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167778</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>17460</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH SACCO</PersonNm>
        <BaseCompensationFilingOrgAmt>251254</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>83751</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1784</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5353</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2922</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8767</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255960</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>97871</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DRANTHONY COSCIA PT</PersonNm>
        <BaseCompensationFilingOrgAmt>135217</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>27695</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>135217</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>27695</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN FLANNIGAN</PersonNm>
        <BaseCompensationFilingOrgAmt>123501</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>30876</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3081</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1126</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4506</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>125577</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>38463</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation related to the organization but not given due to</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleO documentId="00000008" softwareId="16000371">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule has been completed</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The return is presented at a Board Meeting</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors reviews the annual eligibility test of all board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>A committee of two or more directors of the board meets periodically to review the performance and compatability data of similarly sized hospitals in the state of Connecticut. They deliberate and a final decision is made.</ExplanationTxt>
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    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>The John D Thompson Institute</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Double Beach Rd</AddressLine1Txt>
          <CityNm>Branford</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>064054003</ZIPCd>
        </USAddress>
        <EIN>061003712</EIN>
        <PrimaryActivitiesTxt>Programs on Education Trainig and Research</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Box 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Facility Lease</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>284100</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Operating Lease</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Management Services</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>4750000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value of services</MethodOfAmountDeterminationTxt>
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