﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2015v2.1" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2016-11-11T13:16:09-08:00</ReturnTs>
    <TaxPeriodEndDt>2016-03-31</TaxPeriodEndDt>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-04-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>060646766</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HOSPITAL FOR SPECIAL CARE</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>HOSP</BusinessNameControlTxt>
      <PhoneNum>8602232761</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2015 CORBIN AVENUE</AddressLine1Txt>
        <CityNm>NEW BRITAIN</CityNm>
        <StateAbbreviationCd>CT</StateAbbreviationCd>
        <ZIPCd>060532266</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>LAURIE A WHELAN</PersonNm>
      <PersonTitleTxt>SENIOR VP OF FINANCE/CFO</PersonTitleTxt>
      <PhoneNum>8602232761</PhoneNum>
      <SignatureDt>2016-11-15</SignatureDt>
    </BusinessOfficerGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2017-02-10 21:41:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="00000001" referenceDocumentName="IRS990ScheduleO ReasonableCauseExplanation" softwareId="15000272">
      <PrincipalOfficerNm>LYNN RICCI</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>2150 Corbin Ave</AddressLine1Txt>
        <CityNm>New Britain</CityNm>
        <StateAbbreviationCd>CT</StateAbbreviationCd>
        <ZIPCd>06053</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>168764041</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.HFSC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1941</FormationYr>
      <LegalDomicileStateCd>CT</LegalDomicileStateCd>
      <ActivityOrMissionDesc>HOSPITAL FOR SPECIAL CARE IS A 228 BED REHABILITATION AND CHRONIC DISEASE HOSPITAL, SERVING PATIENTS IN THESE PRIMARY AREAS: INPATIENT AND OUTPATIENT REHABILITATION, RESPIRATORY CARE, MEDICALLY COMPLEX AND PEDIATRICS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>19</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>17</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1198</TotalEmployeeCnt>
      <TotalVolunteersCnt>359</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2346057</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2216712</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>145739489</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>163779930</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>2756537</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1071271</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1816275</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1696128</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>152658358</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>168764041</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>7500</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>8750</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>71189078</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>70092128</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>79529348</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>95453038</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>150725926</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>165553916</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1932432</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3210125</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>141499982</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>141095150</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>73963418</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>72571624</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>67536564</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>68523526</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>HOSPITAL FOR SPECIAL CARE IS A 228 BED REHABILITATION</MissionDesc>
      <SignificantNewProgramSrvcInd>true</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>51056559</ExpenseAmt>
      <GrantAmt>8750</GrantAmt>
      <RevenueAmt>66361330</RevenueAmt>
      <Desc>INPATIENT CARE: RESPIRATORY SERVICES INCLUDE CARING FOR PEOPLE WHO HAVE MADE CONSCIOUS DECISIONS TO LIVE ON LIFE SUPPORT. THESE PATIENTS REQUIRE SIGNIFICANT MEDICAL ATTENTION ALONG WITH SERVICES TO ENHANCE QUALITY OF LIFE. OUR GOAL IS TO LIBERATE PATIENTS FROM VENTILATOR DEPENDENCY SO THAT THEY CAN RESUME THEIR LIVES. HOSPITAL FOR SPECIAL CARE IS RECOGNIZED FOR HAVING THE HIGHEST VENTILATOR-WEANING RATE IN CONNECTICUT AND CONSISTENTLY EXCEEDS THE NATIONAL AVERAGE. SERVICES FOR THE CLINICAL MANAGEMENT OF PATIENTS WITH SERIOUS RESPIRATORY CONDITIONS ARE PROVIDED ON THREE DISTINCT UNITS. HSC'S 36-BED LAURIE COLEMAN PUGLISI RESPIRATORY CARE UNIT AND THE 38-BED RESPIRATORY STEP-DOWN UNIT PROVIDE CARE FOR PATIENTS WITH MULTI-SYSTEM PROBLEMS AND VENTILATOR ASSISTANCE. THE CLOSE OBSERVATION UNIT IS AN 11 BED UNIT PROVIDING TECHNOLOGICALLY ADVANCES CLINICAL MANAGEMENT OF ADULT PATIENTS WHO REQUIRE MECHANICAL VENTILATION, AND WHO HAVE POTENTIAL TO BE REMOVED FROM THE VENTILATOR. HOSPITAL FOR SPECIAL CARE IS CERTIFIED BY AMERICAN ASSOCIATION FOR RESPIRATORY CARE(AARC). (29,715 PATIENT DAYS)</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>51690925</ExpenseAmt>
        <RevenueAmt>49748706</RevenueAmt>
        <Desc>INPATIENT CARE: REHABILITATION SERVICES INCLUDE PROGRAMS FOR THOSE RECOVERING FROM A LIFE-THREATENING CONDITION, DEBILITATING INJURY OR SUFFERING FROM ACUTE CHRONIC ILLNESS. HSC PROVIDES INTERDISCIPLINARY CARE FOR PATIENTS WITH AMPUTATIONS, NEUROLOGICAL CONDITIONS, ORTHOPEDIC DIAGNOSES, MUSCULOSKELETAL DIAGNOSES, MULTIPLE TRAUMA, AND COMPLICATIONS FROM PROLONGED HOSPITALIZATIONS. COMPLEX MEDICAL AND COMPLEX REHABILITATION PROGRAMS LED BY A BOARD-CERTIFIED INTERNIST PROVIDES A WIDE RANGE OF SERVI</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>16652932</ExpenseAmt>
        <RevenueAmt>18928389</RevenueAmt>
        <Desc>INPATIENT CARE: PEDIATRIC SERVICES IS A 29-BED PEDIATRIC UNIT THAT PROVIDES CARE TO CHILDREN (FROM NEWBORN TO 18 YEARS OF AGE), IN NEED OF REHABILITATION FOLLOWING AN ACCIDENT, SURGERY, SERIOUS ILLNESS OR PREMATURE BIRTH, MANY OF WHOM ARE TECHNOLOGY DEPENDENT. HSC OFFERS PROGRAMS AND SERVICES TAILORED TO EACH CHILD'S INDIVIDUAL NEEDS TO HELP REGAIN LOST SKILLS OR DEVELOP BRAND NEW SKILLS. THE ULTIMATE GOAL IS TO PROVIDE A BRIDGE BETWEEN ACUTE CARE AND A HOME SETTING. (9,311 PATIENT DAYS)</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>10847502</ExpenseAmt>
        <RevenueAmt>11458643</RevenueAmt>
        <Desc>OUTPATIENT REHABILITATION SERVICES: INCLUDE MULTIDISCIPLINARY SERVICES TO MEET THE NEEDS OF PATIENTS WHO REQUIRE ASSISTANCE BUT DO NOT REQUIRE HOSPITALIZATION. PHYSICAL OF PATIENTS WHO REQUIRE ASSISTANCE BUT DO NOT REQUIRE HOSPITALIZATION. PHYSICAL OF PATIENTS WHO REQUIRE ASSISTANCE BUT DO NOT REQUIRE HOSPITALIZATION. PHYSICAL OF PATIENTS WHO REQUIRE ASSISTANCE BUT DO NOT REQUIRE HOSPITALIZATION. PHYSICAL OF PATIENTS WHO REQUIRE ASSISTANCE BUT DO NOT REQUIRE HOSPITALIZATION. PHYSICAL OF PATIENTS</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>DESIGNED TO CONSIDER ALL OF THE VARIABLES THAT AFFECT A PATIENT'S ABILITY TO MEET HIS/HER GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY ACTIVITIES GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY ACTIVITIES GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY ACTIVITIES GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY ACTIVITIES GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY ACTIVITIES GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY A</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>CENTER WITH THE LATEST CARDIOVASCULAR AND STRENGTH TRAINING EQUIPMENT. THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE LARGEST THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE LARGEST THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE LARGEST THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE LARGEST THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE LARGEST THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>UCHC0-HSC MUSCLE &amp; NERVE BIOPSY SERVICE, REHABILITATION SERVICES SPEECH &amp; LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK SPEECH &amp; LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK SPEECH &amp; LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK SPEECH &amp; LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK SPEECH &amp; LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK SPEECH &amp; LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>ALSO OFFERS OUTPATIENT PULMONARY REHABILITATION PROGRAM IT HELP PERSONS WITH PULMONARY DISEASE REACH HIS/HER MAXIMUM LEVEL OF INDEPENDENCE AND WITH PULMONARY DISEASE REACH HIS/HER MAXIMUM LEVEL OF INDEPENDENCE AND WITH PULMONARY DISEASE REACH HIS/HER MAXIMUM LEVEL OF INDEPENDENCE AND WITH PULMONARY DISEASE REACH HIS/HER MAXIMUM LEVEL OF INDEPENDENCE AND WITH PULMONARY DISEASE REACH HIS/HER MAXIMUM LEVEL OF INDEPENDENCE AND WITH PULMONARY DISEASE REACH HIS/HER MAXIMUM LEVEL OF INDEPENDENCE AND</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>MODERATE TO VERY SEVERE COPD(CHRONIC OBSTRUCTIVE PULMONARY DISEASE) HSC'S AUTISM CENTER PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL HSC'S AUTISM CENTER PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL HSC'S AUTISM CENTER PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL HSC'S AUTISM CENTER PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL HSC'S AUTISM CENTER PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL HSC'S AUTISM CENTER PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>INVOLVED IN THE LIFE OF THE CHILD. THESE SERVICES MAY BE CONTRACTED BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. IN BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. IN BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. IN BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. IN BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. IN BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. IN</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>THERAPY PROGRAMS FEATURE THE LEE SILVERMAN VOICE TREATMENT (LSVT) BIG AND LOUD PROGRAM THAT INCORPORATES LOUD (LSVT) BIG AND LOUD PROGRAM THAT INCORPORATES LOUD (LSVT) BIG AND LOUD PROGRAM THAT INCORPORATES LOUD (LSVT) BIG AND LOUD PROGRAM THAT INCORPORATES LOUD (LSVT) BIG AND LOUD PROGRAM THAT INCORPORATES LOUD (LSVT) BIG AND LOUD PROGRAM THAT INCORPORATES LOUD</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>PROGRESSIVE RESISTANCE TRAINING TO IMPROVE TONGUE STRENGTH NECESSARY FOR SWALLOWING. (37,089 VISITS)</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>13378999</ExpenseAmt>
        <RevenueAmt>16714603</RevenueAmt>
        <Desc>INPATIENT CARE: SATELLITE UNIT/HARTFORD LOCATION IS A 23-BED UNIT LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>PROCEDURES, BUT WHO CONTINUE TO REQUIRE 24-HR NURSING CARE AND/OR MONITORING. (7,426 PATIENT DAYS)</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>711457</ExpenseAmt>
        <RevenueAmt>568259</RevenueAmt>
        <Desc>INPATIENT SERVICES: IN FY 2016 HSC OPENED AN 8 BED INPATIENT UNIT FOR PEDIATRIC AUTISM PATIENTS</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>24937958</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>28741505</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>144338374</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="00000002" referenceDocumentName="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="00000003" referenceDocumentName="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="00000004" referenceDocumentName="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleD">true</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd>false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd>false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="00000006" referenceDocumentName="IRS990ScheduleH">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentName="BinaryAttachment">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="00000007" referenceDocumentName="IRS990ScheduleI">true</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="00000008" referenceDocumentName="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="00000009" referenceDocumentName="IRS990ScheduleK">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="00000011" referenceDocumentName="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <InfoInScheduleOPartVInd>X</InfoInScheduleOPartVInd>
      <IRPDocumentCnt>153</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>1198</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>19</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>17</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>LAURIE A WHELAN</PersonNm>
        <PhoneNum>8606126309</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2150 CORBIN AVENUE</AddressLine1Txt>
          <CityNm>NEW BRITAIN</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>060532266</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE R CHACE ESQ</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GERALDINE DEVERS</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT DODENHOFF MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULETTE FOX</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL GENOVESI MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSEMARY HATHAWAY PHD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID J KELLY</PersonNm>
        <TitleTxt>Vice Chairman</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C KING ESQ</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH G LAFFIN CCP</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT LEIGNER</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGIAN F LUSSIER MSOB</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MAHONEY CPA</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELO MESSINA</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEE D NORDSTROM</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN RICCI</PersonNm>
        <TitleTxt>President and CEO, Hospital For Special Care</TitleTxt>
        <AverageHoursPerWeekRt>31</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>291937</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>47060</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53421</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON SANTAMARIA</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM E SCHUCH CPA</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN J VOTTO DO</PersonNm>
        <TitleTxt>President and CEO Center of Special Care</TitleTxt>
        <AverageHoursPerWeekRt>37</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>711567</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>11164</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>110152</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL SCALISE MD</PersonNm>
        <TitleTxt>Exec VP Med. Affairs &amp; Chief Medical</TitleTxt>
        <AverageHoursPerWeekRt>44</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>430370</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>67480</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE ANN WHELAN</PersonNm>
        <TitleTxt>Senior VP Finance, CFO &amp; Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>36</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>293668</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>17097</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FELICIA DEDOMINICIS</PersonNm>
        <TitleTxt>Senior VP of Legal Affairs/Chief Legal Officer</TitleTxt>
        <AverageHoursPerWeekRt>33</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>241425</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>17192</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50983</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY MARTONE</PersonNm>
        <TitleTxt>VP. Human Resources</TitleTxt>
        <AverageHoursPerWeekRt>39</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168418</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>7298</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD CYR</PersonNm>
        <TitleTxt>VP Facilities &amp; Hospitality Services</TitleTxt>
        <AverageHoursPerWeekRt>39</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>177637</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>17705</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICTORIA GOLAB</PersonNm>
        <TitleTxt>VP Nursing</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>170269</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>21627</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON JAKUBOWSKI</PersonNm>
        <TitleTxt>VP External Relations</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>156395</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>24866</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4250870</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>92513</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>625673</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>69</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Allscripts Healthcare LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>LockBox 077133</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19171</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFO TECH services and equipment</ServicesDesc>
        <CompensationAmt>744409</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Mason Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>23 Amity Rd</AddressLine1Txt>
            <CityNm>Bethany</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06524</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Marketing</ServicesDesc>
        <CompensationAmt>377474</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>The Hospital of Central CT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 Grand St</AddressLine1Txt>
            <CityNm>New Britain</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06050</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Laboratory and Radiology Services</ServicesDesc>
        <CompensationAmt>1280579</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Saint Francis Hospital</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>114 Woodland St</AddressLine1Txt>
            <CityNm>Hartford</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Lease and Purchased Services</ServicesDesc>
        <CompensationAmt>607388</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>First Choice Professionals</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6501 East Greenway PRKWY</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting Services</ServicesDesc>
        <CompensationAmt>579608</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>451794</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>1328319</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>436599</AllOtherContributionsAmt>
      <TotalContributionsAmt>2216712</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service revenue</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>163415405</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Fees</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>364525</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>163779930</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1071271</TotalRevenueColumnAmt>
        <ExclusionAmt>1071271</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>1195</TotalRevenueColumnAmt>
        <ExclusionAmt>1195</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>184812</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>184812</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>184812</TotalRevenueColumnAmt>
        <ExclusionAmt>184812</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Daycare Services</Desc>
        <BusinessCd>624410</BusinessCd>
        <TotalRevenueColumnAmt>640592</TotalRevenueColumnAmt>
        <ExclusionAmt>640592</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Cafeteria Sales</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>224065</TotalRevenueColumnAmt>
        <ExclusionAmt>224065</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Professional Services</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>9480</TotalRevenueColumnAmt>
        <ExclusionAmt>9480</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>635984</TotalRevenueColumnAmt>
        <ExclusionAmt>635984</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1510121</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>168764041</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>163779930</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2767399</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>8750</TotalAmt>
        <ProgramServicesAmt>8750</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3361555</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3361555</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>52856920</TotalAmt>
        <ProgramServicesAmt>45885133</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6971787</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>527551</TotalAmt>
        <ProgramServicesAmt>435959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91592</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>9403005</TotalAmt>
        <ProgramServicesAmt>8164623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1238382</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>3943097</TotalAmt>
        <ProgramServicesAmt>3258507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>684590</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>243883</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>243883</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>142918</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142918</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>50453</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50453</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4314013</TotalAmt>
        <ProgramServicesAmt>3118208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1195805</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>366204</TotalAmt>
        <ProgramServicesAmt>366204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>7779699</TotalAmt>
        <ProgramServicesAmt>5335147</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2444552</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>130479</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130479</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1348232</TotalAmt>
        <ProgramServicesAmt>1273847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74385</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>136421</TotalAmt>
        <ProgramServicesAmt>117144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19277</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>249747</TotalAmt>
        <ProgramServicesAmt>125856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123891</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>2110142</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2110142</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3806284</TotalAmt>
        <ProgramServicesAmt>3425656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>380628</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>516198</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>516198</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Contractual Adjustments</Desc>
        <TotalAmt>70245261</TotalAmt>
        <ProgramServicesAmt>70245261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Pharmacy</Desc>
        <TotalAmt>2578079</TotalAmt>
        <ProgramServicesAmt>2578079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical/Surgical NONCH</Desc>
        <TotalAmt>600417</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>600417</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Misc Expenses</Desc>
        <TotalAmt>834608</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>834608</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>165553916</TotalAmt>
        <ProgramServicesAmt>144338374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21215542</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <InfoInScheduleOPartXInd>X</InfoInScheduleOPartXInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>2742400</BOYAmt>
        <EOYAmt>413543</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>14725832</BOYAmt>
        <EOYAmt>13417007</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>548990</BOYAmt>
        <EOYAmt>567248</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2506034</BOYAmt>
        <EOYAmt>2292600</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>112448902</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>62485607</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>49889465</BOYAmt>
        <EOYAmt>49963295</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>48559830</BOYAmt>
        <EOYAmt>51212837</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>22527431</BOYAmt>
        <EOYAmt>23228620</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>141499982</BOYAmt>
        <EOYAmt>141095150</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>19930989</BOYAmt>
        <EOYAmt>18766437</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>146849</BOYAmt>
        <EOYAmt>96868</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>51435000</BOYAmt>
        <EOYAmt>50470000</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2450580</BOYAmt>
        <EOYAmt>3238319</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>73963418</BOYAmt>
        <EOYAmt>72571624</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>65863689</BOYAmt>
        <EOYAmt>66625470</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>1229245</BOYAmt>
        <EOYAmt>1434109</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>443630</BOYAmt>
        <EOYAmt>463947</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>67536564</BOYAmt>
        <EOYAmt>68523526</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>141499982</BOYAmt>
        <EOYAmt>141095150</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3210125</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-1398514</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-824649</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="15000272">
      <HospitalInd>X</HospitalInd>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <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>
    <IRS990ScheduleC documentId="00000004">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>138417</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>138417</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>144384236</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>144522653</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>274556</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>226983</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>122817</CurrentYearMinus1Amt>
        <CurrentYearAmt>138417</CurrentYearAmt>
        <TotalAmt>762773</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="00000005" softwareId="15000272">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>3533135</BeginningYearBalanceAmt>
        <ContributionsAmt>485059</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-76244</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>8750</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>424036</OtherExpendituresAmt>
        <EndYearBalanceAmt>3509164</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3023022</BeginningYearBalanceAmt>
        <ContributionsAmt>587874</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>207596</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>7500</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>277857</OtherExpendituresAmt>
        <EndYearBalanceAmt>3533135</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7641397</BeginningYearBalanceAmt>
        <ContributionsAmt>688610</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>424280</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>6000</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>5725265</OtherExpendituresAmt>
        <EndYearBalanceAmt>3023022</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7205185</BeginningYearBalanceAmt>
        <ContributionsAmt>467933</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>373757</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>10000</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>395478</OtherExpendituresAmt>
        <EndYearBalanceAmt>7641397</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5173186</BeginningYearBalanceAmt>
        <ContributionsAmt>2097219</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>93071</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>2500</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>147354</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>8437</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>7205185</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.46000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.13000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.41000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>401344</OtherCostOrOtherBasisAmt>
        <BookValueAmt>401344</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>67674091</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>32197125</DepreciationAmt>
        <BookValueAmt>35476966</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>668051</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>334847</DepreciationAmt>
        <BookValueAmt>333204</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>40085967</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27468358</DepreciationAmt>
        <BookValueAmt>12617609</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3619449</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2485277</DepreciationAmt>
        <BookValueAmt>1134172</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>49963295</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Due From Affliates</Desc>
        <BookValueAmt>-476</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Prepaid Sinking Fund</Desc>
        <BookValueAmt>1514249</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Debt Service Fund</Desc>
        <BookValueAmt>7282856</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Debt Obligations issuance expense</Desc>
        <BookValueAmt>2219604</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Insurance Funds</Desc>
        <BookValueAmt>1253540</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Interest in Foundation</Desc>
        <BookValueAmt>5223001</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Assets</Desc>
        <BookValueAmt>5735846</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>23228620</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Third Party Payors</Desc>
        <Amt>2637780</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other LIabilities</Desc>
        <Amt>600539</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3238319</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>96530621</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1398514</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-70833711</OtherRevenueAmt>
      <RevenueNotReportedAmt>-72232225</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>168762846</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>168762846</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>95543655</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>95543655</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>70010261</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>70010261</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>165553916</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Equity Interest in Affliates 79,981</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual Allowances -70,085,472</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity transfers among affiliates -828,220</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual Allowance 70,010,261</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organzation holds funds belonging to The Hospital For Special Care to fund future facility maintenance, purchase needed facility equipment, purchase equipment and services for patient care, fund lecture, research, and education, and improve the quality of life for our patients. Additionally, funds are held for HSC community Services, Inc. to fund sports teams and fitness programs for disabled athletes. Support dental care for the underinsured and uninsured children of New Britain, fund iniatives to improve the quality of life for skilled nursing facility patients and support the general operations of HSC Community Services, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="00000006" softwareId="15000272">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>280.00000</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>false</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>65540255</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>66756554</DirectOffsettingRevenueAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>65540255</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>66756554</DirectOffsettingRevenueAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>54409</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>54409</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>587409</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>587409</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00620</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>958229</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>518192</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>440037</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00270</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>168054</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>168054</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>1768101</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>518192</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1249909</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01020</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>67308356</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>67274746</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1249909</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01020</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>240</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>240</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>240</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>240</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>235000</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>9553958</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>10294212</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-740254</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Hospital For Special Care</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2150 Corbin Ave</AddressLine1Txt>
          <CityNm>New Britain</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06053</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <OtherDesc>Long Term Acute Care Fac</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Hospital For Special Care</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>true</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.hfsc.org</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.hfsc.org</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>1.00000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>2.80000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>www.hfsc.org</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>www.hfsc.org</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>www.hfsc.org</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Hospital For Special Care Pt V Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNA COMPRISED OF BOTH QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS:THE CHNA COLLECTED BOTH QUANTITATIVE AND QUALITATIVE DATA. THE HSC "COMMUNITY" WAS DEFINED AS INDIVIDUALS LIVING WITH CHRONIC CONDITIONS OR PHYSICAL DISABILITIES, STATEWIDE. QUANTITATIVERESEARCH/RESOURCESRESEARCH RETURNED SOME VERY USEFUL DATA, BUT THERE ARE GAPS IN DATA COLLECTION REGARDING SEVERAL OF THE CHALLENGES FACED BY INDIVIDUALS LIVING WITH CHRONIC CONDITIONS OR PHYSICAL DISABILITIES. PRIMARY SOURCES OF DATA INCLUDED:UNITED STATES CENSUS BUREAUSTATE OF CONNECTICUTDATAHAVEN (NEW HAVEN, CT)AMERICAN LUNG ASSOCIATIONNATIONAL CANCER INSTITUTECENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)THE HENRY J. KAISER FAMILY FOUNDATION (KAISER FAMILY FOUNDATION)NATIONAL COUNCIL ON DISABILITY (NCD)UNITED HEALTH FOUNDATIONNATIONAL COALITION AGAINST DOMESTIC VIOLENCE (NCADV)COMMUNITY MEMBER SURVEYAN IMPORTANT COMPONENT OF THE CHNA IS THE DATA PROVIDED BY COMMUNITY MEMBERS. HSC CREATED AN ONLINE SURVEY, USING TYPICAL QUESTIONS POSED ON PAST HEALTH NEEDS SURVEYS, WITH ADDED QUESTIONS SPECIFIC TO OUR TARGETED POPULATION. TELEPHONE SURVEYS AND PAPER SURVEYS WERE OFFERED AS ALTERNATIVES TO THE ON-LINE SURVEY. THE SURVEY WAS DISTRIBUTED WIDELY THROUGHOUT THE STATE:MAILINGS, BOTH EMAIL AND POSTAL MAIL, TO 823 PARTICIPANTS IN HSC PROGRAMS INCLUDING DENTAL SERVICES, AQUATIC FITNESS CENTER MEMBERS, THERAPEUTIC HORSEBACK RIDING, INCLUSIVE RECREATION, AND VOLUNTEERS. PAPER SURVEYS AND THE LINK TO THE ONLINE SURVEY WERE AVAILABLE IN OUTPATIENT SERVICE WAITING AREASPAPER SURVEYS AND THE LINK TO THE ONLINE SURVEY WERE DISTRIBUTED AT SEVEN HSC SUPPORT GROUP MEETINGSSOCIAL MEDIA POSTINGS ON HSC SITES. THESE POSTS WERE SHARED BY ORGANIZATIONS AND INDIVIDUALS FAMILIAR WITH HSC. INITIAL POSTS REACHED 674 PEOPLE ON TWITTER AND 1,114 ON FACEBOOK. THE FACEBOOK POST WAS BOOSTED, RESULTING IN 11,500 INDIVIDUALS REACHED.COLLABORATIVE ORGANIZATIONS (SPINAL CORD INJURY ASSOCIATION-CT, BRAIN INJURY ALLIANCECT, AUTISM FAMILIES CONNECTICUT, MUSCULAR DYSTROPHY ASSOCIATION-CT, ALS ASSOCIATION-CT) USED EMAIL, SOCIAL MEDIA, AND NEWSLETTERS TO ASK MEMBERS TO COMPLETE HSC SURVEYS.QUALITATIVEKEY INFORMANT SURVEY A SECOND COMPONENT OF THE CHNA IS DATA COLLECTED FROM ORGANIZATIONS ACROSS THE STATE THAT REPRESENT UNDERSERVED GROUPS AND SERVE OUR COMMUNITY MEMBERS. HSC REGULARLY WORKS WITH FACILITIES, ORGANIZATIONS AND ASSOCIATIONS THAT SUPPORT OUR COMMUNITY. "AN ONLINE KEY INFORMANT SURVEY WAS DISTRIBUTED TO 73 INDIVIDUALS ACROSS 56 ORGANIZATIONS, ASKING EACH TO EXPLAIN THE PRIORITY HEALTH NEEDS OF INDIVIDUALS SERVED BY THEIR ORGANIZATION. THOSE CONTACTED INCLUDED ACUTE CARE HOSPITALS, STATE DEPARTMENTS, COMMUNITY-BASED HUMAN SERVICES AGENCIES, NOT FOR-PROFIT ORGANIZATIONS AND ADVOCATES REPRESENTING INDIVIDUALS WITHIN HSC'S COMMUNITY. PUBLIC HEALTH AND HEALTHCARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE POPULATIONS THEY SERVE, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. "A LINKEDIN POST WAS ALSO USED TO REACH KEY INFORMANTS. THE POST WAS SEEN BY OVER A THOUSAND PEOPLE, ALTHOUGH IT IS NOT POSSIBLE TO DETERMINE HOW MANY WERE KEY INFORMANTS WORKING IN CONNECTICUT.ORGANIZATIONS ON KEY INFORMANT LISTADVANCED PHYSICAL THERAPYAETNA: PRODUCT STRATEGY &amp; INSIGHTSALS ASSOCIATION - CTAMERICAN LUNG ASSOCIATION-CTANDREW HOUSE HEALTH CAREAUTISM FAMILIES CONNECTICUTBERLIN MOSQUEBILLINGS FORGE COMMUNITY WORKSBRAIN INJURY ALLIANCE OF CTBRISTOL HOSPITALCCARCCOGINCHAUG REGIONAL HIGH SCHOOLCOMMUNITY HEALTH CENTERS (MIDDLETOWN, NEW BRITAIN, NEW LONDON, OTHER LOCATIONS)CONNECTICUT INTERSCHOLASTIC ATHLETIC CONFERENCECORPORATION FOR INDEPENDENT LIVINGCT SOCIETY FOR RESPIRATORY CARECW RESOURCESDENTIST, PRIVATE PRACTICE, KENSINGTONGORZOCH ASSOCIATESGROVE HILL MEDICAL CENTER (STARLING PHYSICIANS)HANGER PROSTHETICSHARTFORD BEHAVIORAL HEALTHHARTFORD HEALTHCARE REHABILITATION NETWORKHARTFORD HOSPITALHARTFORD NEIGHBORHOOD CENTERS, INC.HARVEST DEVELOPMENT GROUPHISPANIC HEALTH COUNCILHOSPITAL OF CENTRAL CTJOURNEY FOUND, INC.KEEPMEHOME, LLCLEADINGAGE CONNECTICUTMIDSTATE MEDICAL CENTERMONEY FOLLOWS THE PERSONMUSCULAR DYSTROPHY ASSOCIATION-CTNEIGHBORHOOD HOUSING SERVICES OF NEW BRITAINNEW BRITAIN BOARD OF EDUCATIONNEW BRITAIN EMSNEW BRITAIN HEALTH DEPARTMENTNEW BRITAIN HOUSING AUTHORITYOPPORTUNITIES INDUSTRIALIZATION CENTER OF NEW BRITAINPATHWAYS SENDEROSPATIENT ADVOCATE FOR YOUSAINT FRANCIS HOSPITAL AND MEDICAL CENTERSCHOOL STREET APARTMENTS WELLNESS CENTERSEABURY RETIREMENT COMMUNITYSMALL MIRACLES NATURAL HEALTH CENTERSPINAL CORD INJURY ASSOCIATION-CTTHE EDWARD &amp; MARY LORD FAMILY HEALTH CENTERUNITED COMMUNITY AND FAMILY SERVICES, THE EDWARD &amp; MARY LORD FAMILY HEALTH CENTERUNIVERSITY OF CONNECTICUT, HARTFORD CAMPUSUNIVERSITY OF SAINT JOSEPHWHEELER CLINICWOMEN'S HEALTH USAYWCA OF NEW BRITAINBECAUSE THE SURVEY WAS ANONYMOUS, WE CANNOT CONFIRM EXACTLY WHICH ORGANIZATIONS RESPONDED, HOWEVER, THE DEMOGRAPHIC DATA COLLECTED REFLECTS A WIDE VARIETY OF ORGANIZATIONS REPRESENTING HEALTHCARE, PUBLIC HEALTH, MENTAL/BEHAVIORAL HEALTH, NOT-FOR-PROFIT, GOVERNMENT, AND OTHER SERVICE GROUPS. COMMUNITY HEALTH NEEDS FORUM AND EXCHANGE (SEPTEMBER 13, 2016)WITH THE HOSPITAL OF CENTRAL CONNECTICUT AND THE COMMUNITY FOUNDATION OF GREATER NEW BRITAIN, HSC OFFERED A FORUM FOR HEALTH AND HUMAN SERVICES PROVIDERS. THE THREE HOSTS REVIEWED THE RESULTS OF THEIR RECENT HEALTH AND WELL-BEING ASSESSMENTS. REPRESENTATIVES FROM A VARIETY OF ORGANIZATIONS OFFERED UPDATES ON THEIR PROGRAMS TARGETING THESE HEALTH NEEDS. THE GROUP EXPRESSED INTEREST IN ONGOING COMMUNICATION SO NEEDS MAY BE ADDRESSED IN COLLABORATIVE EFFORTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Hospital For Special Care Pt V Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IDENTIFIED SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED, AND HSC IS ADDRESSING THESE NEEDS WITH AN IMPLEMENTATION STRATEGY CREATED AFTER THE CHNA WAS ACCEPTED BY THE BOARD IN MARCH 2016. THE IMPLEMENTATION STRATEGY WAS ACCEPTED BY THE BOARD IN JULY 2016, AND PROJECTS HAVE BEGUN.SOME IDENTIFIED HEALTH NEEDS ARE BEYOND OF THE SCOPE OF SERVICES OFFERED AT HSC, A LONG TERM ACUTE CARE HOSPITAL (LTACH). THESE INCLUDE MENTAL HEALTH, SUBSTANCE ABUSE, WEIGHT LOSS AND HEALTHY FOOD CHOICE PROGRAMS. HSC PATIENTS AND PROGRAM PARTICIPANTS IN NEED OF SUCH SERVICES ARE REFERRED TO EXISTING COMMUNITY SERVICES WITH EXPERTISE IN THESE AREAS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Unreimbursed Medicaid Cost: Our cost was based on using worksheet 2 cost to charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7 col(f)</FormAndLineReferenceDesc>
        <ExplanationTxt>Percent of Total Expense: The percentage was calculated using PartIX, Line 25, Column (A) total expenses divided by the net community benefit expense Line 7 column (E)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT BASED ON EXPERIENCES WITH THE TRAGEDIES SUCH AS THE TERRORIST ATTACKS ON THE U.S. THAT OCCURED 9-11-01 AND HURRICANE KATRINA, THE GOVERNMENT IDENTIFIED THAT HOSPITALS WERE A VITAL ELEMENT OF THE EMERGENCY RESPONSE BUT HAD NOT BEEN A PRIORITY IN REGARD TI TRAINING AND USE OF THE NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS. IN ORDER TO ASSURE A COORDINATED EMERGENCY MANAGEMENT RESPONS, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ESTABLISHED A HO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL FOR SPECIAL CARE (HSC) IS A MEMBER OF THE REGIONAL EMERGENCY SUPPORT PLAN, DESIGNATED AS A MEMBER OF EMERGENCY FUNCTION 8 ALONG WITH ALL AREA ACUTE CARE, LONG TERM CARE, MEDICAL OFFICES, COMMUNTIY HEALTH SERVICES AND MEDICAL EMERGENCY RESPONSE ENTITIES. IN TOTAL, THERE ARE 20 EMERGENCY FUNCTIONS THAT ARE A PART OF THE REGIONAL EMERGENCY SUPPORT PLAN THAT INCLUDES TRANSPORTATION, PUBLIC WORKS, ENGINEERING AND FIREFIGHTING FOR EXAMPLE. REGIONAL ESF 8 MEMBERS MEET QUARTERLY, COORDINATED BY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>HSC IS LOCATED IN THE HHS-DESIGNATED REGION 3 AND IS ALSO A MEMBER OF THE CAPITOL REGION EMERGENCY PLANNING COMMITTEE THAT MEETS MONTHLY TO ALLOW EFFECTIVE PLANNING AMONG THE ESP 8 MEMBERS IN THE CAPITOL REGION, HSC IS ALSO ACTIVE IN THE LOCAL ESF 8 THAT INCLUDES ESF8 MEMBERS FROM NEW BRITAIN AND SOUTHINGTON. EDUCATION AND DRILLS ARE ESSENTIAL COMPONENTS TO TEST OUR ORGANIZATIONAL ABILITY TO RESPOND TO EMERGENCY SITUATIONS. AT A MINIMUM TWICE A YEAR DRILLS INVOLVING OUR COMMUNITY, STATE AND/OR R</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKFORCE DEVELOPMENT: THE NEW BRITAIN ACADEMY FOR HEALTH PROFESSIONS (HEALTH ACADEMY) WAS ESTABLISHED DECEMBER 7, 2009. THE HEALTH ACADEMY EDUCATES AND PREPARES HIGH SCHOOL STUDENTS FOR CAREERS IN THE HEALTHCARE SERVICE INDUSTRY IN NEW BRITAIN AND IS COLLABORATIVE EFFORT BETWEEN THE BUSINESS COMMUNITY, THE CONSOLIDATED SCHOOL DISTRICT OF NEW BRITAIN AND NEW BRITAIN'S TWO HOSPITALS, HOSPITAL FOR SPECIAL CARE AND THE HOSPITAL OF CENTRAL CONNECTICUT. THE COMPREHENSIVE CURRICULUM PROVIDES STUDENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable are considered delinquent and written off when all attempts to collect from individuals or other Payor sources have been exhausted. As described in note 1 Summary of Significant Accounting Policies on page 7 of the audited financial statement. It is also the Hospital's practice ro review patient accounts regularly and reserve for any potential bad debts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization uses a cost to charge ration as reported on the Medicare Cost Report to determine Medicare costs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>Collection Policies are the same for all patients. Our Hospital does not pursue collection of amounts from patients determined to qualify for Charity Care. Our policy provides that we will not refer any accounts for collection until we can determine whether the individual is insured and therefore not eligible for financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients are notified that financial assistance is available at the time of registration. A statement is included on the financial disclosure paperwork which is completed at the time of admission and on each patient bill and subsequent statement. Financial counseling appointments are available upon request and interpreter services are available for patients needing information in languages other than English. The Hospital's charity care program is also available on the Hospital's website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL FOR SPECIAL CARE(HSC) IS LICENSED BY THE STATE OF CONNECTICUT AS A CHRONIC-DISEASE HOSPITAL AND CERTIFIED BY MEDICARE AS A LONG TERM ACUTE CARE HOSPITAL. UNLIKE ACUTE CARE FACILITIES THAT SERVE THEIR SURROUNDING TOWNS, HSC PATIENTS ARE ADMITTED FROM THROUGHOUT CONNECTICUT AND SOUTHERN NEW ENGLAND. HOSPITAL FOR SPECIAL CARE IS THE ONLY LONG TERM ACUTE CARE HOSPITAL IN THE COUNTRY THAT PROVIDES A CONTINUUM OF CARE FROM PEDIATRICS THROUGH ADULTHOOD. IT IS NATIONALLY RENOWNED FOR TREATMENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN STRATEGIC PLANNING FOR THE HOSPITAL AND ITS SISTER ENTITIES IN FUNDRAISING AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVLEDGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNTIY. THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN AND EXPAND ACCES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S SOLE CORPORATE MEMBER IS THE CENTER OF SPECIAL CARE, INC. A 501(C)(3) CORPORATION (THE "CENTER"). THE CENTER PROVIDES GOVERNANCE OVERSIGHT AND STRATEGIC PLANNING FOR ITS SEVERAL WHOLLY OWNED SUBSIDIARIES. THESE SUBSIDIARIES INCLUDE THE HOSPITAL, AND ITS SISTER ENTITIES, HSC COMMUNITY SERVICES, INC. AND HOSPITAL FOR SPECIAL CARE FOUNDATION, INC. ALL OF THESE ENTITIES ARE 501(C)(3) CORPORATIONS WHOSE COLLECTIVE FOCUS IS TO PROVIDE EXEMPLARY CARE THAT ASSISTS PATIENTS AND THEIR FAMIL</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="00000007" softwareId="15000272">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Scholarship</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>8750</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Scholarship Funds are distributed directly to the institution which the recipient attends</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="00000008">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <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>LYNN RICCI</PersonNm>
        <BaseCompensationFilingOrgAmt>291193</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>47060</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>744</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>41566</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6970</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4439</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>446</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>337942</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>54476</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN J VOTTO DO</PersonNm>
        <BaseCompensationFilingOrgAmt>710775</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>11164</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>792</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>83743</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1364</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24707</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>338</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>820017</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>12866</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL SCALISE MD</PersonNm>
        <BaseCompensationFilingOrgAmt>429854</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>516</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>41771</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25708</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>497849</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURIE ANN WHELAN</PersonNm>
        <BaseCompensationFilingOrgAmt>293488</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>17097</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>180</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23644</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1508</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14933</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>738</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>332245</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>19343</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FELICIA DEDOMINICIS</PersonNm>
        <BaseCompensationFilingOrgAmt>241149</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>17192</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>276</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25502</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2083</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22092</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1306</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>289019</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>20581</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY MARTONE</PersonNm>
        <BaseCompensationFilingOrgAmt>168418</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>665</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6634</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>175717</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD CYR</PersonNm>
        <BaseCompensationFilingOrgAmt>176845</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>792</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2920</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14786</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>195343</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICTORIA GOLAB</PersonNm>
        <BaseCompensationFilingOrgAmt>161827</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8180</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>262</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2850</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18777</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>191896</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON JAKUBOWSKI</PersonNm>
        <BaseCompensationFilingOrgAmt>156181</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>214</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1820</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23046</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181261</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STANISLAW JANKOWSKI</PersonNm>
        <BaseCompensationFilingOrgAmt>185323</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7715</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1700</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1888</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13944</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210570</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENDA NURSE MD</PersonNm>
        <BaseCompensationFilingOrgAmt>279252</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>792</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3959</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1776</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>285779</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM PESCE MD</PersonNm>
        <BaseCompensationFilingOrgAmt>289680</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>276</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3832</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20845</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>314633</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES WHITAKER</PersonNm>
        <BaseCompensationFilingOrgAmt>216548</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>276</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1972</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15653</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>234449</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN H PELEGANO</PersonNm>
        <BaseCompensationFilingOrgAmt>240119</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>731</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>792</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3195</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21418</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>266255</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS SOLTIS MD</PersonNm>
        <BaseCompensationFilingOrgAmt>242980</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>516</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2669</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19419</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>265584</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain officers and highly paid employees are enrolled in a non qualified benefit plan. Payments to the plan were as follows John Votto $80,817,Laurie Whelan $21,973, Felicia Dedominicis $25,602, Lynn Ricci $46,353, Paul Scalise $30,818</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="00000009" softwareId="15000272">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Connecticut Health and education Facilities Author</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>060806186</BondIssuerEIN>
        <CUSIPNum>20774UNN1</CUSIPNum>
        <BondIssuedDt>2007-06-26</BondIssuedDt>
        <IssuePriceAmt>47786346</IssuePriceAmt>
        <PurposeDesc>To refund a portion of a prior</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Connecticut Health and education Facilities Author</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>060806186</BondIssuerEIN>
        <CUSIPNum>20774U4T9</CUSIPNum>
        <BondIssuedDt>2010-07-18</BondIssuedDt>
        <IssuePriceAmt>11098250</IssuePriceAmt>
        <PurposeDesc>To refund a portion of a prior</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>3108035</TotalProceedsAmt>
        <InReserveFundAmt>3108035</InReserveFundAmt>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>11098250</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>206371</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>256155</CreditEnhancementAmt>
        <OtherSpentProceedsAmt>6169513</OtherSpentProceedsAmt>
        <UnspentAmt>4466211</UnspentAmt>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00380</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00380</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00380</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00380</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</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>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</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>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="00000010" softwareId="15000272">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization provides the 990 to the Finance Committee of the Board of Directors for an independent review. Any questions or concerns are addressed prior to the 990 being filed. Prior to filing, a copy of the completed 990 is provided to the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center of Special Care, Inc. is the parent and sole member of the Hospital For Special Care. As such, it approves the appointment of all new members of the Hospital's Board</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center of Special Care, Inc. is the parent and sole member of the Hospital For Special Care. As such, it has final approval over all strategic and Financial Decisions of the made by the Hospitals Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization requires all officers, directors, managers, and other key employees to complete a conflict of interest statement annually. Every year the statement is presented to those individuals required to complete the form and completion of the form is monitored to ensure compliance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for determining the compensation for the organization's CEO, Officers, and key employees is as follows. The organization utilizes a compensation committee consisting entirely of independent members of the Board of Director. Annually, the committee is given recommendations from an independent consultant regarding the compensation of those employees indentified above. The committee has the sole discretion to accept or revise the recommendations of the consultant in setting the compensation of the previously identified employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its financial statements and other operating data available to the general public in its required continuing disclosure on its outstanding municipal debt. These filings have been made to the nationally recognized municpal securities information repositories as mandated by the SEC. All of these filings have been available to the general public for review. In addition, the organization makes its governing documents and conflict of interest policies available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>In December of 2015 the Hospital opened an eight bed Autism Inpatient unit. The Autism In-patient Unit is established to reduce instances of Emergency Room visits for individuals ages 10 to 21 experiencing the most acute and complex Autism Spectrum Disorder (ASD) and co-occurring psychiatric disorders.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for determinig the compensation for the organization's CEO, Officers, and key employees is as follows. The organization utilizes a compensation committee consisting entirely of independent members of the Board of Director. Annually, the committee is given recommendations from an idependent consultant regarding the compensation of those employees indentified above. The committee has the sole discretion to accept or revise the recommendations of the consultant in setting the compensation of the previously identified employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL FOR SPECIAL CARE'S SOLE MEMBER IS THE CENTER OF SPEACIAL CARE, INC. CENTER OF SPECIAL CARE, INC. IS THE PARENT ORGANIZATION OF HOSPITAL FOR HOSPITAL FOR SPECIAL CARE, SPECIAL CARE AND ALL ITS RELATED SUBSIDIARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES THE 990 TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR AN INDEPENDENT REVIEW. ANY QUESTIONS OR CONCERNS ARE ADDRESSED PRIOR TO THE 990 BEING FILED. PRIOR TO FILING, A COPY OF THE COMPLETED IS PROVIDED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 9 change in Equity to affliates</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTPATIENT REHABILITATION SERVICES: INCLUDE MULTIDISCIPLINARY SERVICES TO MEET THE NEEDS 10847502. 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>DESIGNED TO CONSIDER ALL OF THE VARIABLES THAT AFFECT A PATIENT'S ABILITY TO MEET HIS/HER 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTER WITH THE LATEST CARDIOVASCULAR AND STRENGTH TRAINING EQUIPMENT. 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>UCHC0-HSC MUSCLE &amp; NERVE BIOPSY SERVICE, REHABILITATION SERVICES 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>ALSO OFFERS OUTPATIENT PULMONARY REHABILITATION PROGRAM IT HELP PERSONS 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>MODERATE TO VERY SEVERE COPD(CHRONIC OBSTRUCTIVE PULMONARY DISEASE) 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>INVOLVED IN THE LIFE OF THE CHILD. THESE SERVICES MAY BE CONTRACTED 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>THERAPY PROGRAMS FEATURE THE LEE SILVERMAN VOICE TREATMENT 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRESSIVE RESISTANCE TRAINING TO IMPROVE TONGUE STRENGTH 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>INPATIENT CARE: SATELLITE UNIT/HARTFORD LOCATION IS A 23-BED UNIT 13378999. 0. 16714603.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCEDURES, BUT WHO CONTINUE TO REQUIRE 24-HR NURSING 0. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>INPATIENT SERVICES: IN FY 2016 HSC OPENED AN 8 BED INPATIENT 711457. 0. 568259.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000011" softwareId="15000272">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hospital For Special Care Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2150 Corbin Ave</AddressLine1Txt>
          <CityNm>New Britain</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06053</ZIPCd>
        </USAddress>
        <EIN>061534092</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 11B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Center of Special Care Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2150 Corbin Avenue</AddressLine1Txt>
          <CityNm>New Britain</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06053</ZIPCd>
        </USAddress>
        <EIN>061464177</EIN>
        <PrimaryActivitiesTxt>PARENT ENTITY FOR HOSPITAL AND AFFLILIATES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 11B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HSC Community Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2150 Corbin Avenue</AddressLine1Txt>
          <CityNm>New Britain</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06053</ZIPCd>
        </USAddress>
        <EIN>061464179</EIN>
        <PrimaryActivitiesTxt>COMMUNITY SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CSI Residential Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2150 Corbin Avenue</AddressLine1Txt>
          <CityNm>New Britain</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06053</ZIPCd>
        </USAddress>
        <EIN>311584385</EIN>
        <PrimaryActivitiesTxt>HOUSING FOR THE DISABLED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Manes and Motions Therapeutic Riding Center Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2150 Corbin Ave</AddressLine1Txt>
          <CityNm>New Britain</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06053</ZIPCd>
        </USAddress>
        <EIN>061550599</EIN>
        <PrimaryActivitiesTxt>THERAPEUTIC HORSEBACK RIDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</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>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hospital For Special Care Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>584881</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount Transfered</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Manes and Motions Therapeutic Riding Center Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>110856</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hospital For Special Care Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>297969</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hospital For Special Care Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>456973</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HSC Community Services Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>260372</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Salary Allocation</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hospital For Special Care Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>400501</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Manes and Motions Therapeutic Riding Center Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>230721</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hospital For Special Care Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>222842</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hospital For Special Care Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>89658</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>