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      <TotalLiabNetAssetsFundBalances>
        <BOY>3891995</BOY>
        <EOY>4215793</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
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        <CurrentTaxYearMinus1Year>193400</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>166415</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>13260222</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13539134</CurrentTaxYear>
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      <Total509>
        <CurrentTaxYearMinus4Years>13979549</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15667645</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12021690</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13453622</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13705549</CurrentTaxYear>
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      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
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      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus3Years>1612</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus1Year>2111</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>268</CurrentTaxYear>
        <Total>4701</Total>
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        <CurrentTaxYear>268</CurrentTaxYear>
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        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <Depreciation>256492</Depreciation>
        <BookValue>198812</BookValue>
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      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1835969</OtherCostOrOtherBasis>
        <Depreciation>1161571</Depreciation>
        <BookValue>674398</BookValue>
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      <OtherAssets>
        <Description>assets limited as to use</Description>
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      <OtherAssets>
        <Description>due from related parties</Description>
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        <Description>due to related parties</Description>
        <Amount>353705</Amount>
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      <TotalAdjustments>-479138</TotalAdjustments>
      <ExcessOrDeficitPerFS>8521</ExcessOrDeficitPerFS>
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      <RevenueNotRptdOnFinStmt>28873</RevenueNotRptdOnFinStmt>
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        <Explanation>Net assets released from restriction: 22000. change in minimum pension liability: -501138.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>fundraising expense: 28873.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>fundraising expense: 28873.</Explanation>
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      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>1</AgreementRefFundraising>
      <FundraiserActivityInformation>
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          <BusinessNameLine1>W&amp;I Philanthropy</BusinessNameLine1>
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        <Activity>Support</Activity>
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      </FundraiserActivityInformation>
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      <TotalRetainedByContractors>19905</TotalRetainedByContractors>
      <TotalNetToOrganization>51946</TotalNetToOrganization>
      <LicensedStates>RI</LicensedStates>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
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      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>1</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
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          <BusinessNameLine1>nancy roberts</BusinessNameLine1>
        </NameBusiness>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>72560</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>47574</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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          <BusinessNameLine1>kathleen topor</BusinessNameLine1>
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        <BonusFilingOrg>37700</BonusFilingOrg>
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        <OtherCompensationFilingOrg>568</OtherCompensationFilingOrg>
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          <BusinessNameLine1>karen beauchesne</BusinessNameLine1>
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        <Explanation>bonus (system base performance) and long term incentive plan</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The Corporation shall have one Member, which shall be Care New England Health System, a Rhode Island non-profit corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Elected directors must be approved by the Member prior to taking office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>The following matters shall be reserved to the Member: (1) adoption or approval of amendments to the Corporations Articles of Incorporation or Bylaws; (2) removal of the corporations directors, provided that removal of a corporation director by the member during such directors initial term may only be made upon a recommendation of the corporation supported by a vote of two-thirds of all the corporations directors; (3) appointment and removal of the chief executive officer of the corporation after consultation with the corporations board of directors; (4) approval of the capital and operating budgets of the corporation; (5) approval of capital expenditures exceeding the capital budget of the corporation by more than $100,000 in the aggregate; (6) approval of incurrence of debt by the corporation in excess of $100,000; (7) the dissolution, merger, consolidation, transfer of substantially all the assets of, or other material business combination of the corporation with one ore more entities; (8) appointment of the independent auditors for the corporation; (9) approval of plans by the corporation for implementing the members strategic and long-range plans; (10) approval of managed care contracts for the corporation and power to impose managed care contracts that bind the corporation, provided that in determining whether to approve or impose managed care contracts, the member shall consider as relevant factors the clinical and financial reasonableness and actuarial soundness of such contracts; and provided further that the member shall not require the corporation to breach or repudiate any existing managed care contracts; (11) approval of exclusive contracts and non-compete arrangements of the corporation and the imposition of exclusive contracts and non-complete arrangements on the corporation; (12) the right to notice from the corporation of any corporation proposal to establish or terminate a major clinical program and after receipt of such notice, the right to veto such establishment or termination of a major clinical program of the corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Prior to filing, management will review a draft of the 990 with the Finance Committee (a sub-committee of the Board of Directors) and subsequent to the meeting an email with the 990 will be sent to all Board Members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>Through Care New England Internal Audit Department</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>System Outside Consultants.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>information upon request and issued during annual meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990. Part XI, line 2c.</Identifier>
        <Explanation>No change from prior year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule G, Part I, Line 2b, Column (v)</Identifier>
        <ReturnReference>Explanation of Fundraising Payments</ReturnReference>
        <Explanation>Contracted fundraiser to raise funds to support oraganization's charitable activities.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>WIH Faculty Physicians Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
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          <City>New Bedford</City>
          <State>MA</State>
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        </AddressUS>
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        <LegalDomicileState>MA</LegalDomicileState>
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        </NameOfDisregardedEntity>
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          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02906</ZIPCode>
        </AddressUS>
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        <LegalDomicileState>RI</LegalDomicileState>
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          <City>Providence</City>
          <State>RI</State>
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          <City>Warwick</City>
          <State>RI</State>
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          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
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        <LegalDomicileState>RI</LegalDomicileState>
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        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kent Hospital Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>455 Toll Gate Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
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        <PrimaryActivities>Type 1 Supporting Organization</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
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        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
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          <BusinessNameLine1>Palomar Group Inc</BusinessNameLine1>
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          <AddressLine1>300 Richmond Street 1st Floor</AddressLine1>
          <City>providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
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        <PublicCharityStatus>Line 3</PublicCharityStatus>
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        </NameOfDisregardedEntity>
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          <City>Warwick</City>
          <State>RI</State>
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        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>300 Richmond Street 1st Floor</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EIN>200222992</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>RI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>related</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Affinity Physicians LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>455 Toll Gate Road</AddressLine1>
          <City>warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>272557996</EIN>
        <PrimaryActivity>health Care</PrimaryActivity>
        <LegalDomicileState>RI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>related</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Kent County Health Services LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>455 Toll Gate Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>050427808</EIN>
        <PrimaryActivity>Health Care - PHO</PrimaryActivity>
        <LegalDomicileState>RI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Toll Gate Indemnity LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>455 Toll Gate Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>342028514</EIN>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Perinatal &amp; Gynecological Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>120 Dudley Street Level 0</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02905</ZIPCode>
        </AddressUS>
        <EIN>050435935</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>RI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Women &amp; Infants Physician Hospital Organization</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>120 Dudley Street Level 0</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02905</ZIPCode>
        </AddressUS>
        <EIN>050430731</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>RI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>W&amp;I Indemnity Ltd</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>300 Richmond Street 1st Floor</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EIN>980159342</EIN>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>healthtouch inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>70533</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>healthtouch inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>20829</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>