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        <PersonNm>MICHAEL SROCZYNSKI</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <EOYAmt>1545301</EOYAmt>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
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        <BookValueAmt>28881</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>28881</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO PROVISION FOR FEDERAL AND STATE INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS SINCE THE ASSOCIATION AND THE AFFILIATE QUALIFY AS TAX-EXEMPT ORGANIZATIONS AS PROVIDED UNDER INTERNAL REVENUE CODE (IRC) SECTIONS 501(C)(6) AND 501(C)(3), RESPECTIVELY. U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION HAS EVALUATED ITS TAX PROVISIONS AND DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2025. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES, IF APPLICABLE, AS A COMPONENT OF ADMINISTRATIVE AND GENERAL EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERESA PAIVA WEED</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>342291</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA TOMASSO</PersonNm>
        <TitleTxt>VP OF STRATEGY &amp; PUBLIC RE</TitleTxt>
        <BaseCompensationFilingOrgAmt>170015</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24913</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9746</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10555</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215229</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOWARD DULUDE - INTERIM PRES</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9273</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>411</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195004</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>HARI'S FORMER PRESIDENT, TERESA PAIVA WEED, WAS PAID SEVERANCE COMPENSATION OF $95,315 IN CALENDAR YEAR 2024.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP ON THE EXECUTIVE COUNCIL CONSISTS OF THE BOARD CHAIR, VICE CHAIR, IMMEDIATE PAST CHAIR AND FOUR HOSPITAL MEMBERS ELECTED ANNUALLY BY THE BOARD UPON NOMINATION OF THE NOMINATING COMMITTEE, ALL OF WHICH ARE ON THE GOVERNING BODY. THE EXECUTIVE COUNCIL RECOMMENDS POLICIES TO THE BOARD OF TRUSTEES AND PERFORMS SUCH FUNCTIONS AS ARE DELEGATED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT OF MASSACHUSETTS HEALTH AND HOSPITAL ASSOCIATION IS AUTHORIZED TO MANAGE THE OFFICE ADMINISTRATION, FUNCTIONS AND AFFAIRS OF BOTH MASSACHUSETTS HEALTH AND HOSPITAL ASSOCIATION AND HOSPITAL ASSOCIATION OF RHODE ISLAND. NOTWITHSTANDING THIS AUTHORITY, THE PRESIDENT AND THE BOARD OF TRUSTEES OF HOSPITAL ASSOCIATION OF RHODE ISLAND RETAIN DECISION-MAKING AND APPROVAL AUTHORITY OVER STAFF, OFFICE AND ORGANIZATIONAL MATTERS, AS PERMITTED OR REQUIRED UNDER THE BYLAWS OF HOSPITAL ASSOCIATION OF RHODE ISLAND AND APPLICABLE LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HARI CHANGED THE COMPOSITION OF ITS BOARD OF TRUSTEES BY AMENDING ITS BYLAWS IN 2025. BEFORE THE AMENDMENT, THE VOTING MEMBERS OF HARI'S BOARD OF TRUSTEES CONSISTED OF THE DESIGNEES NAMED BY EACH OF HARI'S HOSPITAL MEMBERS AND HARI'S PRESIDENT. AFTER THE AMENDMENT, THE VOTING MEMBERS OF HARI'S BOARD OF TRUSTEES CONSISTS OF THE DESIGNEES NAMED BY A LIST OF SPECIFIC MEMBERS NAMED IN HARI'S BYLAWS, AND A CHAIR WHO IS DRAWN FROM THE LEADERSHIP OF ANY HOSPITAL OR SYSTEM MEMBER AND ELECTED BY THE DESIGNEES. THE NUMBER OF VOTING MEMBERS IN HARI'S BOARD OF TRUSTEES WAS THUS REDUCED, AND NOT ALL OF HARI'S HOSPITAL OR SYSTEM MEMBERS APPOINT A DESIGNEE TO HARI'S BOARD OF TRUSTEES. THE MEMBERS THAT APPOINT HARI'S BOARD OF TRUSTEES ARE BROWN UNIVERSITY HEALTH SYSTEM, CARE NEW ENGLAND HEALTH SYSTEM, CHARTERCARE HEALTH PARTNERS, LANDMARK MEDICAL CENTER, SOUTH COUNTY HEALTH, AND WESTERLY HOSPITAL - YALE NEW HAVEN HEALTH. HARI'S BYLAWS AS AMENDED IN 2025 PROVIDE THAT CERTAIN MATTERS WHICH PREVIOUSLY WOULD HAVE REQUIRED RATIFICATION BY HARI'S MEMBERSHIP NOW REQUIRE A TWO-THIRDS SUPERMAJORITY OF THE VOTE BY THE VOTING MEMBERS OF HARI'S BOARD OF TRUSTEES. THESE MATTERS ARE AMENDMENT OR RESTATEMENT OF HARI'S ARTICLES OF INCORPORATION OR BYLAWS; MERGER, CONSOLIDATION OR REORGANIZATION; CREATION OF A SUBSIDIARY ORGANIZATION; DISSOLUTION; AND SALE OF SUBSTANTIALLY ALL OF HARI'S ASSETS. HARI'S BYLAWS AS AMENDED IN 2025 PROVIDE FOR A NEW PRESIDENTIAL SELECTION COMMITTEE, AND A NEW COMMITTEE FOR PERFORMANCE REVIEW OF THE PRESIDENT. THESE COMMITTEES ARE EACH COMPRISED OF HARI'S BOARD CHAIR, AT LEAST TWO OF HARI'S BOARD MEMBERS, AND THE PRESIDENT OF MASSACHUSETTS HEALTH AND HOSPITAL ASSOCIATION. HARI'S BYLAWS AS AMENDED IN 2025 PROVIDE THAT THE PRESIDENT OF THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND THE PRESIDENT OF MASSACHUSETTS HEALTH AND HOSPITAL ASSOCIATION SERVE ON THE BOARD OF TRUSTEES EX-OFFICIO AND WITHOUT VOTE. BEFORE HARI'S BYLAWS WERE AMENDED IN 2025, HARI'S PRESIDENT WAS A VOTING MEMBER OF HARI'S BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL/SYSTEM MEMBERS OF THE CORPORATION ARE ALL DUES PAYING HOSPITALS, REHABILITATION HOSPITAL CENTERS, AND HEALTHCARE SYSTEMS LICENSED BY THE STATE OF RHODE ISLAND AND HOSPITALS AND HEALTHCARE SYSTEMS OF THE UNITED STATES GOVERNMENT LOCATED WITHIN THE STATE OF RHODE ISLAND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>REPRESENTATIVES FROM ALL HOSPITAL/SYSTEM MEMBERS MAY PARTICIPATE ON CORPORATION COMMITTEES, BUT SUCH REPRESENTATIVES SERVE WITHOUT VOTE UNLESS THEY ARE OTHERWISE GIVEN SUCH VOTING AUTHORITY ACCORDING TO THE PROVISIONS OF THE CORPORATION'S BYLAWS. THE CORPORATION'S BYLAWS NAME AS ITS VOTING MEMBERS BROWN UNIVERSITY HEALTH, CARE NEW ENGLAND HEALTH SYSTEM, CHARTERCARE HEALTH PARTNERS, LANDMARK MEDICAL CENTER, SOUTH COUNTY HEALTH, AND WESTERLY HOSPITAL - YALE NEW HAVEN HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT YEAR'S FORM 990 IS INITIALLY REVIEWED BY THE PRESIDENT FOR ACCURACY. AFTER REVIEWING THE FORM 990, THE PRESIDENT CIRCULATES A COPY OF THE FORM 990 TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR COMMENTS OR QUESTIONS. ONCE ALL RELEVANT QUESTIONS AND CONCERNS HAVE BEEN ADEQUATELY ANSWERED, THE BOARD THEN APPROVES THE FINALIZED VERSION OF THE CURRENT YEAR'S FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES ALL OFFICERS, EMPLOYEES AND BOARD OF TRUSTEES TO ANNUALLY REVIEW THE POLICY AND COMPLETE A DISCLOSURE FORM IDENTIFYING ALL KNOWN AND/OR POSSIBLE CONFLICTS OF INTEREST. WHEN A CONFLICT OF INTEREST OCCURS, THE MEMBER HAVING THE CONFLICT IS REQUIRED TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OF TRUSTEES. THE MEMBER WHO HAS THE CONFLICT OF INTEREST IS NOT ALLOWED TO PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. THE CHAIR OF THE BOARD OF TRUSTEES IS THE PERSON RESPONSIBLE FOR ACTIVELY REVIEWING ALL DISCLOSED CONFLICTS OF INTERESTS AND ENSURING THAT THE GUIDELINES SET FORTH BY THE POLICY ARE FOLLOWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER OF SHAEF (STATE HOSPITAL ASSOCIATION EXECUTIVES FORUM) WHICH PROVIDES AN INDEPENDENT COMPENSATION SURVEY WHICH COMPILES AVERAGE MARKET COMPENSATION COMPARISONS FOR ALL EXECUTIVES EMPLOYED BY THE ORGANIZATION. THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE PROPOSED SENIOR STAFF COMPENSATION ON AN ANNUAL BASIS. THE COMPENSATION DELIBERATIONS AND DECISIONS WERE DOCUMENTED. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND ARE LOCATED AT THE ORGANIZATION'S ADMINISTRATIVE BUILDING IN PROVIDENCE, RI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK SERVICE CHARGES 415. CONSULTING 339,976. COMMUNITY HEALTH NEEDS ASSESSMENT 124,754. OTHER PROFESSIONAL FEES 3,850. OTHER PURCHASED SERVICES 29,666.</ExplanationTxt>
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          <AddressLine1Txt>1 STATE STREET SUITE 400</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02908</ZIPCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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