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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Properties, Inc.(HPI) is a not-for-profit corporation recognized under Section 501(c)(4) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes pursuant to Section 501(a) of the Code. HPI recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. HPI did not recognize the effect of any income tax positions in either 2025 or 2024.</ExplanationTxt>
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        <PersonNm>Paul J Adler</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marcia L Neiberg</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <PersonNm>Nicholas P Dominick</PersonNm>
        <TitleTxt>President thry 12/24</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 4b: Brown University Health offers a non-qualified supplemental employee retirement plan to certain executives. The following individual was credited with the amount indicated during calendar year 2024 and such amount is included in deferred compensation on Schedule J, Part II, Column C: Paul Adler - $106,677. Nicholas P. Dominick - $5,513. Eva Greenwood - $73,257. Marcia L. Neiberg - $88,870. In 2024, the following individual became vested in and was paid a non-qualified supplemental employee retirement plan (SERP) amount and such amount is included in Medicare wages, more specifically on Schedule J, Part II, Column B(iii): Paul J. Adler - $89,854. Nicholas P. Dominick - $206,825. Peter K. Markell - $158,521. Participants included in Brown University Health's SERP are awarded plan contributions on a quarterly basis. Contributions and interest earned during a plan year vest after three years and are paid to plan participants at that time. SERP payments earned during the calendar year which have not yet vested are disclosed on Schedule J, Part II, Column C. Vested SERP payments received during the year are disclosed on Schedule J, Part II, Column B(iii) (as well as Column F if reported on Schedule J, Part II, Column C of a previously filed Form 990). Plan contributions awarded to participants who have reached age 62 become vested as of the beginning of the following calendar year.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Paul J. Adler, Brown University Health Secretary, Nicholas P. Dominick, Senior Vice President of RIH, and Eva Greenwood, Treasurer, served as officers of Brown University Health MSO, Inc.(MSO), a related for-profit organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Brown University Health is the sole corporate member of HPI.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The bylaws of HPI confer certain reserved powers upon Brown Health to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Brown Health include: to elect and remove trustees and to approve the election/removal of certain officers. At each annual meeting of HPI's Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of HPI so that it can be approved and submitted to Brown Health for ratification and election.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Brown Health has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Brown Health, in addition to those noted above, include: to approve amendments of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Executive Vice President &amp; Chief Financial Officer (EVP/CFO) and Brown Health's Finance Department. The Form 990 is prepared by the accounting staff upon completion of Brown Health's annual independent audit and is reviewed by the Corporate Services Tax Compliance Manager and the Director of Finance - Corporate Services. The draft Form 990 is then provided to the EVP/CFO for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is sent to BHF's Board of Trustees in advance of its next Board meeting, at which the EVP/CFO discusses the highlights of the Form. All questions and concerns of the members of the Board are addressed by the EVP/CFO and incorporated into the Form 990 when appropriate. Once the Form 990 is complete and ready to be filed, the members of the Board are notified via email that a copy of the final version of the Form 990 is accessible through the same password-protected website portal. The EVP/CFO is authorized to file the Form 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Brown Health has a Conflict of Interest Policy that is applicable to all affiliates, including HPI, and administered by Brown Health's Compliance Department as follows: Each designated person subject to Brown Health's conflict of interest policy is required to provide Brown Health with an initial disclosure statement and thereafter an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes this policy. If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Brown Health Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Brown Health. Annually, the Brown Health Compliance Officer shall review and report to the Brown Health Executive Corporate Compliance Committee and to the Brown Health Audit and Compliance Committee on the administration of this policy. Failure on the part of any designated person to comply with this policy, including failure to submit in a timely fashion the conflict of interest disclosure statement, will be grounds for removal from his/her position and/or termination of his/her employment with Brown Health.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Brown University Health currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Brown University Health's financial information to repositories and investors alike. HPI's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Brown University Health EVP/CFO, either in person or by mail.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity Transfer to Rhode Island Hospital: ($52,345).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>While HPI did not produce an audited financial statement as of and for the fiscal year ended September 30, 2025, it was included in Brown Health's audited consolidated financial statements, in which one column is used for the Foundation individually. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for HPI. The Brown Health Audit and Compliance Committee assumes responsibility for oversight of the audit of Brown Health's consolidated financial statements and the selection of Brown Health's independent accountant.</ExplanationTxt>
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          <AddressLine1Txt>593 Eddy Street</AddressLine1Txt>
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          <CityNm>Fall River</CityNm>
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          <StateAbbreviationCd>RI</StateAbbreviationCd>
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        </USAddress>
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          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02906</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Brown University Health</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>The Miriam Hospital Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>15 LaSalle Square</AddressLine1Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>050377502</EIN>
        <PrimaryActivitiesTxt>Philanthropic Activities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Brown University Health</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TLR Realty</BusinessNameLine1Txt>
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          <AddressLine1Txt>15 LaSalle Square</AddressLine1Txt>
          <CityNm>Providence</CityNm>
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          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>043742771</EIN>
        <PrimaryActivitiesTxt>Housing for Elderly and Mentally Ill</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>15 LaSalle Square</AddressLine1Txt>
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          <ZIPCd>02903</ZIPCd>
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        <USAddress>
          <AddressLine1Txt>15 LaSalle Square</AddressLine1Txt>
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          <ZIPCd>02903</ZIPCd>
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        <USAddress>
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          <CityNm>Providence</CityNm>
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      <IdRelatedOrgTxblCorpTrGrp>
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        </USAddress>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>