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        <EOYAmt>6968962</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-978754</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
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      <OtherActivitiesAmt>2416</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>2416</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>Part II-B, Line 1i - Other Activities Description</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II-B, Line 1(I), Other Lobbying Activities:Annual membership dues are paid to Massachusetts Senior Care Association and American Healthcare Association. A portion of these dues are used to conduct lobbying activities for the fiscal year.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV - Additional Information</FormAndLineReferenceDesc>
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        <BookValueAmt>376171</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Due from 501(c)3 affiliates</Desc>
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      <OtherAssetsOrgGrp>
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        <Desc>Due to Affiliates 501(c)3</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Berkshire Health Systems, Inc.</Desc>
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        <Desc>Other Current Liabilities</Desc>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Collins</PersonNm>
        <TitleTxt>Administrator</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William C Jones Jr</PersonNm>
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        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>In reference to Form 990, Part VII and Schedule J Part II, no compensation is paid by the filing entity to any director (trustee) for his or her role as director (trustee). The officers of the filing entity are all compensated by Integritus Healthcare Management Services, Inc., ("IHCMS") a supporting organization of the filing entity. A portion of the compensation amount paid to officers of the filing entity is allocated internally among the filing entity and its 20 associated non-profit, tax-exempt entities and, in order to reflect the division of the officers' time and effort among those various entities and each entity's relative contribution to the officers' total compensation. (See Below). Compensation of the President &amp; CEO of the filing entity is reviewed and established every two to three years by the independent volunteer governing body of Integritus Healthcare, Inc., (the filing entity or parent company of the filing entity) based on performance reviews and comparison to independently established, regionally appropriate benchmarks for similar positions in similarly sized healthcare organizations, as verified by independent, nationally recognized compensation consultants. Compensation of any other officers and key employees is set in accordance with governing-body established principles based on comparable benchmarks identified by such independent consultants. The governing bodies currently target total compensation for management employees at the 60th percentile of appropriate benchmarks. William C. Jones Hrs/Wk DollarsBourne Management Systems, Inc. 3.17 $42,400Greenfield Management Systems, Inc. 3.32 $44,389New Bedford Management Systems, Inc. 3.94 $52,657Northampton Management Systems, Inc. 4.09 $54,732East Longmeadow Management Systems, Inc. 1.78 $23,803Danvers Management Systems, Inc. 1.75 $23,372Peabody Management Systems, Inc. 3.17 $42,351South Yarmouth Management Systems, Inc. 2.02 $27,028Willowood of Great Barrington, Inc. 2.75 $36,799Willowood of North Adams, Inc. 2.48 $33,212Willowood of Williamstown, Inc. 3.99 $53,379Hillcrest Extended Care Services, Inc. 7.87 $105,276Berkshire Retirement Community 1.23 $16,479 William C. Jones Hrs/Wk DollarsBerkshire Extended Care Services, Inc. 0.62 $ 8,352IntegriNurse, Inc. 0.49 $ 6,455IntegriScript, Inc. 1.23 $16,354Pittsfield Management Systems, Inc. 3.49 $46,616HospiceCare in the Berkshires, Inc. 2.87 $38,299Hospice of Franklin County, Inc. 1.06 $14,191Holyoke Retirement Community, Inc. 2.68 $35,881Total 54.00 $722,025</ExplanationTxt>
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        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II Line 11Other spent proceeds were used to refund a prior issue.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>Integritus Healthcare, Inc. (IHC) is the parent corporation of Fairview ExtendedCare Services, Inc. Peabody Management Systems, Inc. is a subsidiary of FairviewExtended Care Services, Inc. Governance duties conducted on behalf of PeabodyManagement Systems, Inc., take place at the IHC level. Meetings of the governingboard and committees with authority to act on behalf of the governing board of IHCare documented.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by executive management. Prior to filing, all members of theIntegritus Healthcare Inc., Board are provided with a copy of Form 990 via a secureintranet connection. The Integritus Healthcare Board delegates review of Form 990to its Finance Committee. Finance Committee members conduct their review of Form990 prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization enforces and monitors its conflict of interest policy by requiring all members of the governing body and senior employees to disclose potential conflicts of interest (a) annually and (b) as potential conflicts arise. Senior employees are not permitted to have material conflicts of interests and members of the governing body are to abstain from action that may be influenced by their conflict or potential conflict.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Integritus Healthcare Board of Trustees reviews and approves the compensation ofthe CEO and President. Every two or three years, the organization engages anationally recognized healthcare compensation firm to provide information concerningmarket rates of compensation and assess the organization's compensation structureagainst those independent benchmarks.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governance documents, the conflict of interest policy and financial statements areavailable to the public at the office of the Clerk and Vice President and GeneralCounsel at 75 North Street, Suite 210 Pittsfield, MA 01201.</ExplanationTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        </DisregardedEntityName>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
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          <ZIPCd>01201</ZIPCd>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <ZIPCd>01201</ZIPCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        </DisregardedEntityName>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        <USAddress>
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          <ZIPCd>01201</ZIPCd>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CEC Management Systems Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>043337130</EIN>
        <PrimaryActivitiesTxt>Maintain skilled nursing facilities</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>12a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bourne Management Systems Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
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          <ZIPCd>01201</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Skilled Nursing Facility</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
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        </USAddress>
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        <DirectControllingEntityName>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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        </USAddress>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
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        </USAddress>
        <EIN>261446630</EIN>
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        </USAddress>
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        </USAddress>
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        </USAddress>
        <EIN>201611913</EIN>
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        </USAddress>
        <EIN>821583686</EIN>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>