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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH WHITE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>1049758</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATHAN GAGNE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES R WHIPPLE ESQ</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>361220</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG BEST MD</PersonNm>
        <TitleTxt>TRUSTEE (UNTIL 06/30/21)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>691014</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25685</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAN DRISCOLL MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID CRISS MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY YOUNG</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC SILVERMAN MD</PersonNm>
        <TitleTxt>TRUSTEE (UNTIL 06/30/21)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STANLEY GOLDSTEIN</PersonNm>
        <TitleTxt>TRUSTEE (UNTIL 06/30/21)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET COSTELLO</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER (UNTIL 10/21)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET HOLDA</PersonNm>
        <TitleTxt>CHIEF OF STAFF/HEAD OF COMMUNICATIONS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY SYREK</PersonNm>
        <TitleTxt>VP SYS CONTRACTING FIN. (UNTIL 6/21)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA MANN REED</PersonNm>
        <TitleTxt>VP PERFORMANCE MANAGEMENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHANTAL BUCHANAN</PersonNm>
        <TitleTxt>EXEC DIR MEDICARE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS ROCKETT</PersonNm>
        <TitleTxt>DIRECTOR OF PROGRAM OPERATIONS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES GAGNON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES HOWELL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PRATIKSHA PATEL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BENJAMIN KRUSKAL</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL APKON</PersonNm>
        <TitleTxt>FORMER TRUSTEE/CEO/PRESIDENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEEB SALEM MD</PersonNm>
        <TitleTxt>FORMER TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JATIN DAVE</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49384</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>7534302</TotReportableCompRltdOrgAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>ARCADIA SOLUTIONS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>320 SUMMER ST</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02210</ZIPCd>
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        <ServicesDesc>TECHNOLOGY SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WOOD ROAD LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>BRAINTREE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02184</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATHENAHEALTH INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>311 ARSENAL ST</AddressLine1Txt>
            <CityNm>WATERTOWN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02472</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GAIA HEALTHCARE CONSULTING</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>374 HUMPHREY ST</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01907</ZIPCd>
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        <ExclusionAmt>260010</ExclusionAmt>
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        <TotalRevenueColumnAmt>7444388</TotalRevenueColumnAmt>
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        <ProgramServicesAmt>3486508</ProgramServicesAmt>
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        <ProgramServicesAmt>10131778</ProgramServicesAmt>
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        <ProgramServicesAmt>277525</ProgramServicesAmt>
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        <ProgramServicesAmt>1462542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162505</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3944</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>8712</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>155288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95177</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>582508</ProgramServicesAmt>
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        <ProgramServicesAmt>226648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>369793</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1561</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>130904</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>126690</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>11784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28850</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>895</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1123062</ProgramServicesAmt>
        <ManagementAndGeneralAmt>688329</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>18919110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4497232</ManagementAndGeneralAmt>
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        <EOYAmt>32101126</EOYAmt>
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        <EOYAmt>10842036</EOYAmt>
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        <EOYAmt>11806542</EOYAmt>
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        <EOYAmt>142933</EOYAmt>
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        <PersonNm>JATIN DAVE</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EMILY YOUNG</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY SYREK</PersonNm>
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        <PersonNm>DAN DRISCOLL MD</PersonNm>
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        <PersonNm>LISA MANN REED</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET HOLDA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES GAGNON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID CRISS MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES HOWELL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCIS ROCKETT</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHANTAL BUCHANAN</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4A: MICHAEL APKON RECEIVED $292,995 OF SEVERANCE IN CALENDAR YEAR 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: MICHAEL WAGNER, M.D., $134,400 MICHAEL APKON, $169,680</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>WELLFORCE AMENDED ITS BYLAWS AND THE BYLAWS OF NEW ENGLAND QUALITY CARE ALLIANCE INC. TO UPDATE THE RESERVE POWERS HELD BY WELLFORCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>WELLFORCE CLINICALLY INTEGRATED NETWORK IS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>WELLFORCE CLINICALLY INTEGRATED NETWORK, AS SOLE MEMBER, HAS THE POWER TO APPOINT THE CORPORATION'S TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>WELLFORCE CLINICALLY INTEGRATED NETWORK, AS SOLE MEMBER, HAS THE RIGHT TO APPROVE DECISIONS OF THE BOARD AS REQUIRED BY THE ORGANIZATIONS ARTICLES, BYLAWS AND THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO AND CONTROLLER REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. A COPY OF THE FORM 990 AS IT WILL BE ULTIMATELY FILED IS POSTED TO AN INTERNAL WEBSITE. PRIOR TO FILING , THE ORGANIZATION EMAILS ALL OF ITS GOVERNING BODY MEMBERS A LINK TO A PASSWORD PROTECTED WEBSITE, ADVISING THEM THAT THE FORM 990 IS AVAILABLE FOR REVIEW ON THAT SITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE OF THE WELLFORCE, INC. BOARD MEETS ANNUALLY TO REVIEW EXECUTIVE COMPENSATION. SULLIVAN AND COTTER, AN INDEPENDENT CONSULTANT TO THE BOARD, PROVIDED A COMPETITIVENESS ASSESSMENT BASED ON COMPARATOR INFORMATION INCLUDING NATIONAL, NORTHEAST AND BOSTON AREA DATA, TOTAL COMPENSATION FOR THE EXECUTIVE GROUP, INCLUDING THE PRESIDENT/CEO, COO AND VICE PRESIDENTS, WAS DETERMINED TO BE CONSERVATIVE AND WELL WITHIN MARKET AVERAGES, THE PROCESS HAS NOT CHANGED SINCE THEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE OFFICE, DEPENDING ON THE FORM OF THE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSET TRANSFER -14,720,581.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>APPLICATION PENDING:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION INTENDS TO APPLY WITHIN THE 27-MONTH PERIOD BUT HAS NOT SUBMITTED THE APPLICATION FOR EXEMPTION BY THE DATE THE FORM 990 WAS FILED.</ExplanationTxt>
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    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MELROSEWAKEFIELD HEALTHCARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>170 GOVERNORS AVE</AddressLine1Txt>
          <CityNm>MEDFORD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02155</ZIPCd>
        </USAddress>
        <EIN>042767880</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>170 GOVERNORS AVE</AddressLine1Txt>
          <CityNm>MEDFORD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02155</ZIPCd>
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        <EIN>043140938</EIN>
        <PrimaryActivitiesTxt>MD OFFICES</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LM LONG TERM CARE SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>170 GOVERNORS AVE</AddressLine1Txt>
          <CityNm>MEDFORD</CityNm>
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          <ZIPCd>02155</ZIPCd>
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        <EIN>042938772</EIN>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAVIN LONG TERM CARE CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>170 GOVERNORS AVE</AddressLine1Txt>
          <CityNm>MEDFORD</CityNm>
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        <EIN>043012616</EIN>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>178 SAVIN ST SUITE 300</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02148</ZIPCd>
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        <PrimaryActivitiesTxt>VISITING NURSE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>HOME HEALTH FOUNDATION INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HALLMARK HEALTH PROPERTIES</BusinessNameLine1Txt>
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          <AddressLine1Txt>170 GOVERNORS AVE</AddressLine1Txt>
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        <EIN>222580542</EIN>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>170 GOVERNORS AVE</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02155</ZIPCd>
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        <EIN>042103587</EIN>
        <PrimaryActivitiesTxt>PARENT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>WELLFORCE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE LOWELL GENERAL HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>295 VARNUM AVENUE</AddressLine1Txt>
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          <ZIPCd>01854</ZIPCd>
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        <EIN>042103590</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CIRCLE HEALTH PHYSICIANS INC</BusinessNameLine1Txt>
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        <EIN>273902914</EIN>
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          <BusinessNameLine1Txt>CIRCLE HEALTH INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LGH PHYSICIAN ASSOCIATES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE HOSPITAL DRIVE</AddressLine1Txt>
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        <EIN>043190747</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CIRCLE HEALTH PHYSICIANS INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CIRCLE HEALTH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>295 VARNUM AVENUE</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WELLFORCE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CNS NURSING HOME CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>360 MERRIMACK STREET BUILDING 9</AddressLine1Txt>
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          <ZIPCd>01843</ZIPCd>
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          <BusinessNameLine1Txt>CIRCLE HOME INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <BusinessNameLine1Txt>HOME HEALTH FOUNDATION INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER PARENT INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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        <EIN>042912578</EIN>
        <PrimaryActivitiesTxt>PEDIATRIC LONG-TERM CARE FACILITY</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>NEW ENGLAND QUALITY CARE ALLIANCE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEQCA ACCOUNTABLE CARE INC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER COMMUNITY CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>325 WOOD RD SUITE 210</AddressLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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          <ZIPCd>02111</ZIPCd>
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        <EIN>043265628</EIN>
        <PrimaryActivitiesTxt>CHARITABLE</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEART CENTER OF METROWEST INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>PRATT ANESTHESIOLOGY ASSOCIATES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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          <ZIPCd>02111</ZIPCd>
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        <EIN>043418395</EIN>
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          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER PHYSICIANS ORG INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRATT MEDICAL AND SURGICAL ASSOCIATES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
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          <ZIPCd>02111</ZIPCd>
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        <EIN>043148397</EIN>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>PRATT NEUROLOGY ASSOICATES INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>170 GOVERNORS AVE</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WELLFORCE INDEMNITY COMPANY LTD</BusinessNameLine1Txt>
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      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
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      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>
