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        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>166051</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22362</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL ORAM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>160680</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21753</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOLLY ROSS</PersonNm>
        <TitleTxt>COMPLIANCE O</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25415</OtherCompensationAmt>
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      <TotalOtherCompensationAmt>170814</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATHENAHEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>315 MADISON AVE STE 1804</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING AND AR</ServicesDesc>
        <CompensationAmt>417238</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>340BASICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>311 ARSENAL STREET</AddressLine1Txt>
            <CityNm>WATERTOWN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02472</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B SERVICES</ServicesDesc>
        <CompensationAmt>273185</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1529967</GovernmentGrantsAmt>
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      <TotalContributionsAmt>2789669</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>7005683</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICE FEES</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2480305</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION FEES</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>316430</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>140021</TotalRevenueColumnAmt>
        <ExclusionAmt>140021</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>45539</TotalRevenueColumnAmt>
        <ExclusionAmt>45539</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15266634</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12291405</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>185560</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>408437</ProgramServicesAmt>
        <ManagementAndGeneralAmt>600588</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>7069126</TotalAmt>
        <ProgramServicesAmt>5209044</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1713467</ManagementAndGeneralAmt>
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        <TotalAmt>137315</TotalAmt>
        <ProgramServicesAmt>105216</ProgramServicesAmt>
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        <FundraisingAmt>3128</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1019449</TotalAmt>
        <ProgramServicesAmt>720533</ProgramServicesAmt>
        <ManagementAndGeneralAmt>279248</ManagementAndGeneralAmt>
        <FundraisingAmt>19668</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>609482</TotalAmt>
        <ProgramServicesAmt>425237</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173064</ManagementAndGeneralAmt>
        <FundraisingAmt>11181</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>16984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67935</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
        <TotalAmt>103617</TotalAmt>
        <FundraisingAmt>103617</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>190146</TotalAmt>
        <ProgramServicesAmt>131201</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>48291</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>64002</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>145304</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>36595</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>3041142</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>DUES, LICENSES &amp; SUBSCRIP</Desc>
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        <ProgramServicesAmt>76723</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>29188</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>11762440</ProgramServicesAmt>
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        <FundraisingAmt>293159</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <InvestmentsPubTradedSecGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>471589</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>3401034</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>14278859</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <ReconcilationRevenueExpnssAmt>-677365</ReconcilationRevenueExpnssAmt>
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      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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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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      <OtherLandBuildingsGrp>
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        <BookValueAmt>698807</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
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      <TotalLiabilityAmt>471589</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>15418313</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>151679</NetUnrealizedGainsInvstAmt>
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      <ExpensesSubtotalAmt>15943999</ExpensesSubtotalAmt>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR ANKOOR SONI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NEIL B KIRST</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDSEY KOTAGAL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD ROMERO</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>15716</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL ORAM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOLLY ROSS</PersonNm>
        <TitleTxt>COMPLIANCE OFFICER</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>19124</NontaxableBenefitsFilingOrgAmt>
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    <IRS990ScheduleM documentId="RetDoc6">
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        <ContributionCnt>1166</ContributionCnt>
        <NoncashContributionsRptF990Amt>473787</NoncashContributionsRptF990Amt>
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    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CFO IN DETAIL, THE 990 IS ALSO PROVIDED TO THE EXECUTIVE DIRECTOR, TREASURER AND THE BOARD FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVISITS THE CONFLICTS OF INTEREST POLICY ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR BASED ON PERFORMANCE AND OTHER FACTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION FOR OFFICERS &amp; KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>