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        <PersonNm>MICHAEL F O'BRIEN</PersonNm>
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        <PersonNm>NANCY KANE</PersonNm>
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        <PersonNm>RAYMOND PAWLICKI</PersonNm>
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        <PersonNm>SUSAN MAILMAN</PersonNm>
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        <PersonNm>TERENCE FLOTTE MD</PersonNm>
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        <PersonNm>KATHARINE BOLLAND ESHGHI</PersonNm>
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        <PersonNm>SERGIO MELGAR</PersonNm>
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        <PersonNm>ALICE A SHAKMAN</PersonNm>
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        <PersonNm>ANDREW KARSON MD</PersonNm>
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        <PersonNm>BRIAN HUGGINS</PersonNm>
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        <PersonNm>CATHERINE ROSSI</PersonNm>
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        <PersonNm>DIANNA J CAFFARENA</PersonNm>
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        <PersonNm>EDWARD MOORE</PersonNm>
        <TitleTxt>PRESIDENT, HARRINGTON HOSPITAL</TitleTxt>
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        <PersonNm>ERIC J ALPER MD</PersonNm>
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        <PersonNm>GERALDINE VAUGHAN</PersonNm>
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        <PersonNm>JOAHD TOURE</PersonNm>
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        <PersonNm>JOHN GREENWOOD</PersonNm>
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        <PersonNm>JOHN T RANDOLPH</PersonNm>
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        <PersonNm>JUSTIN PRECOURT</PersonNm>
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        <PersonNm>KATHLEEN DRISCOLL</PersonNm>
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        <PersonNm>ROBIN L SODANO</PersonNm>
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        <PersonNm>STEVEN ROACH</PersonNm>
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        <PersonNm>THERESE MASTRODOMENICO</PersonNm>
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        <PersonNm>TOD WIESMAN</PersonNm>
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        <PersonNm>VICTORIA MCCANDLESS</PersonNm>
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        <PersonNm>CATHERYN C MCEVOY</PersonNm>
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        <PersonNm>JEANNE SHIRSHAC</PersonNm>
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        <PersonNm>JUDITH TAYLOR PATEL</PersonNm>
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        <PersonNm>ROBERT A KLUGMAN MD</PersonNm>
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        <PersonNm>JACK W BAILEY</PersonNm>
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        <PersonNm>JAMES P CYR</PersonNm>
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        <PersonNm>JOHN R SALZBERG</PersonNm>
        <TitleTxt>FORMER SVP, SYSTEM REV CYCLE OPS &amp; CRO UNTIL 9/2023</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LATAMARA LUNDI</PersonNm>
        <TitleTxt>PRESIDENT COMMUNTY HEALTHLINK UNTIL 9/2023</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK JOHNSON MD</PersonNm>
        <TitleTxt>FORMER DIRECTOR UNTIL 9/2022, UMM HEALTH CARE, INC.</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL GUSTAFSON MD</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN TOSI</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE UNTIL FY2021</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM CORBETT MD</PersonNm>
        <TitleTxt>SVP, COMMUNITY PRACTICES UNTIL 9/2023</TitleTxt>
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      </Form990PartVIISectionAGrp>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>CROTHALL HLTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13028 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VIZIENT INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75062</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02108</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORDIC CONSULTING PARTNERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53713</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting Services</ServicesDesc>
        <CompensationAmt>4811112</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CEI GRP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>591 North Ave</AddressLine1Txt>
            <CityNm>Wakefield</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01880</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>4161097</CompensationAmt>
      </ContractorCompensationGrp>
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      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>428238</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>40964255</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>41577</NoncashContributionsAmt>
      <TotalContributionsAmt>48482023</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>435310859</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>Professional liability revenue</Desc>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>13352617</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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      <TotalOthProgramServiceRevGrp>
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        <Desc>Medical education services</Desc>
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        <ProgramServicesAmt>28956650</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Medical supplies</Desc>
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        <ProgramServicesAmt>702885</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other expenses</Desc>
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        <FundraisingAmt>128718</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>600169016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80446203</ManagementAndGeneralAmt>
        <FundraisingAmt>3659136</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>463585306</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>383047615</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2770905</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>-54821365</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual</ExplanationTxt>
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        <CharitableContriEvent1Amt>397510</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>971596</GrossRevenueEvent1Amt>
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        <FoodAndBeverageEvent1Amt>97810</FoodAndBeverageEvent1Amt>
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        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
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        <CharitableContriOtherEventsAmt>12828</CharitableContriOtherEventsAmt>
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        <FoodAndBeverageOtherEventsAmt>3528</FoodAndBeverageOtherEventsAmt>
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        <GrossRevenueTotalEventsAmt>1032764</GrossRevenueTotalEventsAmt>
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        <FoodAndBeverageTotalEventsAmt>109038</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>94825</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>428254</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>604510</NetIncomeSummaryAmt>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>333 South Street Suite 290</AddressLine1Txt>
          <CityNm>Shrewsbury</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01545</ZIPCd>
        </USAddress>
        <RecipientEIN>043108190</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>5000000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Endowment Agreement to support new academic department Chairs</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>UMass Chan Medical School</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 Lake Ave North</AddressLine1Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01655</ZIPCd>
        </USAddress>
        <RecipientEIN>043167352</RecipientEIN>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support for UMMH System KL2 Scholar Award - O'Connor $112,009 &amp; Empowerment Summit $15K</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>455 Main Street</AddressLine1Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
        </USAddress>
        <RecipientEIN>046001418</RecipientEIN>
        <IRCSectionDesc>City of Worcester</IRCSectionDesc>
        <CashGrantAmt>112500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Donation to establish Worcester Health Equity Fund $52,500 &amp; Support Youth Opportunities$60K</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Legal Aid Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>370 Main Street 7th FL</AddressLine1Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
        </USAddress>
        <RecipientEIN>042446242</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>90000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support Medical Legal Partnership between Umass Memorial &amp; Community Legal Aid</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Worcester Railers HC Charitable Fnd</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>900 Cummings Ctr Suite 226U</AddressLine1Txt>
          <CityNm>Beverly</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
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        <RecipientEIN>811645767</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Hockey Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Healthcare Anchor Network Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2202 18TH ST NW STE 317</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20009</ZIPCd>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support National Organizations for Anchor Mission Institutions</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Milford Regional Healtchare Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14 Prospect Street</AddressLine1Txt>
          <CityNm>Milford</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01757</ZIPCd>
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        <RecipientEIN>200773697</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Transfer to related organization for golf tournament $10K &amp; Fundraiser for Milford Hospital $25K</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Regional Environmental Council Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 255</AddressLine1Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01613</ZIPCd>
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        <RecipientEIN>046364350</RecipientEIN>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support Community Benefits</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UMass Memorial Foundation Inc The</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>333 South Street Suite 290</AddressLine1Txt>
          <CityNm>Shrewsbury</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01545</ZIPCd>
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        <RecipientEIN>043108190</RecipientEIN>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support Cancer Walk</PurposeOfGrantTxt>
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          <CityNm>Framingham</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01702</ZIPCd>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support Medical Respite Bed Pilot Program -Access to Care for Homelessness</PurposeOfGrantTxt>
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          <AddressLine1Txt>17 Union Street</AddressLine1Txt>
          <CityNm>Marlborough</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01752</ZIPCd>
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        <RecipientEIN>042104693</RecipientEIN>
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        <CashGrantAmt>15000</CashGrantAmt>
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        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Transfer to related organization for golf tournament</PurposeOfGrantTxt>
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          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01605</ZIPCd>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support Worcester Rise Health Clinic - Migrant Support</PurposeOfGrantTxt>
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          <AddressLine1Txt>1266 Furnance Brook Parkway 410</AddressLine1Txt>
          <CityNm>Quincy</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support for Public Health Mission for Massachusetts</PurposeOfGrantTxt>
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      <RecipientTable>
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        <USAddress>
          <AddressLine1Txt>23 Woodridge Rd</AddressLine1Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01527</ZIPCd>
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        <PurposeOfGrantTxt>Support medical mission to Ghana as part of UMMH parnership with Worcester Ghaniaian community</PurposeOfGrantTxt>
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          <CityNm>Leominster</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Transfer to related organization for golf tournament</PurposeOfGrantTxt>
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          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
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        <RecipientEIN>042104017</RecipientEIN>
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        <PurposeOfGrantTxt>Support for Community Leadership/Stewardship</PurposeOfGrantTxt>
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          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01609</ZIPCd>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support Latino Community in Worcester</PurposeOfGrantTxt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <GrantTypeTxt>EMERGENCY ASSISTANCE SUPPORT FOR EMPLOYEES (EASE). Eligible employees can receive an EASE grant for up to $1,500 to lessen the financial burden caused by an unplanned emergency.</GrantTypeTxt>
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        <PersonNm>JACK W BAILEY</PersonNm>
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        <PersonNm>LATAMARA LUNDI</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>49874</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>21 Executives listed in Part VII, Section A, Line 1a received tax gross-up payments for Executive Life Insurance and Executive Disability. These benefits are treated as taxable compensation to the individual.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Personal services</FormAndLineReferenceDesc>
        <ExplanationTxt>Sixteen executives listed in Part VII, Section A, Line 1a received financial planning benefit costs that were reported as taxable compensation to the individual.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM SEVERANCE IN THE REPORTING PERIOD: TOP PAID: TAYLOR PATEL, JUDITH $409,665 MCEVOY, CATHERINE $271,187 FORMER: GUSTAFSON, MICHAEL $1,194.731 BAILEY, JACK W. $457,327 METZGER, BART $364,605 LUNDI, LATAMARA $350,880 Severance total: $3,048,395</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD: OFFICERS, DIRECTORS, TRUSTEES: MELGAR, SERGIO $295,599 SUBTOTAL OFFICER, DIRECTOR, TRUSTEES $295,599 KEY EMPLOYEES: DRISCOLL, KATHLEEN $42,383 RANDOLPH, JOHN T. $27,614 MOORE, EDWARD $56,481 SHAKMAN, ALICE $44,339 SUBTOTAL KEY EMPLOYEES $170,817 FORMER: BAILEY, JACK W $85,772 CORBETT, WILLIAM $47,663 GUSTAFSON, MICHAEL $780,316 LUNDI, LATAMARA $69,600 SUBTOTAL FORMER $983,351 PARENT TOP 5 HIGHEST PAID: GIBBS, BRIAN K. $29,968 TAYLOR PATEL, JUDITH $65,461 MCEVOY, CATHERYN C. $49,874 SUBTOTAL TOP 5 HIGHEST PAID $145,303 TOTAL $1,595,070</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The Retention Benefit was provided to the current Executive Benefits Program began effective 1/1/2021, replacing the former Executive Benefits Program, to keep those covered by the former program 'whole' during the transition period.A new specific income code, at the time, was setup for this payment RETAE = Retention Award Executive. It did not have to do with a terminated Executive, but to delay or guard against Executive voluntary terminations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II COMPENSATION TO DIRECTORS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II Compensation to employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation to employees reported in Part VII and Schedule J is paid by UMass Memorial Health Care, Inc. and Affiliates only. Some of our physicians are also employed by the UMass Chan Medical School - University of Massachusetts, an unrelated entity for tax purposes.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>8200</NoncashContributionsRptF990Amt>
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        <ContributionCnt>33</ContributionCnt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
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      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Clothing and household goods - The organization is reporting the number of contributions received Food inventory - The organization is reporting the number of contributions received Other - Assorted Toys - The organization is reporting the number of contributions received Other - Miscellaneous Supplies - The organization is reporting the number of contributions received</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHANCELLOR OF THE UMASS CHAN MEDICAL SCHOOL HAS CONTROL OVER 4 TRUSTEE SEATS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>There are no committees with authority to act on behalf of the governing body, thus the "no" response for Part VI, Line 8b. THE ORGANIZATION DOCUMENTS THE BOARD AND COMMITTEE MEETINGS BY TAKING MINUTES, WHICH INCLUDE ALL MEETING DISCUSSIONS AND ACTIONS. THESE WRITTEN MINUTES ARE THEN APPROVED AT THE FOLLOWING BOARD AND COMMITTEE MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J RELATED TO EXECUTIVE COMPENSATION ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S BOARD COMPENSATION COMMITTEE WHICH OVERSEES ALL UMASS MEMORIAL HEALTH CARE EXECUTIVE COMPENSATION. THE ORGANIZATION'S AUDIT &amp; COMPLIANCE COMMITTEE REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE ORGANIZATION'S COMMUNITY BENEFITS COMMITTEE (THAT OVERSEES ALL BOARDS) REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE H. THE AUDIT &amp; COMPLIANCE COMMITTEE OF THE BOARD REVIEWS THE FORM 990 AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990. CROWE (TAX PREPARERS) PRESENTS THE FORM 990 TO THE AUDIT &amp; COMPLIANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR FINANCIAL RELATIONSHIPS, AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD. The following groups of individuals are covered by this policy: a. All Trustees/Directors: all UMM entities b. UMMHC/UMMMC/UMMMG: Dept Heads and above; selected others c. Physicians: all employed physicians, members of any board committee, members of Medical Staff Executive Committees; others as determined appropriate THERE IS ACTIVE MONITORING by the UMMHC Compliance office AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH ACTIVITIES/DECISIONS. Any conflicts identified are MANAGED AND reported to the appropriate officer and/or governing body. We have an appropriate management plan with any individuals with outside relationships that require mitigation. Where it is necessary, individuals may provide subject matter expertise however they have no influence or authorization of decisions for the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation matters involving the CEO and Senior Executives are overseen by the Compensation Committee of the Board, which was designated this authority by the Organization's Board of Trustees. The Compensation Committee approved a Compensation Philosophy and Policy which govern compensation matters. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. Independent outside compensation consultants are hired by and report to the Compensation Committee of the Board and provide advice to the Committee on compensation matters. THE COMMITTEE WORKS WITH THESE CONSULTANTS AND WITH LEGAL COUNSEL TO ENSURE THAT ALL COMPENSATION PAID, AS WELL AS THE PROCESS FOLLOWED TO DETERMINE SUCH COMPENSATION IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITH THE RELEVANT MARKET. During the fiscal year, the Compensation Committee met to review and vote on the compensation for the CEO and key personnel. The Compensation Committee voted and approved the CEO's compensation at their annual meeting in March 2024. All other key personnel were voted on and approved at the annual meeting in December 2023.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Please refer to the above narrative for Part VI, Line 15a for a description of the compensation review process. Dates of the reviews for other officers and key employees are noted below, along with the title for reference and tier (internal management hierarchy). Tier - Title - Review date - Tier B - EXEC VP, CFO - December 2023 Tier C - PRESIDENT UMMMC - December 2023 Tier C - SVP CQO &amp; CHF INFORMATICS OFF - December 2023 Tier C - SVP AMBULATORY SVCS - December 2023 Tier C - SVP CHIEF TRANSPORTATION OFFICER - December 2023 Tier C - VP/CHIEF FINANCIAL OFFICER - December 2023 Tier C - SVP &amp; CHIEF PHILANTHROPY OFC - December 2023 Tier C - SVP GENERAL COUNSEL-PGL - December 2023 Tier C - SVP POP HLTH &amp; PRESIDENT, ACO - December 2023 Tier C - SVP FINANCE/CORP CONTROLLER - December 2023 Tier C - PRESIDENT UMMMG - December 2023 Tier C - SVP CHF STF &amp; SYS CEO COMMS OFC - December 2023 Tier C - PRESIDENT HARRINGTON HOSPITAL - December 2023 Tier C - VP CHIEF CORPORATE COMPLIANCE - December 2023 Tier C - PRESIDENT COMMUNITY HEALTHLINK - December 2023 Tier C - SVP HEALTH SYSTEM CONTRACTING - December 2023 Tier C - SVP CLINICAL SVCS - December 2023 Tier C - SVP INFORMATION SVCS - December 2023 Tier C - SVP/COO UMMMG - December 2023 Tier C - SVP CMG - December 2023 Tier C - SVP CHIEF HR OFFICER - December 2023</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>UMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS AND BY REQUEST ON A CASE- BY-CASE BASIS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other program service revenue - Total Revenue: 47934660, Related or Exempt Function Revenue: 47934660, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Clinical Engineering Services - Total Expense: 18755286, Program Service Expense: 18755286, Management and General Expenses: 0, Fundraising Expenses: 0; Billing, collection and transcription services - Total Expense: 5628536, Program Service Expense: 4965609, Management and General Expenses: 662927, Fundraising Expenses: 0; Purchasing management services - Total Expense: 4652494, Program Service Expense: 4652494, Management and General Expenses: 0, Fundraising Expenses: 0; Other fees for services - Total Expense: 25772469, Program Service Expense: 12598541, Management and General Expenses: 13173928, Fundraising Expenses: 0; Maintenance Repairs &amp; Service - Total Expense: 9050731, Program Service Expense: 9050731, Management and General Expenses: 0, Fundraising Expenses: 0; Professional Fees - Total Expense: 25183923, Program Service Expense: 24913825, Management and General Expenses: 0, Fundraising Expenses: 270098; Purchased Services - Total Expense: 47833649, Program Service Expense: 47721115, Management and General Expenses: 0, Fundraising Expenses: 112534;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers (to) from related parties - XXX-XX-XXXX; Transfers to unrestricted - revenue - 176898; Transfers to unrestricted - expenditures - -3990667; Nonoperating net pension periodic cost and other pension-related changes - -XXX-XX-XXXX; Other changes in net assets - -379767;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A ex officio members without vote</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHAEL D. MURPHY ROBERT J. PAULHUS, JR. JOHN SHEA, ESQ. STEVEN ROACH</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>25 Tucker Road</AddressLine1Txt>
          <CityNm>Leominster</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01453</ZIPCd>
        </USAddress>
        <EIN>042932308</EIN>
        <PrimaryActivitiesTxt>Health Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Central New England HealthAlliance Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Marlborough Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>157 Union Street</AddressLine1Txt>
          <CityNm>Marlborough</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01752</ZIPCd>
        </USAddress>
        <EIN>042104693</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>UMass Memorial Community Hospitals Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UMass Memorial Accountable Care Organization Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Front Street</AddressLine1Txt>
          <AddressLine2Txt>Suite 200</AddressLine2Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>UMass Memorial Health Care Inc (Parent)</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>UMass Memorial Behavioral Health System Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Front Street</AddressLine1Txt>
          <AddressLine2Txt>Suite 200</AddressLine2Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <EIN>043374724</EIN>
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          <BusinessNameLine1Txt>UMass Memorial Health Care Inc (Parent)</BusinessNameLine1Txt>
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