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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIA RAMDIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN SWANN DDS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT CRONIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH AVELLONE MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA REID</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.70</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN TEMPEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES O'CONNELL</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY BOCK</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>229324</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22914</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSIE GAETA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>260425</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35495</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AGNES LEUNG</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>188617</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30666</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA GILES</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER (S</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>162804</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27439</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE DE LAS NUECES</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>178606</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30964</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHILLIP PULASKI</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>232821</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33635</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN ROTHBERG</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>215966</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21442</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ESTHER VALDEZ</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>244927</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32667</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1713490</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>235222</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>68</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EATON APOTHECARY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 6880</AddressLine1Txt>
            <CityNm>HOLLISTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01746</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>1042388</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MASSACHUSETTS GENERAL HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ADMIN BULFINCH 13055 FRUIT STREET</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02114</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH CARE SERVICES</ServicesDesc>
        <CompensationAmt>700543</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LONGWOOD SECURITY SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>429 NEWBURY STREET</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02115</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>638117</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAMBRIDGE HEALTH ALLIANCE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>350 MAIN STREET</AddressLine1Txt>
            <CityNm>MALDEN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02148</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH CARE SERVICES</ServicesDesc>
        <CompensationAmt>150017</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SECURITAS SECURITY SERVICES USA INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4034412</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303843412</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>137802</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1290966</FundraisingAmt>
      <GovernmentGrantsAmt>6407239</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>5899749</AllOtherContributionsAmt>
      <NoncashContributionsAmt>74190</NoncashContributionsAmt>
      <TotalContributionsAmt>13597954</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>41539195</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41539195</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>41539195</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>675283</TotalRevenueColumnAmt>
        <ExclusionAmt>675283</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2351671</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>560856</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1790815</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1790815</TotalRevenueColumnAmt>
        <ExclusionAmt>1790815</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>83694</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1290966</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>335545</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-251851</TotalRevenueColumnAmt>
        <ExclusionAmt>-251851</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>172060</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>172060</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>172060</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>57523456</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41711255</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2214247</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1237111</TotalAmt>
        <ProgramServicesAmt>147823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1089288</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>30608090</TotalAmt>
        <ProgramServicesAmt>25701485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4136454</ManagementAndGeneralAmt>
        <FundraisingAmt>770151</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1253208</TotalAmt>
        <ProgramServicesAmt>1043332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>209876</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3872685</TotalAmt>
        <ProgramServicesAmt>2936895</ProgramServicesAmt>
        <ManagementAndGeneralAmt>814637</ManagementAndGeneralAmt>
        <FundraisingAmt>121153</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2538132</TotalAmt>
        <ProgramServicesAmt>1986058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>492234</ManagementAndGeneralAmt>
        <FundraisingAmt>59840</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>72184</TotalAmt>
        <ManagementAndGeneralAmt>72184</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>66673</TotalAmt>
        <ManagementAndGeneralAmt>66673</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>76715</TotalAmt>
        <ManagementAndGeneralAmt>76715</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>2000</TotalAmt>
        <ManagementAndGeneralAmt>2000</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>176117</TotalAmt>
        <ManagementAndGeneralAmt>176117</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>4191701</TotalAmt>
        <ProgramServicesAmt>3965477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>220870</ManagementAndGeneralAmt>
        <FundraisingAmt>5354</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>1996373</TotalAmt>
        <ProgramServicesAmt>1666465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306960</ManagementAndGeneralAmt>
        <FundraisingAmt>22948</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>246727</TotalAmt>
        <ProgramServicesAmt>76388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164048</ManagementAndGeneralAmt>
        <FundraisingAmt>6291</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>183303</TotalAmt>
        <ProgramServicesAmt>96274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80809</ManagementAndGeneralAmt>
        <FundraisingAmt>6220</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1439172</TotalAmt>
        <ProgramServicesAmt>807315</ProgramServicesAmt>
        <ManagementAndGeneralAmt>617778</ManagementAndGeneralAmt>
        <FundraisingAmt>14079</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>265774</TotalAmt>
        <ProgramServicesAmt>107257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158517</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>1985141</TotalAmt>
        <ProgramServicesAmt>1985141</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>1860687</TotalAmt>
        <ProgramServicesAmt>826385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>964178</ManagementAndGeneralAmt>
        <FundraisingAmt>70124</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>1638354</TotalAmt>
        <ProgramServicesAmt>1023176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>552075</ManagementAndGeneralAmt>
        <FundraisingAmt>63103</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT FOOD AND SUPPLI</Desc>
        <TotalAmt>568676</TotalAmt>
        <ProgramServicesAmt>568676</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2140782</TotalAmt>
        <ProgramServicesAmt>1672451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>427670</ManagementAndGeneralAmt>
        <FundraisingAmt>40661</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>56419605</TotalAmt>
        <ProgramServicesAmt>44610598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10629083</ManagementAndGeneralAmt>
        <FundraisingAmt>1179924</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>6302</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8934299</BOYAmt>
        <EOYAmt>8754743</EOYAmt>
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        <BOYAmt>1819796</BOYAmt>
        <EOYAmt>1712270</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>3369781</BOYAmt>
        <EOYAmt>4489629</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>628268</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>335519</BOYAmt>
        <EOYAmt>392088</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>37135763</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8151522</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>29730748</BOYAmt>
        <EOYAmt>28984241</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>28854583</BOYAmt>
        <EOYAmt>23455965</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1847620</BOYAmt>
        <EOYAmt>8074637</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>75726330</BOYAmt>
        <EOYAmt>76498143</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5460343</BOYAmt>
        <EOYAmt>6003211</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>2220882</BOYAmt>
        <EOYAmt>1690621</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7681225</BOYAmt>
        <EOYAmt>7693832</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>58329011</BOYAmt>
        <EOYAmt>59109853</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>4716094</BOYAmt>
        <EOYAmt>4694458</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>5000000</BOYAmt>
        <EOYAmt>5000000</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>68045105</BOYAmt>
        <EOYAmt>68804311</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>75726330</BOYAmt>
        <EOYAmt>76498143</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1103851</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-344645</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearAmt>13597954</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>100774</CurrentTaxYearMinus1YearAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
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      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>PART II - B, LINE 1(G)</FormAndLineReferenceDesc>
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        <TotalCompensationFilingOrgAmt>252238</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>JAMES O'CONNNELL, M.D., PRESIDENT, IS JOINTLY EMPLOYED BY MASSACHUSETTS GENERAL HOSPITAL (MGH) AND THE AGENCY, DURING THE FISCAL YEAR 2019, THE AGENCY PAID MGH $332,485 IN COMPENSATION FOR DR.O'CONNELL'S SALARY AS PRESIDENT OF THE AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BRETT PAINCHAUD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CHAIR OF THE BOD</RelationshipDescriptionTxt>
        <TransactionAmt>4564466</TransactionAmt>
        <TransactionDesc>BRETT PAINCHAUD IS THE COMPTROLLER AT BLUE CROSS BLUE SHIELD OF MA (BCBSMA), WHICH THE AGENCY USED FOR THEIR CURRENT HEALTH INSURANCE PROVIDER FOR EMPLOYEE HEALTH BENEFITS. BCBSMA WAS SELECTED THROUGH A COMPETITIVE BID PROCESS.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RYAN O'DONNELL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>4564466</TransactionAmt>
        <TransactionDesc>RYAN O'DONNELL IS THE VICE PRESIDENT OF OPERATIONS AT BLUE CROSS BLUE SHIELD OF MA (BCBSMA), WHICH THE AGENCY USED FOR THEIR CURRENT HEALTH INSURANCE PROVIDER FOR EMPLOYEE HEALTH BENEFITS. BCBSMA WAS SELECTED THROUGH A COMPETITIVE BID PROCESS.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>74190</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY MANAGEMENT AND THEN THE ENTIRE FINANCE COMMITTEE REVIEWS AND APPROVES THE 990. A COPY OF FORM 990 IS PROVIDED TO THE BOARD BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS AND KEY EMPLOYEES HAVE TO SIGN A CONFLICT OF INTEREST POLICY CERTIFICATION ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY ENGAGES A SALARY CONSULTANT TO REVIEW THE PROGRAM SALARY SCALE FOR ALL EMPLOYEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER'S REVIEWS WILL BE GIVEN TO THE PERSONNEL COMMITTEE WHICH MAKES A RECOMMENDATION TO THE FULL BOARD. THE COMMITTEE CHAIR PRESENTS THIS IN AN EXECUTIVE SESSION OF THE BOARD. THE CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, AND CHIEF OPERATING OFFICER'S REVIEWS WILL BE GIVEN BY THE CHIEF EXECUTIVE OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>