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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>56137</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NOAH SIEGEL</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56137</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>2223541</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1094122</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          </USAddress>
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      <TotalContributionsAmt>8191455</TotalContributionsAmt>
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        <RelatedOrExemptFuncIncomeAmt>107167165</RelatedOrExemptFuncIncomeAmt>
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      <PublicSupportCY509Pct>0.99988</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99996</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00012</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00004</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" />
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1125082</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>187514</DepreciationAmt>
        <BookValueAmt>937568</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>507974</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>507974</DepreciationAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1890962</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1765628</DepreciationAmt>
        <BookValueAmt>125334</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>1062902</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS RECEIVABLES</Desc>
        <BookValueAmt>1222258</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>6111842</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CRICO</Desc>
        <BookValueAmt>7399983</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>14734083</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PROFESSIONAL LIAB/CRICO RESERV</Desc>
        <Amt>8667945</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>8667945</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MASSACHUSETTS EYE AND EAR ASSOCIATES, INC. ("ASSOCIATES") WAS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS WITH ITS PARENT, THE FOUNDATION OF THE MASSACHUSETTS EYE AND EAR INFIRMARY, INC. ("THE FOUNDATION"), AND AFFILIATED ORGANIZATIONS. THE INCOME TAX FOOTNOTE IS AS FOLLOWS: THE FOUNDATION AND ITS AFFILIATES QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER THE INTERNAL REVENUE CODE. THE FOUNDATION, INFIRMARY, ASSOCIATES, SCHEPENS AND EMBANKMENT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CIRCLE IS TAX-EXEMPT UNDER 501(C)(25) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND THERE WAS NO IMPACT TO THE FOUNDATION'S FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>4334</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>110558</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>4165</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1675</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>18563</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>8382</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SEMINAR/CONFERENCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>919</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>190980</SubtotalSpentAmt>
      <TotalSpentAmt>190980</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>THE ORGANIZATION IDENTIFIES FOREIGN EXPENDITURES SEPARATELY ON ITS BOOKS</FormAndLineReferenceDesc>
        <ExplanationTxt>AND RECORDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>NICOLAS BUSABA MD</PersonNm>
        <TitleTxt>DIRECTOR (UNTIL 9/26/18)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>36840</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <TitleTxt>SEE SCHEDULE O FOR TITLE</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>1372817</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUZANNE FREITAG MD</PersonNm>
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        <OtherCompensationFilingOrgAmt>3373</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36840</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>11315</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HUGH CURTIN</PersonNm>
        <TitleTxt>DIR, SEC/TREAS (AS OF 1/1/18)</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>D BRADLEY WELLING</PersonNm>
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        <DeferredCompensationFlngOrgAmt>136840</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>21335</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBRA ROGERS</PersonNm>
        <TitleTxt>VP OPTHALMOLOGY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>241740</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIRST CLASS OR CHARTER TRAVEL THE MASSACHUSETTS EYE AND EAR ASSOCIATES TRAVEL POLICY ALLOWS PHYSICIANS TO RECEIVE APPROVAL TO TRAVEL FIRST CLASS, TYPICALLY ON LONG FLIGHTS. IN 2017, ONE TRUSTEE/OFFICER AND ONE TRUSTEE FLEW FIRST CLASS. NO PORTION OF THE FIRST CLASS TRAVEL WAS TREATED AS TAXABLE COMPENSATION TO EITHER PHYSICIAN. SCHEDULE J, PART I, LINE 4B: CERTAIN INDIVIDUALS PARTICIPATE IN A DEFERRED COMPENSATION ARRANGEMENT WITH MASSACHUSETTS EYE AND EAR. UNDER THIS AGREEMENT, JOHN FERNANDEZ WILL BE CREDITED $200,000 FOR CALENDAR YEAR 2017. JOAN MILLER AND D. BRADLEY WELLING WILL EACH BE CREDITED $100,000 FOR CALENDAR YEAR 2017. EACH ANNUAL CREDIT WILL VEST ON THE FOURTH ANNIVERSARY OF THE DATE SUCH CREDIT WAS MADE OR UPON (1) THE ATTAINMENT OF THE AGE OF 65 WHILE EMPLOYED; (2) TERMINATION WITHOUT CAUSE OR RESIGNATION FOR GOOD REASON; (3) DEATH; (4) DISABILITY; OR (5) CHANGE OF CONTROL OF MASSACHUSETTS EYE AND EAR WITHIN THE MEANING OF SECTION 409A OF THE INTERNAL REVENUE CODE. MR. FERNANDEZ RECEIVED A PAYOUT OF $195,795 FROM THE DEFERRED COMPENSATION AGREEMENT IN 2017. SCHEDULE J, PART I, LINE 7: THE BOARD OF TRUSTEES OF THE MASSACHUSETTS EYE AND EAR INFIRMARY, UPON RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, APPROVE A BONUS PROGRAM FOR CERTAIN INDIVIDUALS LISTED ON THE SCHEDULE J. THE PROGRAM REQUIRES THAT SUPERVISORY PERSONNEL MAKE THE DETERMINATION OF (1) ELIGIBILITY AND (2) AMOUNT OF BONUS DOLLARS BASED ON OVERALL JOB PERFORMANCE. THE CEO OF THE INFIRMARY HAS THE AUTHORITY TO (1) OVERRULE RECOMMENDATIONS MADE BY SUPERVISORS AND (2) MAKE BONUS DETERMINATIONS FOR VICE PRESIDENT LEVEL PERSONNEL. THE COMPENSATION COMMITTEE OF THE BOARD HAS THE FINAL AUTHORITY FOR BONUSES PAID TO THE CEO AS WELL AS THE VICE PRESIDENTS AND CHIEFS. THE COMPENSATION COMMITTEE MEETING WAS HELD ON NOVEMBER 15, 2017. TOTAL COMPENSATION FOR LISTED INDIVIDUALS, INCLUDING BONUS PAYMENTS, WAS ANALYZED BY INDEPENDENT COMPENSATION CONSULTANTS, DETERMINED TO BE REASONABLE COMPENSATION, AND APPROVED BY THE BOARD. NO COMPENSATION PAYMENT CAN BE MADE IN EXCESS OF THESE AMOUNTS. AS PART OF THE MEEA COMPENSATION STRUCTURE, SOME PHYSICIANS ARE PAID INCENTIVES BASED UPON THE ACADEMIC, EDUCATION AND FINANCIAL RESULTS OF THEIR PRACTICE. THE INCENTIVE PROGRAM REQUIRES THAT THE VICE PRESIDENT OF EACH DEPARTMENT MAKE DETERMINATIONS OF (1) ELIGIBILITY AND (2) AMOUNT OF BONUS DOLLARS BASED ON THE PHYSICIAN'S PRACTICE AND OVERALL JOB PERFORMANCE. THE CHIEF OF EACH DEPARTMENT HAS THE AUTHORITY TO OVERRULE RECOMMENDATIONS MADE BY THE VICE PRESIDENT. TOTAL COMPENSATION FOR THE LISTED PHYSICIANS IN SCHEDULE J, INCLUDING BONUS PAYMENTS, WAS ALSO ANALYZED BY INDEPENDENT COMPENSATION CONSULTANTS AND DETERMINED TO BE REASONABLE COMPENSATION. AFTER THE REVIEW BY OUTSIDE COMPENSATION CONSULTANTS, THE COMPENSATION COMMITTEE OF MEEI APPROVES THE PHYSICIAN COMPENSATION PACKAGES INCLUDING ANY BONUS AMOUNTS. NO COMPENSATION PAYMENTS CAN BE MADE IN EXCESS OF THESE AMOUNTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1 &amp; PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>MASSACHUSETTS EYE AND EAR ASSOCIATES, INC. ("MEEA") IS A SPECIALTY PHYSICIAN GROUP PRACTICE. IT PROVIDES CARE FOR PATIENTS OF THE MASSACHUSETTS EYE AND EAR INFIRMARY, INC. ("MEEI"), A RELATED ORGANIZATION. THE PRACTICE SPECIALIZES IN PROVIDING CARE FOR DISORDERS OF THE EYE, EAR, NOSE, THROAT, HEAD AND NECK. MEEA IS ALSO COMMITTED TO ITS TEACHING AND EDUCATION EFFORTS. FORM 990, PART III, LINE 4A Massachusetts Eye and Ear is a specialty hospital dedicated to excellence in the care of disorders that affect the eye, ear, nose, throat and adjacent regions of the head and neck. World-renowned for care, research and teaching in these areas of expertise, Mass. Eye and Ear physicians and scientists are driven by a mission to find cures for blindness and deafness. In the 2018-2019 "Best Hospitals Survey," U.S. News &amp; World Report again ranked Mass. Eye and Ear a top hospital in the nation: #4 for eye care and #6 for ear, nose and throat care. The commitment to provide compassionate and accessible patient care continued with the expansion to twenty clinical care locations in Massachusetts and Rhode Island. In 2018 Mass. Eye and Ear became a proud member of the Partners HealthCare system. This integration has and will continue to allow for a more seamless sharing of some of the centralized services Partners extends to its entities, including PeopleSoft (enterprise resource planning) and Epic (unified patient care system). Clinical Highlights Department of Ophthalmology - Faculty Hires Paolo Bispo, PhD Yihe Chen, MD Deborah Jacobs, MD Lynette Johns, OD Patrick Lee, OD Courtney Ondeck, MD, MPhil Elizabeth Rossin, MD, PhD Bart Chwalisz, MD (part-time) David Sola-Del Valle, MD Allison Soneru, MD Aisha Traish, MD Tav van Zyl, MD Nazlee Zebardast, MD, MSc Department of Ophthalmology - Faculty Appointments Professor of Ophthalmology Eric Pierce, MD, PhD: William F. Chatlos Professor of Ophthalmology Associate Professor of Ophthalmology Dean Cestari, MD Jack Greiner, MS, OD, DO, PhD (Part-time) Tatjana Jakobs, MD George Papaliodis, MD Luk Vandenberghe, PhD Mary Aronow, MD Assistant Professor of Ophthalmology Petr Baranov, MD, PhD Jason Comander, MD, PhD Tobias Elze, PhD Kevin Houston, OD, MSc Charles Leahy, OD, MS (Part-time) John B. Miller, MD Ayellet Segr, MSc, PhD Brian Song, MD Yoshihiro Yonekawa, MD Instructor in Ophthalmology Paulo Bispo, PhD Yihe Chen, MD Department of Otolaryngology - Faculty Hires Full-time Medical Staff Dunia E. Abdul-Aziz, MD Craig A. Jones, MD Matthew R. Naunheim, MD Michael D. Otremba, MD Research Faculty Daniel L. Faden, MD Srinivas Vinod Saladi, PhD Community-based Medical Staff Pamela S. Jones, MD Vishnu Kannabiran, MD Geoffrey E. Leber, MD, FACS George A. Scangas, MD Department of Otolaryngology - Faculty Appointments Professor Mark A. Varvares, MD Associate Professor Stacey T. Gray, MD Kristina Simonyan, MD, PhD, Dr med Assistant Professor Alicia M. Quesnel, MD Anne E. Takesian, PhD Department of Otolaryngology - Other Promotions/New Leadership . Jean Bruch, DMD, MD, was named director of the Norman Knight Hyperbaric Medicine Center . Nate Jowett, MD, FRCSC, was named director of the Surgical Photonics and Engineering Laboratory . Faisal Karmali, PhD, and Richard F. Lewis, MD, were named co-directors of the Jenks Vestibular Physiology Laboratory . Konstantina M. Stankovic, MD, PhD, FACS, was promoted to director of the Division of Otology and Neurotology Department of Anesthesiology - Faculty Hires Melina Hutchison, CRNA Timothy Riley, CRNA Department of Anesthesiology - Faculty Promotions Alvaro Andres Macias, MD: Associate Clinical Director; Assistant Professor, Active Staff Mass Eye and Ear Iuliu Fat, MD: Associate Medical Director for Preoperative Evaluation and Testing; Associate Anesthesiologist, Active Staff, Mass Eye and Ear Gustavo Lozada, MD, MMED: Co-Director of Ambulatory Anesthesia Nancy Gessner, MD: Anesthesiologist, Active Staff, Mass Eye and Ear Maria Bortkiewicz, MD: Anesthesiologist, Active Staff, Mass Eye and Ear Susanna Panitsas, MD: Associate Anesthesiologist, Active Staff, Mass Eye and Ear Benjamin Mizell, MD: Associate Anesthesiologist, Active Staff, Mass Eye and Ear Kathrin Bourdeu, MD: Associate Anesthesiologist, Active Staff, Mass Eye and Ear Artem Grush, MD: Anesthesiologist, Active Staff, Mass Eye and Ear Nita Sahani, MBBS: Associate Anesthesiologist, Active Staff, Mass Eye and Ear Yana Levin, MD: Associate Anesthesiologist, Active Staff, Mass Eye and Ear Department of Radiology For FY18, the Department of Radiology had a total of 160 resident and fellow rotations joining Dr. Curtin and faculty for daily read out sessions and head and neck imaging training (44 from MGH, 49 from BWH, and 67 from BIDMC). FORM 990, PART III, LINE 4B: As a Harvard Medical School teaching hospital, Mass. Eye and Ear trains future medical leaders in the fields of ophthalmology and otolaryngology through residency programs, as well as clinical and research fellowships. Department of Otolaryngology 27 Residents 10 Clinical Fellows 81 Research Fellows 3 Research Residents Department of Ophthalmology 24 Residents 26 Clinical Fellows 108 Research Fellows 1 Optometric Resident In other ENT education news, we continue to enjoy our state-of-the-art Otolaryngology Surgical Training Laboratory and have held several major courses there this year. Our department organized its first "Women in Otolaryngology" symposium to discuss the opportunities and challenges of being a woman in a historically male-dominated field. Our panelists included Stacey T. Gray, MD, Margaret A. Kenna, MD, MPH, Konstantina M. Stankovic, MD, PhD, and Sylvette R. Wiener-Vacher, MD, PhD. We held our first annual Mastoid Bowl this summer. Hosted by Daniel J. Lee, MD, FACS, this competition evaluated otolaryngology residents as they performed mastoidectomies on cadavers in the Joseph B. Nadol, Jr., MD, Surgical Training Laboratory. The winner was Chief Resident Katie Phillips, MD. Our year-end graduation lectureship has been officially named the "Joseph B. Nadol, Jr. Lectureship." Dr. Nadol has contributed, and continues to contribute, to the stature and standing of this department in so many ways. Department of Ophthalmology The Mass. Eye and Ear Department of Ophthalmology established a Distinguished Scholar in Ophthalmology. Several Mass. Eye and Ear faculty presented named lectures at the 2018 American Academy of Ophthalmology (AAO) Annual Meeting in October. Joan W. Miller, MD presented the Schepens Award Lecture on AAO Retina Subspecialty Day. Her talk - Developing Therapies for AMD: The Art and Science of Problem-solving - revisited the pathway to successful treatment of age-related macular degeneration, and shared ideas on how to continue innovating in ophthalmology. Dr. Miller's lecture was covered by AAO's ONE Network and Ophthalmology Times, and shared on social media by Retina Today and Retinal Physician, among others. Joseph F. Rizzo III, MD presented the William F. Hoyt Lecture, "Unraveling the enigma of non-arteritic anterior ischemic optic neuropathy." His talk shed light on the most common causes of acute optic nerve injury in people age 50. James Chodosh, MD, MPH presented the Jones/Smolin Lecture, "The persistent enigma of adenovirus keratitis: viral pathogenesis in the cornea," which highlighted clinical signs that differentiate viral keratitis from other etiologies.</ExplanationTxt>
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        <FormAndLineReferenceDesc>The 3rd Biennial International Symposium on Ocular Regeneration</FormAndLineReferenceDesc>
        <ExplanationTxt>held on October 11, brought together leaders in the fields of ophthalmology, bioengineering, and regenerative medicine who aim to accelerate cures for blinding diseases. Keynote speaker presented a talk entitled "Biomaterials and biotechnology: from the discovery of the first angiogenesis inhibitors to the development of controlled drug delivery systems and the foundation of tissue engineering." Organized by Harvard Ophthalmology Ocular Regenerative Medicine Institute Co-Directors Michael Young, PhD and Demetrios Vavvas, MD, PhD, the event was sponsored by RxGen, Alcon, Biogen, Catalyst Biosciences, Gorin Foundation, ReNeuron, and the National Institutes of Health. Held on October 12-13, the 5th Biennial International Symposium on AMD drew more than 200 clinicians, researchers, trainees, and industry representatives who discussed the latest advances in AMD research and the challenges that lay ahead. Franois Delori, PhD, a Harvard Medical School Professor of Ophthalmology and Senior Scientist at Schepens Eye Research Institute of Mass. Eye and Ear, presented the 2018 Ephraim Friedman Lecture, entitled "Fundus autofluorescence." Organized by Harvard Ophthalmology AMD Center of Excellence Co-Directors Patricia D'Amore, PhD, MBA, Ivana Kim, MD, and Deeba Husain, MD, the event was sponsored by the Broadhurst Foundation, Regeneron, Genentech, Biogen, Macular Degeneration Foundation, Heidelberg Engineering, American Macular Degeneration Foundation, Merck, and the National Institutes of Health. Innovation and Interaction Sessions is a new educational initiative that brings residents together for one 3-hour block each month to participate in innovative and interactive learning utilizing the Surgical Training Laboratory. The first session on August 3, 2018 was led by Silas Wang, MD and Elizabeth Rossin, MD, PhD. Highlights included practicing setting up and priming the phaco machine, loading 1-piece and 3-piece IOLs, positioning and manipulation of the microscope, paracentesis and main wound construction followed by suturing of wounds, teaching sutures, and learning to load and implant capsular tension rings and 3-piece IOLs. The second session on September 7, 2018 was led by David Hunter, MD, PhD, David Sol-del Valle, MD, Tav van Zyl, MD, and Dr. Rossin. Junior residents participated in a Refraction boot camp where they learned about retinoscopy and refraction. Senior residents participated in a minimally invasive glaucoma surgery (MIGS) workshop where they learned to place an iStent, and having completed this training are now able to participate in MIGS procedures with Dr. Sol-del Valle in the operating room. Resident feedback on these sessions has been very positive. A continuity clinic was created to supplement the continuity in patient care that residents experience in caring for patients within the clinical rotations. In this enhanced continuity experience, residents see patients that they evaluated in the Mass. Eye and Ear Emergency Department (MEE ED) in follow-up appointments. Residents also have the opportunity to participate in surgeries of patients that they initially cared for in the MEE ED. Residents attend continuity clinic approximately 2 half days per month. This clinic is directly supervised by the Mass Eye and Ear Chief Resident, who is a member of the Mass Eye and Ear faculty. Feedback from residents and faculty has been positive. An ophthalmology residency program wellness committee was formed consisting of residents and faculty members. The committee works with the residency program, the department, and the GME efforts to support and encourage activities that promote resident wellness. Examples of early initiatives include revamping the resident room, a space in which the residents have workspaces, lockers, computers, and often spend down-time, as well as organizing a series of resident-faculty social activities outside of work. Mass Eye and Ear has also appointed a resident representative to the Partners Healthcare Resident Wellness Committee. We aim to continue growth of these important initiatives Awards and Honors Department of Ophthalmology Dean Cestari, MD: A. Clifford Barger Excellence in Mentoring Award, Harvard Medical School; Dean's Community Service Award, Harvard Medical School; Surgical Teacher of the Year, Harvard Department of Ophthalmology Han-Ying (Peggy) Chang, MD: Norman Knight Leadership Award, Mass. Eye and Ear Teresa C. Chen, MD: Senior Achievement Award, American Academy of Ophthalmology James Chodosh, MD, MPH: Jones/Smolin Lecture, American Academy of Ophthalmology Joseph B. Ciolino, MD: Sloan Healthcare Innovation Prize, MIT Reza Dana, MD, MSc, MPH: Friedenwald Award, Association for Research in Vision and Ophthalmology; Stein Innovation Award, Research to Prevent Blindness Thaddeus Dryja, MD: Helen Keller Prize for Vision Research, BrightFocus and Helen Keller Foundation; Appointed Associate Member of Broad Institute Rachel M. Huckfeldt, MD, PhD: Career Development Award, Foundation Fighting Blindness Frederick Jakobiec, MD, DSc: Simmons Lessell Excellence in Education Award, Harvard Ophthalmology; Merrill Reeh Prize, American Society of Ophthalmic Plastic and Reconstructive Surgery John H. Kempen, MD, MPH, MHS, PhD: Dean's Community Service Award, Harvard Medical School Carolyn Kloek, MD: WIO Educators Award, Women in Ophthalmology Wendy Liu, MD: Gragoudas-Folkman Award, Mass. Eye and Ear Zhonghui (Katie) Luo, MD, PhD: Dean's Community Service Award, Harvard Medical School Lotfi Merabet, OD, PhD, MPH: A. Clifford Barger Excellence in Mentoring Award, Harvard Medical School Joan W. Miller, MD: Lucien Howe Medal, American Ophthalmological Society*; Gertrude D. Pyron Award and Lecture, American Society of Retina Specialists and Retina Research Foundation*; Charles L. Schepens, MD Award and Lecture, American Academy of Ophthalmology, Retina Research Foundation and Schepens International Society*; Mentor with Distinction, Harvard Medical School (*Dr. Miller is the only individual ever to win all three awards) John B. Miller, MD: Macula Society membership Kareem Moussa, MD: The Robert Brockhurst Academic Development Award, Mass. Eye and Ear Shizuo Mukai, MD: William and Carolyn Aliski Distinguished Scholar in Ophthalmology, Mass. Eye and Ear (inaugural) Patrick Oellers, MD: The Thomas J. Madden Fellowship in Retina, Mass. Eye and Ear Billy Xiaoyi Pan, MD: 2017-18 Ruthanne and Richard J. Simmons Glaucoma Fellow, Mass. Eye and Ear Roberto Pineda II, MD: Jos I. Barraquer Lecture and Award, Brazilian International Society of Refractive Surgery Joseph F. Rizzo III, MD: William F. Hoyt Lecture, American Academy of Ophthalmology Miin (Irene) Roh, MD, PhD: Evangelos S. Gragoudas Award, Macula Society Hajirah N. Saeed, MD: Dohlman Fellowship Award, Claes Dohlman Society Jane Schweitzer, MD: Clinical Teacher of the Year, Harvard Department of Ophthalmology Paolo Antonio S. Silva, MD: AAO Achievement Award, American Academy of Ophthalmology; Macula Society membership Janey Wiggs, MD, PhD: Elected to the National Academy of Medicine; Dr. David L. Epstein Award, ARVO Foundation (with mentee Ryan Collantes, MD) Yoshihiro Yonekawa: Achievement Award, American Academy of Ophthalmology</ExplanationTxt>
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        <FormAndLineReferenceDesc>Department of Otolaryngology</FormAndLineReferenceDesc>
        <ExplanationTxt>- Dunia Abdul-Aziz, MD, was the recipient of the 2017 Yellen Young Investigator Award. This award is made possible by the generosity of Mass. Eye and Ear Trustees, Patricia and Barry Yellen. - Daniel G. Deschler, MD, FACS, and Marlene L. Durand, MD, published a new textbook, Infections of the Ears, Nose, Throat, and Sinuses. Dr. Deschler was also appointed chair of the Patient Care Division of the American Head and Neck Society. - Kevin S. Emerick, MD, is the recipient of the 2018 Chris O'Brien Traveling Fellowship, which is presented by The Research and Education Foundation of the American Head and Neck Society. - Tessa A. Hadlock, MD, was re-elected as president of the International Sir Charles Bell Society. - Eric H. Holbrook, MD, joined the American Rhinologic Society Board of Directors. - Elliott D. Kozin, MD, was named a 2018 Star Reviewer for the journal Otolaryngology-Head and Neck Surgery. - Robin W. Lindsay, MD, was named co-chair of the American Academy of Facial Plastic and Reconstructive Surgery Meeting at the Combined Otolaryngology Spring Meetings and chair of the WIO Research and Survey Committee for the American Academy of Otolaryngology-Head and Neck Surgery. - Gregory W. Randolph, MD, FACS, FACE, has been elected chair of the Endocrine Surgery Section of the American Head and Neck Society. - Steven D. Rauch, MD, received an honorary professorship at the Annual Vestibular Conference of the Guangdong Academy of Medical Sciences in Guangzhou, China. He was also appointed as a member of the Mnire's Disease Advisory Board of the Hearing Health Foundation. - Ahmad R. Sedaghat, MD, PhD, was the recipient of the 2018 Eleanor and Miles Shore Fellowship Program Award for Scholars in Medicine. - Mark G. Shrime, MD, MPH, PhD, FACS, was awarded the 2018 Arnold P. Gold Foundation Award for Humanism in Medicine by the American Academy of Otolaryngology-Head and Neck Surgery. Department of Anesthesiology Iuliu Fat, MD: MEE/HMS Department of Anesthesia: Excellence in Teaching Award Department of Radiology MEE Radiology Department: 52nd ASHNR Annual Meeting, First Place for Best Scientific Electronic Exhibit Dr. Amy Juliano: RSNA International Visiting Professor Dr. Katherine Reinshagen: Promoted to Associate Staff Radiologist Facilities, Equipment and Technology Department of Ophthalmology Mass. Eye and Ear launched a unique emergency department (ED) and inpatient consultation service, known as the Ophthalmology Hospitalist Program. Senior credentialed ophthalmologists now provide consults for patients admitted to general hospitals, including Mass General, Brigham and Women's Hospital, and Faulkner Hospital. The program fortifies connections among Harvard Ophthalmology hospital affiliates, and enhances trainee education and the existing consult service at Mass. Eye and Ear. Members of the hospitalist program include Jane Schweitzer, MD, Jo-Ann Haney-Tilton, MD, FACS, EMHL, and Aisha Traish, MD. The refractive and laser vision correction services moved to Mass. Eye and Ear's Waltham patient care site in November, 2018. Mass. Eye and Ear now offers a new type of minimally-invasive laser vision correction, the ReLEx SMILE procedure for the treatment of myopia (nearsightedness) at its Waltham location. Mass. Eye and Ear specialists are among the most experienced with the SMILE approach nationwide, and the first in New England to offer the procedure. A new collaborative program between Mass. Eye and Ear and Mass General Hospital offers mental health services to patients within the Eye Trauma Service at Mass. Eye and Ear. The program allows visits with a psychologist for patients with severe trauma to their eye or face, including loss of an eye, loss of vision, or disfigurement. This service is intended to assist a patient in his or her initial adjustment to injuries and can also facilitate referral to a mental health care provider should the patient require ongoing care. Department of Otolaryngology - Mass. Eye and Ear expanded to the Cape, opening two otolaryngology practices: - Mass. Eye and Ear, Harwich - Mass. Eye and Ear, Mashpee - Began the Weymouth office build-out to accommodate more patients - Began 11th floor renovation of clinic and office spaces - Increased ambulatory space in Head and Neck - Updated Head and Neck space aesthetics - Built workstations for Head and Neck PAs - Started building out phlebotomy and EKG - Renovated Medical Evaluation Center (MEC) to accommodate Laryngology clinics - Added huddle space for family conferences in Laryngology - Completed build-out of the Surgical Photonics Engineering and Laboratory (SPEL) Department of Anesthesiology 2 Nihon Kohden Patient Monitors 2 Nihon Kohden Multi-Gas Analyzers 4 Glidescopes 1 Draeger Anesthesia MRI Machine 1 Sonosite Portable Ultrasound Machine 2 Norm-O-Temp Warming Systems Department of Radiology - Installed a second 3.0T MRI with state-of-the-art audio/visual enhancements to provide a superior patient experience and advanced software to leverage and explore new and novel imaging techniques - Planned the replacement of the department's fluoroscopy machine (used to examine patients with a variety of voice, speech, airway and swallowing disorders) with a state of the art unit that significantly reduces the amount of radiation exposure for patients and staff FORM 990, PART III, LINE 4C: Department of Ophthalmology October 11, 2017 and September 13, 2018: Presidents Lecture Series November 30, 2017: Neighborhood House Charter School Vision Screenings Spring 2018: Fenway High School Interns April 4, 2018: Roxbury Tenants of Harvard Open House at Longwood April 7, 2018: Stoneham Chamber of Commerce 2018 Health and Wellness Expo May 17, 2018: Graves' Disease Public Forum July 19 and August 9, 2018: Camp Harbor View Vision Screenings Department of Otolaryngology Michael S. Cohen, MD, sent earmuff-style hearing protection to the New England Patriots players for their kids to wear during the Super Bowl. He also hosted his annual Hearing Center Family Carnival, which brings dozens of patient families to Mass. Eye and Ear for a day of fun. Aaron K. Remenschneider, MD, MPH, Alicia M. Quesnel, MD, and Iman A. Ghanad are working with the Massachusetts Commission for the Deaf and Hard of Hearing on continued support for the Boston Marathon bombing victims. They have established a formal collaboration with them to serve and support survivors, and collect clinical outcomes data on patients who are local. Led by Mark A. Varvares, MD, FACS, a team of volunteers held head and neck screenings at the Mission Hill Health Fair, where they screened more than 30 people. The Mass. Eye and Ear Department of Audiology sponsored a team for the Walk 4 Hearing, which benefits the Hearing Loss Association of America. In addition to the accomplishments highlighted in this report, Mass. Eye and Ear was proud to be named Employer of the Year by the Massachusetts Commission for the Blind.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 AND 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEEA'S SOLE MEMBER IS THE FOUNDATION OF THE MASSACHUSETTS EYE AND EAR INFIRMARY ("THE FOUNDATION"), MEEA'S PARENT. EFFECTIVE APRIL 1, 2018, MEEA BECAME PART OF THE COMPREHENSIVE, INTEGRATED HEALTHCARE SYSTEM ORGANIZED BY PARTNERS HEALTHCARE SYSTEM, INC, ("PARTNERS") THAT INCLUDES HOSPITALS, PHYSICIANS, CHARITABLE, SCIENTIFIC, EDUCATIONAL, RESEARCH AND OTHER PARTNERS AFFILIATED ORGANIZATIONS. AS PART OF THE SYSTEM MEEA WILL ASSIST AND SUPPORT PARTNERS AND THE PARTNERS AFFILIATED ORGANIZATIONS IN FULFILLING THEIR MISSION. THE MAJORITY OF THE DIRECTORS OF THE MEEA BOARD SERVE EX OFFICIO OR ARE ELECTED BY THE FOUNDATION. TWO OF THE DIRECTORS ARE ELECTED BY MEEA'S PHYSICIAN EMPLOYEES. FORM 990, PART VI, LINE 7B: WHILE THE MEEA BOARD IS AUTHORIZED TO MAKE CERTAIN DECISIONS (SUBJECT TO THE ULTIMATE AUTHORITY OF ITS SOLE MEMBER, THE FOUNDATION), THERE ARE, IN ADDITION, CERTAIN COMMITTEES WHERE POLICIES AND PROCEDURES ARE APPLIED TO ALL TAX-EXEMPT RELATED ENTITES OF THE FOUNDATION. THIS INCLUDES THE COMPENSATION COMMITTEE AS WELL AS THE BUDGET AND FINANCE COMMITTEE OF THE FOUNDATION. FOUNDATION. FOUNDATION. FOUNDATION. FORM 990, PART VI, LINE 11B: MEEA'S FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS, LLP AND REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE FORM 990 IS THEN PROVIDED TO THE BUDGET AND FINANCE COMMITTEE OF THE FOUNDATION FOR REVIEW AND APPROVAL AS AUTHORIZED BY THE BOARD OF DIRECTORS. THE FORM 990 IS ALSO PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES OF MEEA ARE PROFESSIONAL STAFF WHO ARE COVERED BY THE MEEI CONFLICT OF INTEREST POLICY AND/OR THE HARVARD MEDICAL SCHOOL CONFLICT OF INTEREST POLICY. MEMBERS OF THE STAFF ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST TO THEIR CHIEF OF SERVICE OR DEPARTMENT AND DIRECTOR OF LABORATORY/UNIT. MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY INTEREST THAT COULD ARISE TO CONFLICTS. THE OFFICE OF THE INTERNAL LEGAL COUNSEL OBTAINS AND REVIEWS THE ANNUAL CONFLICTS OF INTEREST STATEMENTS BY MEMBERS OF THE BOARD OF DIRECTORS AND REPORTS THE SAME TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE FOUNDATION. WITH RESPECT TO INTERESTS DISCLOSED BY BOARD MEMBERS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST, THE INTERNAL LEGAL COUNSEL REVIEWS ALL TRANSACTIONS BETWEEN SUCH INTERESTS AND THE AFFILIATES OF THE FOUNDATION TO DETERMINE WHETHER THESE TRANSACTIONS WERE CONDUCTED AT ARM'S LENGTH.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A &amp; B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAIRMAN OF THE COMPENSATION COMMITTEE OF THE BOARD OF THE INFIRMARY PRESENTS A RECOMMENDATION TO THE COMPENSATION COMMITTEE WHO HAVE FINAL APPROVAL OF THE CEO'S BASE SALARY AND BONUS AMOUNT. THE CEO RECOMMENDS EXECUTIVE SALARIES TO THE COMPENSATION COMMITTEE OF THE BOARD WHO HAS FINAL AUTHORIZATION TO APPROVE IT. THE COMPENSATION COMMITTEE MEETING WAS HELD ON NOVEMBER 15, 2017. TOTAL COMPENSATION FOR THE CEO, CHIEFS AND VICE PRESIDENTS, INCLUDING BONUS PAYMENTS, INCLUDING COMPARABILITY DATA, WAS ANALYZED BY INDEPENDENT COMPENSATION CONSULTANTS AND IS DETERMINED TO BE REASONABLE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUMMARIZED FINANCIAL STATEMENTS ARE AVAILABLE ON THE INFIRMARY'S WEBSITE: WWW.MASSEYEANDEAR.ORG. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII:</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE OF THE OFFICERS AND DIRECTORS ON THE MEEA BOARD ARE PAID OR REIMBURSED AS OFFICERS OR DIRECTORS OF MEEA. THE PHYSICIANS ON THE MEEA BOARD ARE COMPENSATED BY MEEA FOR PROFESSIONAL SERVICES TO PATIENTS. COMPENSATION POLICIES AND PARAMETERS ARE DETERMINED BY THE COMPENSATION COMMITTEE OF THE FOUNDATION FOR ALL OF ITS TAX-EXEMPT ENTITIES, AND ALL COMPENSATION IS DETERMINED REASONABLE BASED ON INDEPENDENTLY PREPARED MARKET ANALYSIS. FORM 990, PART VII, SECTION A SUNIL EAPPEN, MD WAS THE SECRETARY AND TREASURER OF MEEA UNTIL 12/31/17 AND WAS THE CHAIR AND PRESIDENT FROM 1/1/18 THROUGH 7/13/18. HE WAS A DIRECTOR FROM 10/1/17 TO 7/13/18.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS: TRANSFER FROM AFFILIATES: 225,129</ExplanationTxt>
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        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>SUBCH. C CORP</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ALLWAYS HEALTH PARTNERS INSURANCE COMPAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>399 REVOLUTION DRIVE</AddressLine1Txt>
          <CityNm>SOMERVILLE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02145</ZIPCd>
        </USAddress>
        <EIN>830970929</EIN>
        <PrimaryActivitiesTxt>INSURANCE COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>SUBCH. C CORP</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MASSACHUSETTS EYE AND EAR INFIRMARY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>2416349</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MASSACHUSETTS EYE AND EAR INFIRMARY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>15083409</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SCHEPENS EYE RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>4299232</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MASSACHUSETTS EYE AND EAR INFIRMARY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>26302420</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE APRIL 1, 2018, THE ORGANIZATION BECAME RELATED TO PARTNERS HEALTHCARE SYSTEM, INC. AND ITS RELATED ENTITIES IN ITS GROUP EXEMPTION. EFFECTIVE OCTOBER 1, 2018, THE ORGANIZATION BECAME PART OF THE PARTNERS GROUP EXEMPTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>