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        <PersonNm>JEAN TEMPEL</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES O'CONNELL</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY BOCK</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JESSIE GAETA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AGNES LEUNG</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA GILES</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE DE LAS NUECES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PHILLIP PULASKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN ROTHBERG</PersonNm>
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        <OtherCompensationAmt>20671</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ESTHER VALDEZ</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>POOJA BHALLA</PersonNm>
        <TitleTxt>FORMER CHIEF OPERATING OFFICER</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18686</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1767043</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>241738</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>60</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EATON APOTHECARY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 6880</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SECURITAS SECURITY SERVICES USA INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4034412</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MASSACHUSETTS GENERAL HOSPITAL</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>ADMIN BULFINCH 13055 FRUIT STREET</AddressLine1Txt>
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            <ZIPCd>02114</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAMBRIDGE HEALTH ALLIANCE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTH BOSTON DENTAL LABORATORY INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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        <BusinessCd>621400</BusinessCd>
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        <SecuritiesAmt>1407624</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncmFromFundraisingEvtGrp>
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        <ManagementAndGeneralAmt>120620</ManagementAndGeneralAmt>
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        <FundraisingAmt>2576</FundraisingAmt>
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        <FundraisingAmt>794</FundraisingAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>631098</ProgramServicesAmt>
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        <CurrentTaxYearAmt>517899</CurrentTaxYearAmt>
        <TotalAmt>2628664</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>129879</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>244999</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>141457</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>115223</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>100774</CurrentTaxYearAmt>
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      <TotalSupportAmt>63666791</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>188563438</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.93560</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.93190</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>2833</DirectContactLegislatorsAmt>
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      <TotalLobbyingExpendituresAmt>2833</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>PART II - B, LINE 1(G)</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER LOBBYING ACTIVITIES: QUARTERLY GOVERNMENT RELATION SERVICES</ExplanationTxt>
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        <InvestmentEarningsOrLossesAmt>2066394</InvestmentEarningsOrLossesAmt>
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        <ContributionsAmt>20211051</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3554727</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>29687809</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>-364919</InvestmentEarningsOrLossesAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>2170803</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>1590047</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>37328</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>1627375</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>53463821</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>120620</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-333630</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-213010</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>53250811</TotalRevenuePerForm990Amt>
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      <DonatedServicesUseFcltsAmt>37328</DonatedServicesUseFcltsAmt>
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      <InvestmentExpensesNotIncld2Amt>120620</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>120620</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2018 AND 2017. THE AGENCY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
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        <Event2Nm>WINTER WALK</Event2Nm>
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        <GrossRevenueEvent2Amt>515</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>1620</FoodAndBeverageEvent2Amt>
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        <FoodAndBeverageTotalEventsAmt>2044</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>331586</OthDirectExpnssTotalEventsAmt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <NontaxableBenefitsFilingOrgAmt>18346</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>211238</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA GILES</PersonNm>
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        <TotalCompensationFilingOrgAmt>167141</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>229697</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>257246</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>12442</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>228944</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <RelationshipDescriptionTxt>CHAIRMAN OF THE BOD</RelationshipDescriptionTxt>
        <TransactionAmt>3955801</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>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>251798</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>THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND IS RESPONSIBLE FOR THE FINAL DECISION OF AN INDEPENDENT AUDITOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART V:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY HAS ADOPTED AN INVESTMENT SPENDING POLICY FOR THE FACILITIES ENDOWMENT. DURING FISCAL YEAR 2017, THE POLICY WAS AMENDED TO INCORPORATE THE BOARD DESIGNATED - INVESTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>