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            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>232605500</ZIPCd>
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        </ContractorAddress>
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        <CompensationAmt>495646</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PETER ZAPPA &amp; ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
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          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02763</ZIPCd>
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        </ContractorAddress>
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        <CompensationAmt>203624</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RSM US LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5155 PAYSPHERE CIRCLE</AddressLine1Txt>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60674</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>138833</TotalContributionsAmt>
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        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>52327002</RelatedOrExemptFuncIncomeAmt>
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        <Desc>BILLING &amp; SUPPORT REVENUE</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>374769</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>374769</UnrelatedBusinessRevenueAmt>
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        <TotalRevenueColumnAmt>12081</TotalRevenueColumnAmt>
        <ExclusionAmt>12081</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14798</TotalRevenueColumnAmt>
        <ExclusionAmt>14798</ExclusionAmt>
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      <OtherRevenueTotalAmt>14798</OtherRevenueTotalAmt>
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        <ManagementAndGeneralAmt>79689</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>128124</ManagementAndGeneralAmt>
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        <TotalAmt>1085</TotalAmt>
        <ManagementAndGeneralAmt>1085</ManagementAndGeneralAmt>
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        <TotalAmt>608200</TotalAmt>
        <ProgramServicesAmt>400835</ProgramServicesAmt>
        <ManagementAndGeneralAmt>206184</ManagementAndGeneralAmt>
        <FundraisingAmt>1181</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>555265</TotalAmt>
        <ProgramServicesAmt>302484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249803</ManagementAndGeneralAmt>
        <FundraisingAmt>2978</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>1977552</ProgramServicesAmt>
        <ManagementAndGeneralAmt>189448</ManagementAndGeneralAmt>
        <FundraisingAmt>1869</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>832349</TotalAmt>
        <ProgramServicesAmt>810698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21401</ManagementAndGeneralAmt>
        <FundraisingAmt>250</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>1430</TotalAmt>
        <ManagementAndGeneralAmt>1430</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>193179</TotalAmt>
        <ProgramServicesAmt>19963</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173216</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>134318</TotalAmt>
        <ProgramServicesAmt>25671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106023</ManagementAndGeneralAmt>
        <FundraisingAmt>2624</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>410000</TotalAmt>
        <ProgramServicesAmt>410000</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPORT</Desc>
        <TotalAmt>250897</TotalAmt>
        <ProgramServicesAmt>235534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15363</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>STAFF TRAINING</Desc>
        <TotalAmt>101014</TotalAmt>
        <ProgramServicesAmt>101014</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPITIONS</Desc>
        <TotalAmt>57477</TotalAmt>
        <ProgramServicesAmt>33565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23659</ManagementAndGeneralAmt>
        <FundraisingAmt>253</FundraisingAmt>
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        <ProgramServicesAmt>71389</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>45797066</ProgramServicesAmt>
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        <FundraisingAmt>81039</FundraisingAmt>
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        <EOYAmt>15682</EOYAmt>
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        <EOYAmt>8044006</EOYAmt>
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        <EOYAmt>77433</EOYAmt>
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        <EOYAmt>3377458</EOYAmt>
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        <EOYAmt>63465</EOYAmt>
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        <EOYAmt>5698339</EOYAmt>
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        <EOYAmt>32461253</EOYAmt>
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        <EOYAmt>9743725</EOYAmt>
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        <EOYAmt>152416</EOYAmt>
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        <EOYAmt>5588973</EOYAmt>
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        <EOYAmt>15485114</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>16884441</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>91698</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>15253381</BOYAmt>
        <EOYAmt>16976139</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>27172703</BOYAmt>
        <EOYAmt>32461253</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1709148</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>13610</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>6332562</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5412834</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3070169</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>138833</CurrentTaxYearAmt>
        <TotalAmt>21027330</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>6332562</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5412834</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3070169</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>138833</CurrentTaxYearAmt>
        <TotalAmt>21027330</TotalAmt>
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      <PublicSupportTotal170Amt>21027330</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>10246</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6165</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10790</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12081</CurrentTaxYearAmt>
        <TotalAmt>48172</TotalAmt>
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      <OtherIncome170Grp>
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        <TotalAmt>14798</TotalAmt>
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      <TotalSupportAmt>21090300</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>190358399</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99700</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99780</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>242920</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>93174</DepreciationAmt>
        <BookValueAmt>69830</BookValueAmt>
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      <OtherLandBuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>3377458</TotalBookValueLandBuildingsAmt>
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        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>99787</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE OPERATING ASSETS</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC WAS INCORPORATED IN 1933 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, AND IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE CLINIC IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON ITS RELATED BUSINESS INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE CLINIC RECOGNIZES A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD NO MATERIAL UNCERTAINTIES IN INCOME TAXES AS OF JUNE 30, 2025 AND 2024. THE CLINIC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR THREE YEARS FROM THE FILING DATE. THE CLINIC WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS A PART OF TAX EXPENSE. AT JUNE 30, 2025 AND 2024, THE CLINIC HAD NET OPERATING LOSS (NOL) CARRYFORWARDS TOTALING $4,248,000 AND $4,216,000, RESPECTIVELY. AS THE CLINIC DOES NOT BELIEVE IT WILL BE ABLE TO UTILIZE ANY NOL CARRYFORWARDS, NO DEFERRED TAX ASSET HAS BEEN RECORDED.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS</ExplanationTxt>
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        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>273135</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36844</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237765</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TANYA MATEER</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>217159</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>180</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1545</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1716</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220600</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OFFERS ITS EMPLOYEES BONUS PAYMENTS. BONUSES PROVIDE COMPENSATORY FINANCIAL SUPPORT FOR THE ORGANIZATION'S STAFF WHO TYPICALLY ARE EARNING LESS THAN COMPARABLE POSITIONS IN THE PUBLIC SECTOR; REWARD INDIVIDUAL STAFF FOR ADDITIONAL WORK ABOVE AND BEYOND THAT FOR WHICH THEY HAVE CONTRACTED; REWARD STAFF FOR EXCEPTIONAL PERFORMANCE; AND, ENHANCE EMPLOYEE MORALE AND JOB SATISFACTION. THE AMOUNTS PROVIDED DIFFER ACCORDING TO THE ABOVE PURPOSES AND ARE STANDARDIZED WITHIN THE ABOVE CATEGORIES. END OF YEAR BONUSES VARY BASED UPON THE ORGANIZATION'S AVAILABLE RESOURCES. ALL COMPENSATION DECISIONS, INCLUDING BONUS AMOUNTS, FOR THE EXECUTIVE DIRECTOR WILL BE MADE BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS HAS GIVEN AUTHORITY TO THE EXECUTIVE DIRECTOR TO DETERMINE THE AMOUNT OF TOTAL BONUS MONIES TO BE GIVEN TO ALL THE AGENCY STAFF. THE EXECUTIVE DIRECTOR WILL SPECIFICALLY DETERMINE THE BONUS AMOUNTS FOR THE NATICK SENIOR ADMINISTRATIVE STAFF; AND, THE DIRECTOR OF PROGRAM SERVICES WILL DETERMINE THE BONUS AMOUNTS FOR THE PROGRAM DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE GIVEN TO THE BOARD PRESIDENT &amp; BOARD TREASURER TO REVIEW. UPON COMPLETION OF THEIR REVIEW, IT WILL BE APPROVED FOR FINAL PROCESSING. THE COMPLETED FORM 990 WILL BE AVAILABLE TO THE AUDIT/FINANCE COMMITTEE AND THE FULL BOARD FOR REVIEW PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES EACH EMPLOYEE TO DISCLOSE TO THE ORGANIZATION ANY PERSONAL INTEREST WHICH HE OR SHE MAY HAVE IN ANY MATTER PENDING BEFORE THE ORGANIZATION AND SHALL REFRAIN FROM PARTICIPATION IN ANY DECISION ON SUCH MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING THE EXECUTIVE DIRECTOR'S SALARY. THE PERSONNEL COMMITTEE HAS A REVIEW PROCESS AND THEN BRINGS THE FINAL SALARY DETERMINATION TO THE WHOLE BOARD FOR FINAL APPROVAL. THE REVIEW PROCESS INCLUDES LOOKING AT THE ORGANIZATION'S FINANCIAL RESULTS FOR THE FISCAL YEAR, AS COMPARED TO THE PRIOR YEAR, THE U.S. AVERAGE CEO PAY FOR SOCIAL WELFARE/CHARITABLE ORGANIZATIONS, THE AVERAGE TOTAL CEO PAY FOR MASSACHUSETTS AGENCIES WITH EARLY INTERVENTION SERVICES AND COMPARABLE REVENUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS, FORM 990, CONFLICT OF INTEREST POLICY, GOVERNANCE POLICIES AND PROCEDURES AND OTHER APPROPRIATE GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IN ADDITION, THE ORGANIZATION'S FORM 990 WITHOUT SCHEDULE B IS AVAILABLE VIA CANDID FORMERLY KNOWN AS GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>