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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN PAROLIN</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA DUCHENE</PersonNm>
        <TitleTxt>VP PATIENT CARE SERVICES</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MCKENNA</PersonNm>
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        <OtherCompensationAmt>29854</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEVERLY ROBINSON</PersonNm>
        <TitleTxt>VP QUALITY &amp; REG THRU 9/13</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY ZUERCHER MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH CHOINKA</PersonNm>
        <TitleTxt>VP INFORMATION TECHNOLOGY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE WOOLLEY</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH SPATOLA MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4584</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA SEARS</PersonNm>
        <TitleTxt>VP STRATEGY &amp; BUSINESS DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>187067</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>20565</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ROSS</PersonNm>
        <TitleTxt>FORMER CEO TERM THRU 8/12</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>253411</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19205</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2914787</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>527482</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>335845</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>96</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>COVENANT HEALTH SYSTEMS</BusinessNameLine1>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>100 AMES POND DR</AddressLine1>
            <City>TEWKSBURY</City>
            <State>MA</State>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>CHSIL INSURANCE</BusinessNameLine1>
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        <ContractorAddress>
          <ForeignAddress>
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            <City>CAYMAN IS</City>
            <Country>CJ</Country>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HOSPITAL MEDICINE ASSOCIATION</BusinessNameLine1>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>BOX 634850</AddressLine1>
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            <State>OH</State>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ALLIANCE HEALTHCARE SERVICES</BusinessNameLine1>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SODEXHO OPERATIONS LLC</BusinessNameLine1>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 360170</AddressLine1>
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            <State>PA</State>
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      <CntrctRcvdGreaterThan100KCnt>34</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>273192</GovernmentGrantsAmt>
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      <TotalContributionsAmt>545480</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>174301792</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1589152</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1003932</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>143278</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>1891407</ExclusionAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>-167904</ExclusionAmt>
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        <ExclusionAmt>3081937</ExclusionAmt>
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        <Desc>LAUNDRY SERVICES</Desc>
        <BusinessCd>812300</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>74750</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>HOUSEKEEPING SERVICES</Desc>
        <BusinessCd>812900</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>25502</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ANSWERING SERVICES</Desc>
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        <UnrelatedBusinessRevenueAmt>7793</UnrelatedBusinessRevenueAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>4805440</ExclusionAmt>
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        <ProgramServicesAmt>50270520</ProgramServicesAmt>
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        <ProgramServicesAmt>5162036</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>231402</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>99819</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>199985</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2640602</ProgramServicesAmt>
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        <ProgramServicesAmt>2865630</ProgramServicesAmt>
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        <ProgramServicesAmt>2336995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>778998</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>16091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5364</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>72837</ProgramServicesAmt>
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        <ProgramServicesAmt>2106331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>702110</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2644104</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6401198</ProgramServicesAmt>
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        <ProgramServicesAmt>1400895</ProgramServicesAmt>
        <ManagementAndGeneralAmt>466965</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>18660617</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>10094146</ProgramServicesAmt>
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        <ProgramServicesAmt>7714414</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>7426545</ProgramServicesAmt>
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        <ProgramServicesAmt>131450082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35151359</ManagementAndGeneralAmt>
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        <EOYAmt>2414261</EOYAmt>
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        <EOYAmt>26501101</EOYAmt>
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        <EOYAmt>13667181</EOYAmt>
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        <EOYAmt>2567601</EOYAmt>
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        <EOYAmt>1453892</EOYAmt>
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        <EOYAmt>6648060</EOYAmt>
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        <EOYAmt>66616596</EOYAmt>
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        <EOYAmt>62180420</EOYAmt>
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        <EOYAmt>52151100</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>11459299</EOYAmt>
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        <EOYAmt>22182519</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>267842030</EOYAmt>
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        <EOYAmt>18250435</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>543529</EOYAmt>
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        <EOYAmt>95829931</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>14642400</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>129266295</EOYAmt>
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      <UnrestrictedNetAssetsGrp>
        <BOYAmt>122390841</BOYAmt>
        <EOYAmt>137488643</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>691267</BOYAmt>
        <EOYAmt>722810</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>364282</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>123446353</BOYAmt>
        <EOYAmt>138575735</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>267842030</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>16424022</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>7115779</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-8410419</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <MedicalResearchOrganizationInd>X</MedicalResearchOrganizationInd>
      <HospitalNameAndAddressGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1>ST JOSEPH HOSPITAL</BusinessNameLine1>
        </SupportedOrganizationName>
        <CityNm>NASHUA</CityNm>
        <StateAbbreviationCd>NH</StateAbbreviationCd>
      </HospitalNameAndAddressGrp>
    </IRS990ScheduleA>
    <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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>20446</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>20446</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE DUES PAID TO THE NH HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES</ExplanationTxt>
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        <EndYearBalanceAmt>1055512</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>243</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>971094</EndYearBalanceAmt>
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        <ContributionsAmt>301910</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>284</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>1064132</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>142</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>694923</OtherExpendituresAmt>
        <EndYearBalanceAmt>1124772</EndYearBalanceAmt>
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      <TermEndowmentBalanceEOYPct>0.66500</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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        <OtherCostOrOtherBasisAmt>3586823</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3586823</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>93977560</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>51166259</DepreciationAmt>
        <BookValueAmt>42811301</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1704581</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1372562</DepreciationAmt>
        <BookValueAmt>332019</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>64295598</DepreciationAmt>
        <BookValueAmt>9129581</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>10756872</OtherCostOrOtherBasisAmt>
        <BookValueAmt>10756872</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>66616596</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>52151100</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>52151100</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>UNAMORTIZED BOND COSTS</Desc>
        <BookValueAmt>1375399</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ACCOUNTS RECEIVABLE</Desc>
        <BookValueAmt>150055</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATE</Desc>
        <BookValueAmt>15569065</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>NASHUA REGIONAL CANCER CENTER</Desc>
        <BookValueAmt>2671488</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM OTHER FUNDS</Desc>
        <BookValueAmt>496712</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER EQUITY INVESTMENTS</Desc>
        <BookValueAmt>558161</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SURGERY CENTER OF GREATER NASHUA</Desc>
        <BookValueAmt>1277571</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHERS ASSETS</Desc>
        <BookValueAmt>84068</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>22182519</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYORS</Desc>
        <Amt>1264716</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER</Desc>
        <Amt>1272437</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MALPRACTICE TAIL LIABILITY</Desc>
        <Amt>1061435</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ENVIROMENTAL LIABILITY</Desc>
        <Amt>6335106</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION LIABILITY</Desc>
        <Amt>3403761</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE FOR BOND REDISTRIBUTION</Desc>
        <Amt>1123037</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE</Desc>
        <Amt>181908</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>14642400</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS TO BE USED TO ASSIST THE NEEDY THROUGH EDUCATION AND/OR PROJECTS FOR THE POOR AS DETERMINED AND APPROVED BY THE BOARD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDED IN THE AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "TAX EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS A RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNREALTED BUSINESS INCOME OR TAX STATUS. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AS OF DECEMBER 31, 2013."</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>5733</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1840089</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1840089</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01100</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>7986</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>3671924</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3671924</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02200</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>13719</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>5512013</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>5512013</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03300</TotalExpensePct>
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      <CommunityHealthServicesGrp>
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        <NetCommunityBenefitExpnsAmt>1125804</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00680</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
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        <NetCommunityBenefitExpnsAmt>1125804</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00680</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <TotalCommunityBenefitExpnsAmt>6637817</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>6637817</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03980</TotalExpensePct>
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      <ReimbursedByMedicareAmt>50298491</ReimbursedByMedicareAmt>
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      <MedicareSurplusOrShortfallAmt>-16851014</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1>1 FIRST CHOICE PHO</BusinessNameLine1>
        </EntityName>
        <PrimaryActivitiesTxt>PHYSICIAN HOSPITAL ORGANIZATION</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.00000</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.50000</PhysiciansProfitOrOwnershipPct>
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      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>ST JOSEPH HOSPITAL</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>172 KINSLEY ST</AddressLine1>
          <City>NASHUA</City>
          <State>NH</State>
          <ZIPCode>030612013</ZIPCode>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>ST JOSEPH HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>11</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>STJOSEPHHOSPITAL.COM</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
        <DevelopCommunityWidePlanInd>X</DevelopCommunityWidePlanInd>
        <ExecCommunityWidePlanInd>X</ExecCommunityWidePlanInd>
        <IncludeOperationalPlanInd>X</IncludeOperationalPlanInd>
        <AdoptBudgetInd>X</AdoptBudgetInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <PrioritizeServicesInd>X</PrioritizeServicesInd>
        <AllNeedsAddressedInd>1</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>1</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>1</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <UninsuredDiscountInd>X</UninsuredDiscountInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AttachedToInvoiceInd>X</AttachedToInvoiceInd>
        <PostedInEmergencyRoomInd>X</PostedInEmergencyRoomInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitOtherActionsInd>X</PermitOtherActionsInd>
        <CollectionActivitiesInd>1</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <LawsuitInd>X</LawsuitInd>
        <LiensOnResidencesInd>X</LiensOnResidencesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. JOSEPH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 4: SOUTHERN NEW HAMPSHIRE MEDICAL CENTER, DARTMOUTH HITCHCOCK CLINIC</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. JOSEPH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5D: COMMUNITY MEETINGS, POSTED ON HOSPITAL WEBSITE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. JOSEPH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16E: EXTENSIVE EFFORTS ARE MADE TO DETERMINE ELIGIBILITY FOR FREE CARE, BEFORE ANY CREDIT REPORTING, LIENS OR LAWSUITS ARE FILED</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. LINE 3 - ADJUSTED BASED ON COST TO CHARGE RATIO. BAD DEBT EXPENSE - TEXT OF THE FOOTNOTE IN FINANCIAL STATEMENT - "THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTABILITY OF OUTSTANDING BALANCES. MANAGEMENT CONSIDERS THE AGE OF THE OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS IN DETERMING THE RESERVE FOR DOUBTFUL ACCOUNTS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED OFF AGAINST THE ESTABLISHED RESERVE". BAD DEBTS ARE REPORTED AS CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY STATEMENT SENT TO PATIENTS INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE, PHONE NUMBER AND EMAIL CONTACT. ALL CUSTOMER SERVICE PERSONNEL ARE ATTUNED TO ASKING PATIENTS IF THEY NEED ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN ST. JOSEPH HOSPITAL AND SEVERAL OTHER HEALTHCARE INSTITUTIONS, CIVIC AGENCIES AND OTHER NON PROFIT ENTITIES FROM THROUGHOUT GREATER NASHUA. THE ASSESSMENT INCLUDED A TELEPHONE SURVEY OF OVER 500 HOUSEHOLDS, TWO FOCUS GROUPS OF PATIENTS AND KEY LEADERS REPRESENTING CITY/TOWN GOVERNMENT, EDUCATION, HEALTHCARE, BUSINESSES AND NON PROFIT INSTITUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNAGE AND BROCHURES ARE AT EVERY POINT OF REGISTRATION, WHICH EXPLAIN OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES. WE HAVE DEDICATED FINANCIAL COUNSELORS WHO MEET IN PERSON OR ON THE TELEPHONE ASSISTING PATIENTS AND FAMILIES NEEDING FINANCIAL ASSISTANCE.INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL WEB SITE, AS WELL AS IN HOSPITAL COMMUNITY NEWSLETTERS/QUARTERLY PUBLICATIONS. ALL CUSTOMER SERVICE AND REGISTRATION PERSONNEL ARE TRAINED TO ASK PATIENTS AND FAMILIES IF THEY NEED FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ST JOSEPH HOSPITAL SERVES PEOPLE OF ALL AGES, RACE, GENDER, RELIGION, ETHNICITY REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS CONSIST OF 17 CITIES AND TOWNS REFERRED TO AS TEH GREATER NASHUA AREA AND CONSIST OF: AMHERST, BROOKLINE, HUDSON, HOLLIS, LITCHFIELD, MERRIMACK, MILFORD, NASHUA, WILTON, GREENVILLE, DUNSTABLE (MA), LONDONDERRY, LYNDEBOROUGH, MONT VERNON, PELHAM, PEPPERELL (MA) AND WINDHAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, REPRESENTING OVER FORTY DIFFERENT SPECIALITES AND TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE BOARD OF DIRECTORS IS MADE UP OF COMMUNITY MEMBERS WITH VARIED BACKGROUNDS AND INDUSTRIES.THE HOSPITAL UTILIZES ANY SURPLUS FUNDS TO FURTHER ITS MISSION BY PROVIDING FREE AND LOW COST HEALTHCARE SERVICES, EDUCATIONAL OFFERINGS, FREE SCREENINGS, SUPPORT GROUPS, AND WORKS COLLABORATIVELY WITH OTHER HEALTHCARE AGENCIES TO MEET THE IDENTIFIED HEALTHCARE NEEDS OF OUR COMMUNITY.ST JOSEPH HOSPITAL IS AN AFFILIATE OF COVENANT HEALTH SYSTEMS, TEWKSBURY, MA. IT IS THE RESPONSIBILITY OF THE ENTIRE STAFF OF ST JOSEPH HOSPITAL TO SERVE AND PROMOTE THE HEALTH OF THE GREATER NASHUA COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW HAMPSHIRE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>RICHARD PLAMONDON</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>31228</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>361537</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA SHELDON MD</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>14280</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24337</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>214874</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA DUCHENE</PersonNm>
        <TitleTxt>VP PATIENT CARE SERVICES</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30617</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>282754</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MCKENNA</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20656</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6984</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22870</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>260260</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEVERLY ROBINSON</PersonNm>
        <TitleTxt>VP QUALITY &amp; REG THRU 9/13</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH CHOINKA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA SEARS</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>207632</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ROSS</PersonNm>
        <TitleTxt>FORMER CEO TERM THRU 8/12</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>19205</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272616</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DAVID ROSS RECEIVED SEVERANCE COMPENSATION OF $272,616</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>"CASH IN" OF EARNED TIME</ExplanationTxt>
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      <TaxExemptBondsIssuesGrp>
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        <BondReferenceCd>C</BondReferenceCd>
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        <BondReferenceCd>B</BondReferenceCd>
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        <AdvanceRefundingInd>1</AdvanceRefundingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>6515000</RetiredAmt>
        <TotalProceedsAmt>27000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>572615</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>16464380</OtherSpentProceedsAmt>
        <UnspentAmt>10535620</UnspentAmt>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>1</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>1</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
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        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
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        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>1</Form8038TFiledInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>1</Form8038TFiledInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>COVENANT HEALTH SYSTEM IS THE SOLE MEMBER OF ST. JOSEPH HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>COVENANT HEALTH SYSTEM IS THE SOLE MEMBER OF ST. JOSEPH HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. JOSEPH HOSPITAL IS A SUBSIDIARY OF COVENANT HEALTH SYSTEMS, AND AS SUCH, ALL DECISIONS ARE SUBJECT TO ITS REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>990'S ARE PREPARED BY AN INDEPENDENT TAX ACCOUNTANT, THEN REVIEWED BY THE ST. JOSEPH HOSPITAL FINANCE COMMITTEE AND BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR ST. JOSEPH HOSPITAL CONDUCTS A SURVEY OF THE BOARD MEMBERS AND KEY MANAGEMENT MEMBERS TO DETERMINE WHETHER THERE ARE CONFLICTS OF INTEREST (ACTUAL OR POTENTIAL), BOARD MEMBERS AND KEY EMPLOYEES HAVE A CONTINUING OBLIGATION TO REPORT ANY PROPOSED TRANSACTIONS WHICH MAY BE PERCEIVED AS A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY 2-3 YEARS, THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEM'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES OF THIS ANALYSIS ARE TO: ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT TEAM, DEVELOP MARKET BASED COMPETITIVE SALARY LEVELS FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST THE ORGANIZATION WILL MAKE AVAILABLE CORPORATE DOCUMENTS AND FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION ADJUSTMENT 4,200,711. LOSS IN EQUITY OF SUBSIDIARIES -11,725,507. INVESTMENT IN YANKEE -1,012,151. NET ASSETS RELEASED 94,948. RESTRICTED DONATIONS 31,580.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE MEETS WITH THE INDEPENDENT AUDITORS TO REVIEW THE AUDITED FINANCIAL STATEMENTS AND THEY ARE REVIEWED AT COVENANT HEALTH SYSTEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <BusinessNameLine1>SJH SURGICENTER LLC</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>172 KINSLEY STREET</AddressLine1>
          <City>NASHUA</City>
          <State>NH</State>
          <ZIPCode>030612013</ZIPCode>
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        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
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        </DirectControllingEntityName>
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          <City>TEWKSBURY</City>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>