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        <OtherCompensationAmt>13803</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ELLEN MCINTYRE</PersonNm>
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        <OtherCompensationAmt>15587</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LIZ BROWNE - CHARLES RIVER COMMUNITY</BusinessNameLine1Txt>
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        <TitleTxt>CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KAREN GARDNER - COMMUNITY HEALTH CENT</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>GUALE VALDEZ - MATTAPAN COMMUNITY HEA</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>TANIA BARBER - CARING HEALTH CENTER</BusinessNameLine1Txt>
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        <TitleTxt>TREASURER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>WILLIAM HALPIN - SOUTH BOSTON COMMUNI</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SUSAN JOSS - BROCKTON NEIGHBORHOOD HE</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MICHELLE NADOW - DOTHOUSE HEALTH</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ELIZABETH HALE - LOWELL COMMUNITY HEA</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>STEPHEN KERRIGAN - EDWARD M KENNEDY</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SUE WEST LEVINE - LOWELL COMM HEALTH</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CYNTHIA SIERRA - MANET CHC</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ALLISON VAN DER VELDON - CHC OF FC</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARGARET BRENNAN - NORTH SHORE CHC</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JAGDEEP TRIVEDI - UPHAMS CORNER HEALT</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>PATRICIA NADLE - OUTER CAPE HEALTH SE</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ELIZA LAKE - HILLTOWN COMMUNITY HEALT</BusinessNameLine1Txt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalOtherCompensationAmt>328655</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</IndivRcvdGreaterThan100KCnt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AZARA HEALTHCARE</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 8102</AddressLine1Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60197</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTH MANAGEMENT ASSOCIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>120 NORTH WASHINGTON SQ STE 705</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48953</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VISUAL VAULT GRM</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>215 COLES STREET</AddressLine1Txt>
            <CityNm>JERSEY CITY</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07310</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LINDSEY TUCKER</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>02130</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INSOURCE SERVICES INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>148 LINDEN ST</AddressLine1Txt>
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            <ZIPCd>02482</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <FundraisingAmt>45730</FundraisingAmt>
      <GovernmentGrantsAmt>47004454</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>12566</NoncashContributionsAmt>
      <TotalContributionsAmt>56275767</TotalContributionsAmt>
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        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>4769125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4769125</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>4167857</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4167857</UnrelatedBusinessRevenueAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>1017398</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1017398</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTED SERVICES AND OTHER FEE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>993403</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>993403</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>10947783</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>11113</TotalRevenueColumnAmt>
        <ExclusionAmt>11113</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>1073246</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>45730</ContriRptFundraisingEventAmt>
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        <TotalRevenueColumnAmt>524778</TotalRevenueColumnAmt>
        <ExclusionAmt>524778</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>67759441</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6779926</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4167857</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>535891</ExclusionAmt>
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        <ProgramServicesAmt>25710259</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>2797547</ProgramServicesAmt>
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        <ProgramServicesAmt>338488</ProgramServicesAmt>
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        <ProgramServicesAmt>5807131</ProgramServicesAmt>
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        <ProgramServicesAmt>736395</ProgramServicesAmt>
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        <ProgramServicesAmt>460604</ProgramServicesAmt>
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        <ProgramServicesAmt>25174</ProgramServicesAmt>
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        <ProgramServicesAmt>79068</ProgramServicesAmt>
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        <ProgramServicesAmt>351154</ProgramServicesAmt>
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        <ProgramServicesAmt>8574440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>412211</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>379373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9315</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>486843</ProgramServicesAmt>
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        <ProgramServicesAmt>707297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268479</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>315769</ProgramServicesAmt>
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        <ProgramServicesAmt>523202</ProgramServicesAmt>
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        <ProgramServicesAmt>280714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74005</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>18289</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1983</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>463852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>314747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9373</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>48639853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3693274</ManagementAndGeneralAmt>
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        <EOYAmt>300</EOYAmt>
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        <EOYAmt>14541832</EOYAmt>
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        <EOYAmt>28986107</EOYAmt>
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        <EOYAmt>333533</EOYAmt>
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        <BOYAmt>1266275</BOYAmt>
        <EOYAmt>1037404</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>47667399</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>5026680</EOYAmt>
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        <EOYAmt>8900</EOYAmt>
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        <EOYAmt>9628805</EOYAmt>
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        <EOYAmt>14664385</EOYAmt>
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        <EOYAmt>6195738</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>11283743</BOYAmt>
        <EOYAmt>26807276</EOYAmt>
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        <PurposeOfGrantTxt>DSRIP, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHP HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>444 STOCKBRIDGE ROAD</AddressLine1Txt>
          <CityNm>GREAT BARRINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01230</ZIPCd>
        </USAddress>
        <RecipientEIN>042582119</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>84157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>OUTREACH, STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DOTHOUSE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1354 DORCHESTER AVE</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02122</ZIPCd>
        </USAddress>
        <RecipientEIN>237125970</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>436157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DUFFY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>105 PARK STREET</AddressLine1Txt>
          <CityNm>HYANNIS</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02601</ZIPCd>
        </USAddress>
        <RecipientEIN>043373741</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>206482</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STRENGTHENING CHW, CANCER SCREENING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST BOSTON NHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 GOVE STREET</AddressLine1Txt>
          <CityNm>EAST BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02128</ZIPCd>
        </USAddress>
        <RecipientEIN>237425849</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>554186</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, VRF, VAX, CAPACITY BUILDING, OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EDWARD M KENNEDY CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>19 TACOMA STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01605</ZIPCd>
        </USAddress>
        <RecipientEIN>042513817</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>535283</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STENGTHENING CHW, SAMHSA, OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY HEALTH CENTER OF WORCESTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26 QUEEN STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01610</ZIPCd>
        </USAddress>
        <RecipientEIN>042485308</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>657157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, DSRIP, VRF, CANCER SCREENING, ORAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FENWAY CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1340 BOYLSTON STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <RecipientEIN>042510564</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>477726</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STRENGTHENING CHW, VRF STAFF APPRECIATION, CAPACITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GR LAWRENCE FHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>34 HAVERILL STREET</AddressLine1Txt>
          <CityNm>LAWRENCE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01841</ZIPCd>
        </USAddress>
        <RecipientEIN>042708824</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1279258</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, SAMHSA, WORKFORCE DEVELOPMENT, OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GR NEW BEDFORD CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>874 PURCHASE STREET</AddressLine1Txt>
          <CityNm>NEW BEDFORD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02740</ZIPCd>
        </USAddress>
        <RecipientEIN>042675800</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>209157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, VRF STAFF APPRECIATION &amp; OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GR ROSLINDALE MEDICAL &amp; DENTAL CTR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4199 WASHINGTON STREET</AddressLine1Txt>
          <CityNm>ROSLINDALE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02131</ZIPCd>
        </USAddress>
        <RecipientEIN>042579527</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>419409</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, DSRIP, VRF STAFF APPRECIATION &amp; OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARBOR HEALTH SERVICESNEPONSET</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1135 MORTON STREET</AddressLine1Txt>
          <CityNm>MATTAPAN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02126</ZIPCd>
        </USAddress>
        <RecipientEIN>237100550</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>431337</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, ORAL HEALTH VRF STAFF APPRECIATION &amp; OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARVARD STREET NHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>632 BLUE HILL AVE</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02121</ZIPCd>
        </USAddress>
        <RecipientEIN>042600042</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>666986</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STRENGTHENING CHW, VRF STAFF APPRECIATION &amp; OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHFIRST FAMILY CARE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>102 COUNTY STREET</AddressLine1Txt>
          <CityNm>FALL RIVER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02723</ZIPCd>
        </USAddress>
        <RecipientEIN>042503444</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>412590</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, BH CAPACITY, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HILLTOWN CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>58 OLD NORTH ROAD</AddressLine1Txt>
          <CityNm>WORTHINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01098</ZIPCd>
        </USAddress>
        <RecipientEIN>042161484</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>591986</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STRENGTHENING CHW, VRF OUTREACH &amp; STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOLYOKE HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>230 MAPLE STREET</AddressLine1Txt>
          <CityNm>HOLYOKE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01040</ZIPCd>
        </USAddress>
        <RecipientEIN>042492730</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>476486</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, DSRIP, VAX OUTREACH, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ISLAND HEALTH CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>245 EDGARTOWN-VINEYARD HAVEN ROAD</AddressLine1Txt>
          <CityNm>EDGARTOWN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02539</ZIPCd>
        </USAddress>
        <RecipientEIN>000820031</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>523986</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STRENGTHENING CHW; CAPACITY BLDG, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWELL CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>597 MERRIMACK STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01854</ZIPCd>
        </USAddress>
        <RecipientEIN>042881348</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>686486</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, VRF OUTREACH AND STAFF APPRECIATION, CRCS LEARNING COLLABORATIVE, CAPACITY BLDG</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LYNN CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>269 UNION STREET</AddressLine1Txt>
          <CityNm>LYNN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01901</ZIPCd>
        </USAddress>
        <RecipientEIN>041021080</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>446437</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, PROMOTING RESILIENCE, VRF STAFF APPRECIATION, ORAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MANET CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1193 SEA STREET</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02169</ZIPCd>
        </USAddress>
        <RecipientEIN>042646695</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>551657</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STRENGTHENING CHW, BH CAPACITY BLDG, VRF STAFF APPRECIATION &amp; OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MATTAPAN CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1425 BLUE HILL AVENUE</AddressLine1Txt>
          <CityNm>MATTAPAN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02126</ZIPCd>
        </USAddress>
        <RecipientEIN>042544151</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>356157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MGH-COMMUNITY HEALTH ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 FRUIT STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02114</ZIPCd>
        </USAddress>
        <RecipientEIN>041564655</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>356157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MGH-CHELSEA HEALTHCARE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>151 AND 100 EVERETT AVENUE</AddressLine1Txt>
          <CityNm>CHELSEA</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02150</ZIPCd>
        </USAddress>
        <RecipientEIN>030210304</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DSRIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH END WATERFRONT HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>332 HANOVER STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02113</ZIPCd>
        </USAddress>
        <RecipientEIN>237089746</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>561110</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19,DSRIP, VAX, CAPACITY BUILDING, VRF STAFF APPRECIATION AND OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH SHORE CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>47 CONGRESS STREET</AddressLine1Txt>
          <CityNm>SALEM</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01960</ZIPCd>
        </USAddress>
        <RecipientEIN>042610447</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>693164</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, DSRIP, STRENGTHENING CHW, VRF STAFF APPRECIATION AND OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OUTER CAPE HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3073 STATE HIGHWAY ROUTE 6</AddressLine1Txt>
          <CityNm>WELLFLEET</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02667</ZIPCd>
        </USAddress>
        <RecipientEIN>042509828</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>156657</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DSRIP, STRENGTHENING CHW, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH BOSTON CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>409 W BROADWAY</AddressLine1Txt>
          <CityNm>SOUTH BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02127</ZIPCd>
        </USAddress>
        <RecipientEIN>042682152</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>696657</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, WORKFORCE DEVELOPMENT, VAX, VRF STAFF APPRECIATION AND OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH COVE CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>898 WASHINGTON ST</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02111</ZIPCd>
        </USAddress>
        <RecipientEIN>042501818</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>56157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>VRF STAFF APPRECIATION AND OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SO JAMAICA PLAIN HC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>640 CENTRE STREET</AddressLine1Txt>
          <CityNm>JAMAICA PLAIN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02130</ZIPCd>
        </USAddress>
        <RecipientEIN>042312909</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPRINGFIELD HEALTH SERVICES FOR THE HOMELESS CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>755 WORTHINGTON STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01105</ZIPCd>
        </USAddress>
        <RecipientEIN>461185754</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSTAR FAMILY HEALTH CARE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 STANLEY STREET</AddressLine1Txt>
          <CityNm>FALL RIVER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02720</ZIPCd>
        </USAddress>
        <RecipientEIN>042604426</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>526157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, STRENGTHENING CHW, VRF STAFF APPRECIATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE DIMOCK CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 DIMOCK STREET</AddressLine1Txt>
          <CityNm>ROXBURY</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02119</ZIPCd>
        </USAddress>
        <RecipientEIN>043487835</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>291366</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, ORAL HEALTH, VRF STAFF APPRECIATION AND OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE HOME FOR LITTLE WANDERERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 GUEST STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02135</ZIPCd>
        </USAddress>
        <RecipientEIN>042104764</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DSRIP -Y3-SPECIAL PROJECTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPHAMS CORNER HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 COLUMBUS ROAD</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02125</ZIPCd>
        </USAddress>
        <RecipientEIN>237211732</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>433760</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, CAPACITY BLDG, VRF STAFF APPRECIATION AND OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHITTIER STREET HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1125 TREMONT STREET</AddressLine1Txt>
          <CityNm>ROXBURY</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02120</ZIPCd>
        </USAddress>
        <RecipientEIN>042619517</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>459157</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19, VAX, VRF STAFF APPRECIATION AND OUTREACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INSTITUTE FOR HEALTH EQUITY RESEARCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>40 COURT ST 10TH FLOOR</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
        </USAddress>
        <RecipientEIN>883171072</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5587155</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT OPERATING MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>51</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>LOAN REPAYMENT PROGRAM</GrantTypeTxt>
        <RecipientCnt>123</RecipientCnt>
        <CashGrantAmt>2797547</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE LOAN REPAYMENT PROGRAM THE LEAGUE GETS REPORTS FROM LOAN INSTITUTIONS FOR THE REPAID LOANS. THE LEAGUE IS ALSO INFORMED BY THE CHC IF THE PHYSICIAN LEAVES EMPLOYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LEAGUE ADMINISTERS A PRIMARY CARE PHYSICIAN LOAN REPAYMENT PROGRAM (LRP). THE LRP PROVIDES LOANS TO QUALIFYING PHYSICIANS. THESE LOANS WILL BE FORGIVEN IF THE PHYSICIAN MEETS CERTAIN CRITERIA, INCLUDING WORKING AT LEAST TWO YEARS IN A COMMUNITY HEALTH CENTER. FROM THE INCEPTION OF THE LRP, THE LEAGUE RECEIVED GRANTS FROM VARIOUS FUNDERS TOTALING $10,626,000. FOR THE YEARS ENDED JUNE 30, 2023 LOANS UNDER THE LRP IN THE AMOUNT OF $2,797,547 WERE AWARDED TO VARIOUS QUALIFIED PHYSICIANS. THE LOANS AWARDED HAVE BEEN RECORDED AS LOANS RECEIVABLE BY THE LEAGUE UNTIL THEY ARE FORGIVEN OR RECOVERED. THE LEAGUE'S MANAGEMENT EXPECTS THAT ALL PHYSICIANS PARTICIPATING IN THE LRP WILL MEET THE CRITERIA TO HAVE THEIR LOANS FORGIVEN IN FUTURE YEARS AND, ACCORDINGLY, THE LEAGUE HAS RECORDED AN ALLOWANCE AND RELATED GRANT EXPENSE FOR FORGIVABLE LOANS RECEIVABLE EQUAL TO THE LOANS RECEIVABLE BALANCE, WHICH WAS APPROXIMATELY $12.5 MILLION AT JUNE 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL CURRY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>398540</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>63090</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>94314</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27746</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>583690</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANA ERANI</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>236325</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20088</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17949</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>301699</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEPLIN ALLWATERS</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16963</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10061</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>269349</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAITLIN MCCOLGAN</PersonNm>
        <TitleTxt>VP, GOV. AFFAIRS PUBLIC POLICY</TitleTxt>
        <BaseCompensationFilingOrgAmt>206885</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17722</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15722</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27311</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267640</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARC BOURRASSA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>211888</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15258</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19090</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251536</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN DARGAN-HART</PersonNm>
        <TitleTxt>VP CLINICAL HEALTH AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>185275</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14837</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14008</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>869</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214989</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WATUR FINLEY</PersonNm>
        <TitleTxt>SVP, WORKFORCE &amp; TRAINING</TitleTxt>
        <BaseCompensationFilingOrgAmt>135156</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44268</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12560</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10035</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>202019</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN ADAMS</PersonNm>
        <TitleTxt>VP, HCCN</TitleTxt>
        <BaseCompensationFilingOrgAmt>171028</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13885</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12944</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>859</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>198716</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY ELLEN MCINTYRE</PersonNm>
        <TitleTxt>VP, COMPLIANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>165273</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13176</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12491</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3096</NontaxableBenefitsFilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS WERE AMENDED ON OCTOBER 20, 2022. THE COMMITTEE REVIEWED AND DISCUSSED THE FOLLOWING PROPOSED AMENDMENTS TO THE BYLAWS WHICH WERE PRESENTED BY ME ALONG WITH CHERYL SHAUGHNESSY, VICE PRESIDENT FOR MEMBERSHIP SERVICES. 1. REMOVED GENDER-SPECIFIC PRONOUNS WHERE POSSIBLE TO MAKE THE DOCUMENT GENDER NEUTRAL. IN ADDITION, VARIOUS STYLISTIC CHANGES FOR CLARITY WERE MADE THROUGHOUT. 2. ARTICLE IIMEMBERSHIP COMPOSITION, SECTIONS 1(A) THROUGH 1(C) AND 2(A) THROUGH 2(C) (P.P. 35): PROPOSED AMENDMENT TO EXPLICITLY ALLOW THE SECRETARY'S DESIGNEE (I.E., ANY STAFF) TO ACCEPT MEMBERSHIP APPLICATIONS. 3. ARTICLE IIIMEETINGS OF THE ASSEMBLY, SECTION 2 (P. 7): PROPOSED AMENDMENT TO REMOVE THE REQUIREMENT FOR THREE ADDITIONAL ASSEMBLY MEETINGS EACH YEAR IN ADDITION TO THE ANNUAL ASSEMBLY MEETING. 4. ARTICLE IIIMEETINGS OF THE ASSEMBLY, SECTION 4 (P. 7): PROPOSED AMENDMENT TO CHANGE THE QUORUM FROM 25% TO 1/3THIS WOULD MAKE THE ASSEMBLY QUORUM CONSISTENT WITH THE PROPOSED BOARD QUORUM, DISCUSSED IN NO. 7 BELOW CONCERNING ARTICLE IV'S BOARD QUORUM. 5. ARTICLE IVBOARD OF DIRECTORS, SECTION 1(F) (P. 8): DELETED THE LANGUAGE REGARDING THE CHAIR ESTABLISHING SPECIAL COMMITTEES, AD HOC COMMITTEES, AND TASK FORCES AS THIS MATTER IS ADDRESSED IN ARTICLE VOFFICERS, SECTION 3 AS WELL AS ARTICLE VICOMMITTEES, SECTION 1, AND THUS, IT IS REPETITIOUS TO INCLUDE IN ARTICLE IV. 6. ARTICLE IVBOARD OF DIRECTORS, SECTION 1(K) (P. 9): ADDED LANGUAGE TO ADDRESS THE BOARD'S REQUIREMENT TO MONITOR THE HCCN. 7. ARTICLE IVBOARD OF DIRECTORS, SECTION 3 (P.P. 9-10): CHANGED THE BOARD QUORUM FROM 25% TO 1/3 OF THE TOTAL NUMBER OF DIRECTORS PRESCRIBED UNDER THE BYLAWS (I.E., 5 OUT OF 15 DIRECTORS). PLEASE NOTE THAT 25% DOES NOT COMPORT WITH MASSACHUSETTS LAW, SPECIFICALLY, G. L. C. 156D, 8.24, WHICH REQUIRES THAT QUORUMS OF CORPORATE BOARDS BE NO LESS THAN 1/3 OF THE PRESCRIBED NUMBER OF DIRECTORS FOR A QUORUM, OR IF THERE IS NO PRESCRIBED NUMBER, 1/3 OF THE DIRECTORS THEN IN OFFICE. A VOTE OF TWO-THIRDS OF THE BOARD IS REQUIRED FOR THE REMOVAL FROM OFFICE OF A DIRECTOR. THE BYLAWS COMMITTEE DISCUSSED MEETING AT A LATER POINT IN ORDER TO FURTHER AMEND THE BYLAWS TO REQUIRE GREATER THAN A QUORUM FOR SOME MAJOR DECISIONS. 8. ARTICLE IVBOARD OF DIRECTORS, SECTION 4 (P. 10): REMOVED THE REQUIREMENT THAT THE CHAIR SET THE DATE FOR ELECTION OF THE NON-OFFICER BOARD MEMBERS IMMEDIATELY AFTER THE ANNUAL ASSEMBLY. 9. ARTICLE IVBOARD OF DIRECTORS, SECTION 6 (P. 11): ADDED LANGUAGE TO THE EFFECT THAT THE TERM OF ANY DIRECTOR MAY BE RENEWED FOR ADDITIONAL TERMS CONSISTENT WITH THE BYLAWS. 10. ARTICLE IVBOARD OF DIRECTORS, SECTION 7 (P.11): ADDED LANGUAGE TO EMPHASIZE THAT DIRECTORS WHO FAIL TO TIMELY SUBMIT THEIR RESIGNATION MAY BE REMOVED BY VOTE OF THE BOARD. 11. ARTICLE VOFFICERS, SECTION 3 (P. 12): ADDED LANGUAGE TO EMPHASIZE THE CHAIR'S ABILITY TO ESTABLISH SPECIAL OR AD HOC COMMITTEES AND TASK FORCES AND TO APPOINT OR REMOVE MEMBERS OF SUCH SPECIAL OR AD HOC COMMITTEES OR TASK FORCES. 12. ARTICLE VOFFICERS, SECTION 4 (P. 13): ADDED LANGUAGE TO EMPHASIZE THAT THE PRESIDENT &amp; CEO MAY GIVE THEIR APPROVAL FOR THE EXECUTIVE VP, OR AN INDIVIDUAL IN A SIMILAR EXECUTIVE ROLE, TO ACT AS THEIR ALTERNATE IN A MEETING. 13. ARTICLE VICOMMITTEES, SECTION 1 (P. 14): ADDED LANGUAGE TO EMPHASIZE THAT THE CHAIR OF THE BOARD MAY APPOINT THE CHAIR OF A SPECIAL OR AD HOC COMMITTEE. 14. ARTICLE VICOMMITTEES, SECTION 3(A) (P. 14): ADDED LANGUAGE TO CLARIFY THE LENGTH OF AD HOC COMMITTEES. 15. ARTICLE VICOMMITTEES, SECTION 3(B) THROUGH 3(F) (P.P. 1416): REVISED LANGUAGE TO CLARIFY THE MEMBERSHIP OF THE STANDING COMMITTEES AND REMOVED ONEROUS LANGUAGE RE REQUIRED ANNUAL REPORTS OF COMMITTEES TO ASSEMBLY. 16. ARTICLE VICOMMITTEES, SECTION 3(B) AND 3(C) (P.P. 1415): REVISED LANGUAGE TO ADDRESS MEMBERSHIP IN EDUCATION AND PROGRAM COMMITTEES AS VOTING AND NON-VOTING REPRESENTATIVES AND ADDITIONAL MEMBERS SELECTED FOR THEIR EXPERTISE. 17. ARTICLE VICOMMITTEES, SECTION 3(E) (P. 15): REVISED LANGUAGE TO CLARIFY THAT MEMBERSHIP OF GOVERNMENTAL AFFAIRS COMMITTEE IS LIMITED TO ONE COMMITTEE MEMBER PER ORGANIZATIONAL MEMBER, ONE PER CHC HEALTH SYSTEM MEMBER, AND ONE PER NETWORK MEMBER. 18. ARTICLE VICOMMITTEES, SECTION 3(G) (P. 16): REVISED LANGUAGE CONCERNING THE COMPLIANCE COMMITTEE FOR CLARITY AND TO ADDRESS THAT COMMITTEE'S COMPOSITION AND MEMBERSHIP. 19. ARTICLE VICOMMITTEES, SECTION 3(I) (P. 17): REVISED LANGUAGE TO EMPHASIZE THE AUTHORITY OF THE NOMINATING COMMITTEE TO REMOVE A CANDIDATE FROM CONSIDERATION FOR THE BOARD BASED ON THAT CANDIDATE'S QUALIFICATIONS. 20. ARTICLE VIIMISCELLANEOUS, SECTION 2 (P. 17): REVISED LANGUAGE TO EMPHASIZE THAT THE EXECUTIVE VP, IF IDENTIFIED BY THE PRESIDENT &amp; CEO AS THEIR DESIGNEE FOR SUCH PURPOSE, MAY SERVE ON A COMMITTEE IN THE ABSENCE OF THE PRESIDENT &amp; CEO. 21. ARTICLE VIIMISCELLANEOUS, SECTION 4 (P. 17): REVISED LANGUAGE TO REMOVE REFERENCES TO OUTDATED STORAGE DEVICES AND ADD NEWER ELECTRONIC STORAGE MEDIA. ARTICLE VIIIINDEMNIFICATION OF DIRECTORS AND OFFICERS (P.P. 1718): REVISED LANGUAGE CONCERNING INDEMNIFICATION OF DIRECTORS AND OFFICERS TO ADDRESS BOTH LEGAL COUNSEL AND OTHER PROFESSIONAL FEES (I.E., ACCOUNTANTS). THIS CHANGE HAS BEEN MADE IN TWO PLACES IN ARTICLE VIII.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LEAGUE HAS MEMBERS, WHO ARE COMMUNITY HEALTH CENTERS (CHC'S), CHC NETWORKS, AND CHC HEALTH SYSTEMS. ANY QUALIFIED ORGANIZATION CAN APPLY TO BE A LEAGUE MEMBER. EACH MEMBER ELECTS A VOTING REPRESENTATIVE TO THE LEAGUE'S BOARD OF DIRECTORS. THE ANNUAL ASSEMBLY OF MEMBERS MUST APPROVE OR VERIFY THE SELECTIONS OF THE FULL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE EXPLANATION PROVIDED IN PART VI, SEC A, LINE 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRELIMINARY 990 FORM IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW AND TO PROVIDE ANY SUGGESTED CHANGES. IF ANY CHANGES ARE IDENTIFIED THE 990 IS UPDATED AND RESUBMITTED TO THE BOARD OF DIRECTORS FOR FINAL REVIEW AND APPROVAL. THE EXECUTIVE BOARD NAME HAS BEEN CHANGED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBERS COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY AND DISCLOSES ANY AREAS OF POTENTIAL CONFLICT. THESE ARE REVIEWED WITH THE BOARD CHAIR AND MANAGED BY THE CHAIR IN MEETINGS WHERE APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CHAIR CONDUCTS AN ANNUAL EVALUATION OF THE CEO WITH INPUT OF OFFICERS AND BOARD OF DIRECTORS. COMPARATIVE SALARY AND BENEFIT INFORMATION IS REVIEWED ANNUALLY AND UPDATED PERIODICALLY WITH USE OF COMPENSATION CONSULTANTS. THE BOARD CHAIR PROVIDES EVALUATION INFORMATION AND A RECOMMENDATION TO THE BOARD FOR FINAL APPROVAL OF ADJUSTMENTS TO COMPENSATION ANNUALLY. SALARIES AND POSITION RESPONSIBILITIES ARE REVIEWED ANNUALLY. SALARIES ARE REGULARLY REVIEWED FOR INTERNAL EQUITY ACROSS POSITIONS WITHIN THE ORGANIZATION AND PERIODICALLY REVIEWED FOR MARKET EQUITY THROUGH SALARY SURVEY INFORMATION. BENEFITS ARE REVIEWED ANNUALLY FOR EQUITY AND COMPETITIVENESS, COSTS AND FOR AFFORDABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND ALSO THROUGH THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE AND SEARCH PORTALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING AND OUTREACH SERVICES: PROGRAM SERVICE EXPENSES 8,265,979. MANAGEMENT AND GENERAL EXPENSES 412,211. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,678,190. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 308,461. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 308,461.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRICTED GRANTS RETURNED TO FUNDER -1,005,079.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE ANNUAL FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>COMMONWEALTH PURCHASING GROUP LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>40 COURT STREET 10TH FLOOR</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
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          <AddressLine1Txt>40 COURT ST 10 FLR</AddressLine1Txt>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
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          <AddressLine1Txt>40 COURT ST 10 FLR</AddressLine1Txt>
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        <EIN>883171072</EIN>
        <PrimaryActivitiesTxt>SUPPORT EMANCIPATORY RESEARCH DRIVEN BY COMMUNITY HEALTH CENTERS</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS</BusinessNameLine1Txt>
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      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>CAPITAL LINK INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>ADMIN SERVICES AND IT SUPPORT</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPITAL LINK INC - SEE ABOVE TYPE P</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>CAPITAL LINK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>82000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACTED SERVICES AND PROF FEES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>INSTITUTE FOR HEALTH EQUITY RESEARCH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>5416780</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DUE TO IHE</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>INSTITUTE FOR HEALTH EQUITY RESEARCH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>5587155</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GRANT TO IHE</MethodOfAmountDeterminationTxt>
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  </ReturnData>
</Return>
