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      <Desc>Milford Regional Physician Group has 18 primary care offices servicing the 20 communities of Central Massachusetts. Guided by its mission "to provide quality healthcare services to our community with dignity, compassion and respect", MRPG strives to be responsive to diverse constituencies, individuals and families of all ages, employees and employers of large and small business, physicians and other healthcare providers. As a charitable organization, we acknowledge our special concern for the need of unserved and the underserved, especially the poor and minority populations. Our 50 primary care providers concentrate in the three following disciplines: Internal Medicine, Family Medicine, and Pediatrics. Patients of MRPG visited our primary care offices approximately 160,992 times in 2022. These primary care providers work in collaboration with specialists and the hospitals in our service area using a team approach to provide the best health care possible for the members of our community. The availability of quality primary care is a priority to our organization, support the mission of Milford Regional Physician Group, Inc., and strengthens its ability to reach important strategic goals related to primary care.</Desc>
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        <Desc>Milford Regional Physician Group has 23 specialist groups servicing 20 communities of Central Massachusetts. The group of 41 specialists including pulmonary and critical care, rheumatology, urology, obstetrics and gynecology, endocrinology, sleep medicine, ear nose &amp; throat, and more. Our Lung Allergy &amp; Sleep Pulmonary &amp; Critical Care specialist have expertise in a range of respiratory conditions including but not limited to: lung cancer diagnosis and treatment: chronic obstructive lung disease including asthma; pulmonary vascular disease including pulmonary hypertension; respiratory failure; and lung infections. Our Rheumatologist specializes in the diagnoses and treatment of diseases that affect the endocrine system. In addition, we work closely with the diabetes program at Milford Regional Medical Center to provide a range of services to help optimize diabetes management. Our Sleep Center conducts polysomnograms to diagnose various sleep disorders, the most common of which is obstructive sleep apnea. Our Ear, Nose and Throat specialists are trained in the medical and surgical treatment of the ears, nose and throat and related structures of the head and neck. As Medical Director for the Breast Center our Surgical Breast specialist develops a multi-disciplinary team approach to all issues related to breast health and diseases. Our Cardiologists specialize in the diagnosis and treatment of cardiac disorders such as arrhythmia, hypertension ,congestive heart failure, coronary artery disease and heart attack. Our Orthopedists evaluate and treat conditions of the musculoskeletal system, extremities, joints, muscles, tendons, and ligaments.</Desc>
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        <Desc>Milford Regional Physician Group has an active hospitalist program that serves the Inpatients of Milford Regional Medical Center. Our 20 hospitalists work in collaboration with our primary care physicians to provide well coordinated care to our patients while they are hospitalized. The hospitalists can also make on-the-spot decisions about patient care, follow up on test results and modify treatment plans immediately, if necessary. They provide continuity of care, answer questions and provide emotional support to patients and their families.</Desc>
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        <Desc>Milford Regional Physician Group has 4 Urgent Care Centers that offers convenient walk-in service to treat patients for non-emergent illnesses and injuries. Care is provided by 6 physicians and 13 advance practitioners. Laboratory and x-ray services are available on site. The Urgent Care Centers treated patients approximately 69,419 times in 2022.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gordon Lewis</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Mann</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Linda Mancini</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Muller</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Beverly Smymer</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Earley</PersonNm>
        <TitleTxt>Clerk</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Foley</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Fernandes</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3809058</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>71218</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>296833</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>182</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Lobisser &amp; Ferreira Construction</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 Charlesview Road</AddressLine1Txt>
            <CityNm>Hopedale</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01757</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction</ServicesDesc>
        <CompensationAmt>786705</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Scribe America</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1200 East Las Olas BLVD</AddressLine1Txt>
            <AddressLine2Txt>Suite 201</AddressLine2Txt>
            <CityNm>Fort Lauderdale</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Scribes</ServicesDesc>
        <CompensationAmt>308884</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UMass Memorial Medical Center</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>306 Belmont Street</AddressLine1Txt>
            <CityNm>Worcester</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physician Services</ServicesDesc>
        <CompensationAmt>231402</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Idwellings</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>DBA Bevlin Building Better Networks</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 1816</AddressLine1Txt>
            <CityNm>Duxbury</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02331</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MIS Services</ServicesDesc>
        <CompensationAmt>190831</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Brigham and Women's Physician Organ</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 Francis St</AddressLine1Txt>
            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02445</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physician Services</ServicesDesc>
        <CompensationAmt>183820</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>552377</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>0</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>552377</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Primary Physician Care</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>38079686</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38079686</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Specialty Physician Care</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>41054426</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41054426</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Inpatient Physician Care</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>12438835</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12438835</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Urgent Care</Desc>
        <BusinessCd>622000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>13278074</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrossRentsGrp>
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        <PersonalAmt>0</PersonalAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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        <OtherAmt>-2811</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-2811</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-2811</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>104843762</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>770604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>667326</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      </CompDisqualPersonsGrp>
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        <ProgramServicesAmt>69760156</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1049439</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>-360877</ProgramServicesAmt>
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        <ProgramServicesAmt>4526245</ProgramServicesAmt>
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        <ProgramServicesAmt>3577366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76595</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>8428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79701</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>19200</ManagementAndGeneralAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>4584393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50000</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>26156</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
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        <TotalAmt>16429000</TotalAmt>
        <ProgramServicesAmt>16320394</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108606</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10562</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <RoyaltiesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>5555029</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>28032</TotalAmt>
        <ProgramServicesAmt>26725</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1307</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1208467</TotalAmt>
        <ProgramServicesAmt>1191599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16868</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>1344010</TotalAmt>
        <ProgramServicesAmt>873483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>470527</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>-124881</TotalAmt>
        <ProgramServicesAmt>-129151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4270</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>113605283</TotalAmt>
        <ProgramServicesAmt>110851620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2753663</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>-824412</BOYAmt>
        <EOYAmt>-129455</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>12192642</BOYAmt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Milford Regional is a community physician group and as such, draws its board members from the leaders of the communities it serves. Many of these people have business relationships that are not known by Milford Regional.</ExplanationTxt>
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        <ExplanationTxt>The Form 990 was provided to the Board of Trustees prior to filing via link to the document.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has a written Code of Business Conduct which states its conflict of interest policy. The by-laws of the organization also include a Conflict of Interest section. Conflict of Interest disclosure statements are mailed annually to the Board of Trustees, senior management and any person who is a member of the Board Committee. The completed form is submitted to the President and CEO, who summarizes the results and provides them to the Board of Trustees for their review and discussion. A subcommittee of the Board has been created to review any potential conflict of interest matters as they arise.</ExplanationTxt>
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        <ExplanationTxt>The Compensation Committee approves all compensation plans and guidelines, as well as all compensation for the organization's key employees in accordance with such plans and guidelines. The committee may consult with a nationally recognized consultant to assist in determining the the organization's compensation structure and ranges are reasonable.</ExplanationTxt>
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        <ExplanationTxt>The organization makes its governing documents, such as by-laws, which include the organization's conflict of interest policy, available to the public through the annual filing of the Massachusetts Division of Public Charities Form PC. The Form PC is available for viewing on the Massachusetts Attorney General's website and is also attached to the annual filing of the Massachusetts Form ABC, which is submitted to town offices where the organization owns or leases property. The organization's financial statements are included in the Form PC filing. Documents are also made available upon request.</ExplanationTxt>
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