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      <ActivityOrMissionDesc>LOWELL COMMUNITY HEALTH CENTER (WWW.LCHEALTH.ORG) (LOWELL CHC) SERVES INDIVIDUALS FROM THROUGHOUT GREATER LOWELL, WITH THE MAJORITY LIVING IN THE CITY OF LOWELL. MANY LOWELL CHC PATIENTS ARE MEDICALLY UNDERSERVED AND LOW INCOME, WITH 40% BEST SERVED IN LANGUAGES OTHER THAN ENGLISH. IN FISCAL YEAR 2022, LOWELL CHC PROVIDED 175,171 VISITS TO NEARLY 33,366 PATIENTS AND TOUCHED THE LIVES OF NEARLY 50,000 PEOPLE THROUGH HEALTHCARE, COMMUNITY HEALTH SCREENINGS AND EDUCATION, HIV SERVICES, YOUTH PROGRAMMING, AND LINKAGE TO ESSENTIAL COMMUNITY SERVICES. LOWELL CHC ACHIEVED JOINT COMMISSION ACCREDITATION AND LEVEL 3 PATIENT-CENTERED MEDICAL HOME RECOGNITION FOR COMPLYING WITH RIGOROUS NATIONAL PERFORMANCE STANDARDS THAT PROMOTE QUALITY HEALTHCARE DELIVERY.</ActivityOrMissionDesc>
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      <MissionDesc>LOWELL COMMUNITY HEALTH CENTER (WWW.LCHEALTH.ORG) (LOWELL CHC) SERVES INDIVIDUALS FROM THROUGHOUT GREATER LOWELL, WITH THE MAJORITY LIVING IN THE CITY OF LOWELL. MANY LOWELL CHC PATIENTS ARE MEDICALLY UNDERSERVED AND LOW INCOME, WITH 40% BEST SERVED IN LANGUAGES OTHER THAN ENGLISH. IN FISCAL YEAR 2022, LOWELL CHC PROVIDED 175,171 VISITS TO NEARLY 33,366 PATIENTS AND TOUCHED THE LIVES OF NEARLY 50,000 PEOPLE THROUGH HEALTHCARE, COMMUNITY HEALTH SCREENINGS AND EDUCATION, HIV SERVICES, YOUTH PROGRAMMING, AND LINKAGE TO ESSENTIAL COMMUNITY SERVICES. LOWELL CHC ACHIEVED JOINT COMMISSION ACCREDITATION AND LEVEL 3 PATIENT-CENTERED MEDICAL HOME RECOGNITION FOR COMPLYING WITH RIGOROUS NATIONAL PERFORMANCE STANDARDS THAT PROMOTE QUALITY HEALTHCARE DELIVERY.</MissionDesc>
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      <Desc>PRIMARY CARE LOWELL COMMUNITY HEALTH CENTER OFFERS ADULT, FAMILY MEDICINE, PEDIATRIC SERVICES, EYE CARE, AND DENTAL SERVICES, WITH A COMMITMENT TO QUALITY, CULTURALLY APPROPRIATE CARE. TO THAT END, WE PROVIDE CERTIFIED MEDICAL INTERPRETATION. LOWELL CHC ALSO OFFERS COMPREHENSIVE OBSTETRICS, GYNECOLOGY AND FAMILY PLANNING SERVICES WITH CARE PROVIDED BY DOCTORS AND MIDWIVES WHO HAVE DELIVERY PRIVILEGES AT LOWELL GENERAL HOSPITAL. OUR PATIENT WALK-IN CENTER IS AVAILABLE FOR PATIENTS WHO NEED TO BE SEEN WHEN THEIR PRIMARY CARE DOCTOR IS NOT AVAILABLE. WITH COMMITMENT TO CULTURAL COMPETENCY, LOWELL CHC UNDERSTANDS THE IMPORTANCE OF COORDINATING HEALTH CARE AMONG DIFFERENT MEDICAL AND BEHAVIORAL HEALTH PROVIDERS. WE HELP PATIENTS FIND SPECIALISTS, SET UP APPOINTMENTS, AND MAKE SURE EACH MEDICAL PROVIDER HAS ALL THE INFORMATION NEEDED TO PROVIDE CARE THAT MEETS INDIVIDUAL NEEDS. LOWELL CHC IS OPEN ONSITE FIVE DAYS A WEEK AND ON WEEKENDS VIA TELEHEALTH, WITH ON-CALL PROVIDERS AVAILABLE WHEN THE HEALTH CENTER IS CLOSED.</Desc>
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        <Desc>METTA HEALTH CENTERMETTA MEANS LOVING KINDNESS IN THE BUDDHIST PALI LANGUAGE. METTA IS ONE OF THE NATION'S FIRST FULLY INTEGRATED EAST MEETS WEST HEALTH CARE FACILITIES, WITH A FOCUS ON LOWELL'S SIGNIFICANT SOUTHEAST ASIAN AND OTHER REFUGEE POPULATIONS. SERVICES INCLUDE PRIMARY MEDICAL CARE FOR ALL AGES USING A FAMILY MEDICINE MODEL, CHRONIC DISEASE MANAGEMENT, NUTRITION COUNSELING, MENTAL HEALTH SERVICES, TRADITIONAL HEALING ADVICE, ACUPUNCTURE (TEMPORARILY SUSPENDED DUE TO THE PANDEMIC), MASSAGE THERAPY, SOCIAL SERVICES, MEDITATION, HEALTH EDUCATION, AND REFERRALS. METTA'S STAFF MEMBERS ARE BILINGUAL AND BICULTURAL. METTA'S UNIQUE TEAM-BASED BEHAVIORAL HEALTH SERVICES MODEL ACKNOWLEDGES THE IMPORTANCE OF CULTURAL BELIEFS AND PAIRS A BICULTURAL MENTAL HEALTH SPECIALIST WITH A LICENSED MENTAL HEALTH CLINICIAN AND, IF NEEDED, A PSYCHIATRIST OR A PSYCHIATRIC NURSE PRACTITIONER. AS THE REGIONS' ONLY REFUGEE HEALTH ASSESSMENT PROGRAM, METTA ASSURES THAT REFUGEES RECEIVE HEALTH SCREENING AND TREATMENT WITHIN 30 DAYS OF ARRIVAL.</Desc>
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        <Desc>BEHAVIORAL HEALTH SERVICESLOWELL CHC OFFERS A WIDE RANGE OF BEHAVIORAL HEALTH SERVICES FOR THOSE WITH MENTAL HEALTH AND SUBSTANCE USE ISSUES. WE HAVE A COMMITMENT TO CULTURAL DIVERSITY, CLINICAL EXCELLENCE, AND INTEGRATING BEHAVIORAL HEALTH CARE WITH PRIMARY CARE SERVICES. THE LOWELL CHC BEHAVIORAL HEALTH SERVICES DEPARTMENT OFFERS EXPERIENCED CLINICIANS WHO PROVIDE TREATMENT FOR CHILDREN, ADOLESCENTS, AND ADULTS THROUGH INDIVIDUAL, GROUP, COUPLE, AND FAMILY THERAPY, BOTH IN-PERSON AND VIRTUALLY. EXPERIENCED MENTAL HEALTH PROFESSIONALS AND CERTIFIED ADDICTION COUNSELORS WORK TO IDENTIFY INDIVIDUAL NEEDS AND DEVELOP SHORT-TERM AS WELL AS LONG-TERM GOALS. IN ADDITION, ALL STAFF ARE TRAINED IN CASE MANAGEMENT AND CARE COORDINATION THROUGH PERSON-CENTERED TREATMENT PLANNING. THROUGH THIS PROCESS, ADDITIONAL SERVICE NEEDS ARE IDENTIFIED AND SECURED IN COLLABORATION WITH THE PATIENT. PSYCHOPHARMACOLOGY (MEDICATION PRESCRIBED TO TREAT MENTAL HEALTH ISSUES) IS AN ADDITIONAL SERVICE OFFERED TO PATIENTS. THE BEHAVIORAL HEALTH SERVICES TEAM WORKS CLOSELY WITH MEDICAL PROVIDERS TO ASSURE THAT PATIENTS' NEEDS ARE MET.</Desc>
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        <Desc>OB/GYN AND FAMILY PLANNINGQUALITY, AFFORDABLE OBSTETRICS CARE, ALONG WITH CONFIDENTIAL REPRODUCTIVE HEALTH CARE SERVICES ARE PROVIDED FOR BOTH MALE AND FEMALE ADULTS AND ADOLESCENTS. FAMILY NURSE PRACTITIONERS AND HEALTH EDUCATORS PROVIDE SERVICES THAT INCLUDE GYNECOLOGICAL EXAMS, BIRTH CONTROL SERVICES, TESTING AND TREATMENT OF STDS (SEXUALLY TRANSMITTED DISEASES), HIV COUNSELING AND TESTING, TESTING AND TREATMENT OF URINARY TRACT INFECTIONS, COLPOSCOPY AND BREAST EXAMS. PARENTAL CONSENT IS NOT REQUIRED AT OUR TEEN CLINIC, WHERE TEENS CAN RECEIVE CONFIDENTIAL SERVICES ON A WALK-IN BASIS.</Desc>
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        <Desc>CARINO HIV/AIDSLOWELL CHC OFFERS COMPREHENSIVE HIV SERVICES INCLUDING COUNSELING, TESTING, TREATMENT, SOCIAL SUPPORT AND ADVOCACY FOR THOSE LIVING WITH OR AFFECTED BY HIV/AIDS. SPECIFIC HIV SERVICES INCLUDE: CARE MANAGEMENT; HIV PRIMARY AND SPECIALTY CARE; MEDICATION ADHERENCE SERVICES; PEER SUPPORT IN INDIVIDUAL AND GROUP SETTINGS; MASSCARE SERVICES FOCUSING ON PREGNANT WOMEN, CHILDREN AND FAMILIES; PREVENTION AND EDUCATION; HIV/AIDS, STI, HEPATITIS C SCREENING, REFERRAL AND TREATMENT; MEDICAL TRANSPORTATION; PARTNER SERVICES; ACUPUNCTURE; AND LINKAGES TO COMPLEMENTARY COMMUNITY SERVICES.</Desc>
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        <Desc>SCHOOL BASED HEALTH CENTERSLOWELL CHC PROVIDES COMPREHENSIVE IN-SCHOOL SERVICES FOR ADOLESCENTS IN LOWELL.CENTERS ARE LOCATED AT LOWELL HIGH SCHOOL AND STOKLOSA MIDDLE SCHOOL. EACH CENTER IS STAFFED BY NURSE PRACTITIONERS, MEDICAL ASSISTANTS, AND A MENTAL HEALTH CLINICIAN, PROVIDING STUDENTS WITH COMPREHENSIVE PRIMARY MEDICAL CARE DURING SCHOOL HOURS. SERVICES INCLUDE PHYSICAL EXAMS, MANAGEMENT OF CHRONIC MEDICAL CONDITIONS, URGENT CARE, NUTRITION COUNSELING, HEALTH SCREENINGS, IMMUNIZATIONS, SPORTS AND EMPLOYMENT PHYSICALS, AND MENTAL HEALTH SERVICES.</Desc>
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        <Desc>COMMUNITY HEALTH PROGRAMMINGLOWELL CHC OUTREACH PROGRAMS, CONDUCTED IN COLLABORATION WITH OUR CLINICAL PROGRAMS, SERVE THE DIVERSE COMMUNITIES OF GREATER LOWELL, WITH A FOCUS ON LATINX, CAMBODIAN, AFRICAN, AND NEWLY ARRIVED REFUGEES AND IMMIGRANTS, UNINSURED RESIDENTS, AND RESIDENTS IN NEED OF PRIMARY CARE OR MENTAL HEALTH SERVICES. THE HEALTH PROMOTION DEPARTMENT, WHICH INCLUDES COMMUNITY HEALTH WORKERS, ALSO COLLABORATES WITH LOCAL COMMUNITY AGENCIES AND FAITH-BASED ORGANIZATIONS. PROGRAMS INCLUDE: THE HEALTH HOMES ASTHMA PROGRAM TO IMPROVE RESIDENTIAL ENVIRONMENTS OF LOW-INCOME, DIVERSE ASTHMATIC ADULTS WHO ARE 65+; AND PROVIDING MULTI-DISCIPLINARY SERVICES TO SURVIVORS OF TORTURE SO THEY MAY BE FULLY FUNCTIONING MEMBERS OF SOCIETY. IN RECENT YEARS, WE HAVE ALSO WORKED TO STRENGTHEN OUR RELATIONSHIP WITH THE FAITH-BASED COMMUNITIES IN LOWELL, PARTNERING TO SUPPORT OUR SIZABLE IMMIGRANT COMMUNITY. OUR COMMUNITY HEALTH EDUCATION CENTER OFFERS COMMUNITY HEALTH TRAINING THROUGHOUT THE REGION, WITH A FOCUS ON WORKFORCE DEVELOPMENT FOR COMMUNITY HEALTH WORKERS AND MEDICAL INTERPRETERS.IN ADDITION, OUR CDC-FUNDED REACH LOWELL PROGRAM EMPLOYS AN EQUITY LENS TO ADDRESS DIABETES, HYPERTENSION, AND ENCOURAGING BREAST/CHEST FEEING AMONG LOWELL'S LATINX AND CAMBODIAN RESIDENTS AS WELL AS WORKING TO INCREASE ACCESS TO COVID-19 AND FLU VACCINES.</Desc>
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        <Desc>YOUTH PROGRAMMINGLOWELL COMMUNITY HEALTH CENTER'S TEEN BLOCK IS A FREE AFTER-SCHOOL PROGRAM FOR TEENS FOCUSING ON HEALTHY DEVELOPMENT OF YOUNG PEOPLE AND EMPOWERING YOUTH TO BECOME LEADERS IN THE COMMUNITY BY WORKING TO REDUCE RISKY BEHAVIORS THAT LEAD TO TEEN PREGNANCY, HIV/STIS, SUBSTANCE ABUSE AND VIOLENT IN LOWELL. BY BUILDING LEADERSHIP OPPORTUNITIES IN THE COMMUNITY AND PROVIDING KNOWLEDGE (BLOCK) ON HEALTH EDUCATION AND PREVENTION, WE PROMOTE HEALTHY BEHAVIORS THAT WILL ENHANCE THE FUTURE PROSPECTS FOR OUR YOUNG PEOPLE. TEEN BLOCK PROGRAMS HAVE A STRONG FOCUS ON ARTS AND CREATIVE EXPRESSION, INCLUDING THE ANNUAL DANCE 4 PEACE, NOW IN ITS 27TH YEAR, WHICH BRINGS TEENS FROM MANY COMMUNITIES TOGETHER TO EXPLORE A PARTICULAR THEME OR SUBJECT RELATED TO VIOLENCE PREVENTION. AS A YOUTH-LED PROGRAM, TEEN BLOCK EMPLOYS THE YOUTH AS ASSETS APPROACH TO CULTIVATE CONNECTION, CONFIDENCE, COMPETENCE, CONTRIBUTION, AND CARING, WHICH IS WHAT YOUTH NEED FOR POSITIVE OUTCOMES.</Desc>
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        <Desc>PHARMACYOPEN TO THE PUBLIC, THE CONTRACTED PHARMACY PROVIDES PATIENTS AND COMMUNITY RESIDENTS WITH CONVENIENT ACCESS TO LOW-COST PRESCRIPTION MEDICATIONS. THE FEDERAL 340B PROGRAM IS AVAILABLE FOR ALL PATIENTS, MAKING MEDICATIONS EXTREMELY AFFORDABLE. IN FISCAL YEAR 2020, PHARMACY SITES OFFERING OUR PATIENTS 340B PRICING WAS EXPANDED TO 14 LOCATIONS.</Desc>
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        <Desc>DENTALGOOD ORAL HEALTH IS PART OF OVERALL HEALTH. WITH THAT IN MIND, THE HEALTH CENTER OPENED ITS DENTAL CARE CENTER IN MARCH OF 2018, PROVIDING ACCESS TO COMPREHENSIVE ORAL HEALTH CARE FOR ALL AGES INCLUDING INFANTS AND PREGNANT WOMEN. THE CENTER FEATURES 16 DENTAL OPERATORIES. IT'S SMILES4FAMILIES PROGRAM HELPS OFFSET THE COST OF CARE FOR PATIENTS IN NEED.</Desc>
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        <Desc>VISIONSINCE MARCH OF 2018, LOWELL CHC HAS OFFERED COMPREHENSIVE EYE CARE FOR INFANTS, CHILDREN AND ADULTS IN ITS STATE-OF-THE-ART EYE CARE CENTER FEATURING SEVEN EXAM ROOMS AND EQUIPMENT TO DIAGNOSE OCULAR CONDITIONS AND DISEASES LIKE GLAUCOMA AND DIABETIC RETINOPATHY. EYE CARE SERVICES PROVIDED INCLUDE COMPREHENSIVE EYE EXAMINATIONS AND CONTACT LENS FITTINGS. THE LOWELL CHC OPTICAL SHOP OFFERS A RANGE OF AFFORDABLE EYEWEAR OPTIONS AND ACCESSORIES. THE HEALTH CENTER'S GLASSES4FAMILIES FUND IS AVAILABLE FOR THOSE IN NEED.</Desc>
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        <Desc>OBATLOWELL CHC OFFERS OUTPATIENT SERVICES FOR OUR PATIENTS SEEKING ASSISTANCE WITH SUBSTANCE USE DISORDERS THROUGH OUR OFFICE BASED ADDICTION TREATMENT (OBAT) PROGRAM, WITH AN EMPHASIS ON BOTH MEDICATION-ASSISTED TREATMENT WITH THE MEDICATIONS SUBOXONE (BUPRENORPHINE-NALOXONE) OR VIVITROL (NALTREXONE). OUR OBAT CARE TEAM WORKS CLOSELY WITH PRIMARY CARE PROVIDERS AND BEHAVIORAL HEALTH SERVICES' CLINICIANS IN MANAGING THE CARE OF EACH PATIENT. RECOVERY COACHES AND SOCIAL WORKERS ARE AVAILABLE TO ASSIST PATIENTS THROUGHOUT THEIR RECOVERY PROCESS. WE PROVIDE INDIVIDUAL AND GROUP SUPPORT AS WE WORK TO ASSURE INTEGRATED SERVICES THAT PROMOTE OVERALL WELLNESS THROUGHOUT THE RECOVERY PROCESS. WE ALSO OFFER SAME-DAY WALK-IN SERVICES FOR THOSE SEEKING SCREENING FOR HIV AND HEPATITIS C REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. PARTNER SERVICES AND TREATMENT ARE ALSO AVAILABLE.</Desc>
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        <NontaxableBenefitsFilingOrgAmt>15251</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>289879</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MARLIN</PersonNm>
        <TitleTxt>CHIEF OF METTA</TitleTxt>
        <BaseCompensationFilingOrgAmt>265839</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20797</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286636</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENDA RODRIGUEZ</PersonNm>
        <TitleTxt>CHIEF STRATEGY &amp; FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>248207</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8686</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>271893</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT WHEELER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>206894</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8464</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215358</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS A CHANGE TO THE BY-LAWS IN NOVEMBER 2021. THE FIRST AMENDMENT RECOMMENDED WAS TO CHANGE THE DEFINITION IN THE BY-LAWS FOR "CONSUMER" MEMBER OF THE BOARD. THE RECOMMENDATION BEFORE THE BOARD WAS THE REMOVAL OF "WHO UTILIZE THE CORPORATION AS THEIR PRINCIPAL SOURCE OF PRIMARY CARE, AND WHO HAVE RECEIVED CORPORATION SERVICES WITHIN LAST TWO YEARS", TO BE REPLACED WITH: "WHO HAVE RECEIVED AT LEAST ONE SERVICE IN THE PAST 24 MONTHS THAT GENERATED A HEALTH CENTER VISIT, WHERE BOTH THE SERVICE AND THE SITE WHERE THE SERVICE WAS RECEIVED ARE WITHIN THE HRSA-APPROVED SCOPE OF PROJECT." THE NEXT AMENDMENT SUGGESTED WAS TO AMEND THE DEFINITION OF "IMMEDIATE" FAMILY MEMBER. THE NEW WORDING WOULD BE TO AMEND THE DEFINITION TO INCLUDE "ADOPTION" SUCH THAT THE UPDATED CLAUSE USING THE DEFINITION WOULD READ "NO PERSON MAY SIMULTANEOUSLY BE A BOARD MEMBER AND HOLD A SALARIED POSITION WITH THE CORPORATION. NO PERSON MAY BE ELECTED AS OR CONTINUE TO BE A BOARD MEMBER IF THEIR SPOUSE OR OTHER IMMEDIATE FAMILY MEMBER, SUCH AS A CHILD, PARENT, OR SIBLING BY BLOOD, MARRIAGE, OR ADOPTION HOLDS OR ASSUMES A SALARIED POSITION WITH THE CORPORATION."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS MADE AVAILABLE ON THE BOARD PORTAL TO ALL BOARD MEMBERS. THE 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE. THE FINANCE COMMITTEE ACCEPTS THE 990 ON BEHALF OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL DISCLOSURE QUESTIONNAIRE IS CIRCULATED TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMITTEE OF THE BOARD SETS THE COMPENSATION FOR THE CEO. FOR OTHER KEY EMPLOYEES, COMPENSATION IS ESTABLISHED BY THE CEO, USING THE LOCAL MARKET COMPARISONS SUCH AS THE FORM 990, MASS LEAGUE OF COMMUNITY HEALTH CENTERS, AND OTHER SURVEYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF STATE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LCHC SUPPORT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01852</ZIPCd>
        </USAddress>
        <EIN>043498316</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOWELL CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOWELL GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>295 VARNUM AVENUE</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01854</ZIPCd>
        </USAddress>
        <EIN>042103590</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FRIENDS OF LOWELL CHC INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01852</ZIPCd>
        </USAddress>
        <EIN>823761689</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCHC SUPPORT CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1741842</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AUDITED FS - NOTE PAYABLE TO LCHC</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCHC SUPPORT CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>1161700</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>STRAIGHT LINED RENT PER LEASE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
