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      <Desc>PRIMARY CARE: DOTHOUSE SERVED OVER 22,022 PATIENTS IN DORCHESTER IN FISCAL 2024. PRIMARY CARE SERVICES REPRESENTED 55% OF TOTAL PATIENT VISITS DURING THE YEAR. PRIMARY CARE SERVICES INCLUDE ADULT MEDICINE, FAMILY MEDICINE, PEDIATRICS, AND THE URGENT CARE PROGRAM. FROM THESE SERVICES, PATIENTS CAN BE REFERRED FOR A WIDE VARIETY OF IN-HOUSE SPECIALTY CARE, SOCIAL SERVICE, CASE MANAGEMENT AND WELLNESS PROGRAMMING. OUR FULL COMPLEMENT OF SERVICES INCLUDES ADULT MEDICINE, FAMILY MEDICINE, PEDIATRICS, URGENT CARE, WOMEN'S HEALTH, DENTAL CARE, EYE CARE, BEHAVIORAL HEALTH INCLUDING SUBSTANCE ABUSE DISORDER AND FULL SERVICES IN PHARMACY, LABORATORY INCLUDING TESTING AND PHLEBOTOMY, X-RAY, ULTRASOUND AND MAMMOGRAPHY. SPECIALTY CARE INCLUDES DERMATOLOGY, NUTRITION, CARDIOLOGY, HIV, CLINICAL CASE MANAGEMENT, ACCESS TO PUBLIC BENEFITS SUCH AS FOOD AND HOUSING ASSISTANCE, LEGAL ASSISTANCE, OUT-OF-SCHOOL TIME PROGRAMMING, ADULT EDUCATION, TAX AND CREDIT COUNSELING, FOOD PANTRY, SWIMMING POOL AND GYMNASIUM PROGRAMMING, ELDER SERVICES, AND EXERCISE PROGRAMS.</Desc>
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        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER MCCOY</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK WU</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHI TRAN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY LOPES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARYSSA MCLEAN SCHNEIDER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULO A DE BARROS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNISSA ESSAIBI GEORGE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOMINIQUE SYE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL WOOL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSA SHOUDER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAM PHAM</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN DEMARCO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZOE AGNEW</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THAO HO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2443503</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>189745</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>60</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BOSTON MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>720 HARRISON AVENUE 10TH FLOOR</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY MANAGEMENT</ServicesDesc>
        <CompensationAmt>1597131</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CPA MEDICAL BILLING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 SOUTH SHORE DRIVE SUITE 200</AddressLine1Txt>
            <CityNm>EAST HAVEN</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06512</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>3RD PARTY BILLING MANAGEMENT</ServicesDesc>
        <CompensationAmt>1100788</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIMPATICO SYSTEMS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8101 VIOLA AVE</AddressLine1Txt>
            <CityNm>LUBBOCK</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79423</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>817861</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BU FAMILY MEDICINE ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE BOSTON MEDICAL CENTER PLACE DO</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01746</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>625563</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AAFCPAS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>50 WASHINGTON STREET</AddressLine1Txt>
            <CityNm>WESTBOROUGH</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01581</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT AND TAX SERVICES</ServicesDesc>
        <CompensationAmt>131802</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>5034</FundraisingAmt>
      <GovernmentGrantsAmt>7793601</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3217786</AllOtherContributionsAmt>
      <NoncashContributionsAmt>135731</NoncashContributionsAmt>
      <TotalContributionsAmt>11016421</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621498</BusinessCd>
        <TotalRevenueColumnAmt>18813264</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18813264</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18813264</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1017605</TotalRevenueColumnAmt>
        <ExclusionAmt>1017605</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>22655</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>22655</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>22655</TotalRevenueColumnAmt>
        <ExclusionAmt>22655</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8577443</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>7814509</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>762934</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>762934</TotalRevenueColumnAmt>
        <ExclusionAmt>762934</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>31191</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>5034</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>68714</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-37523</TotalRevenueColumnAmt>
        <ExclusionAmt>-37523</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>10119177</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>4318953</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>5800224</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6084204</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-283980</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>151544</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>151544</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>151544</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>37547124</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25049012</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-283980</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1765671</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>76734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1297151</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>21332800</TotalAmt>
        <ProgramServicesAmt>20648976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>683824</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>383754</TotalAmt>
        <ProgramServicesAmt>364430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19324</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3708753</TotalAmt>
        <ProgramServicesAmt>3003241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>705512</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>359343</TotalAmt>
        <ProgramServicesAmt>289171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70172</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>111251</TotalAmt>
        <ManagementAndGeneralAmt>111251</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>109802</TotalAmt>
        <ManagementAndGeneralAmt>109802</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3888973</TotalAmt>
        <ProgramServicesAmt>2367651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1521322</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>46769</TotalAmt>
        <ProgramServicesAmt>7180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39589</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>75614</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141966</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>496454</TotalAmt>
        <ManagementAndGeneralAmt>496454</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1777349</TotalAmt>
        <ProgramServicesAmt>1460554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>316795</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>20700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37265</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1258831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80365</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>316316</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2328112</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DATA PROCESSING</Desc>
        <TotalAmt>781702</TotalAmt>
        <ProgramServicesAmt>573223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>208479</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>76156</ProgramServicesAmt>
        <ManagementAndGeneralAmt>354552</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>192387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66987</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>137604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>311508</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>32880564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6888634</ManagementAndGeneralAmt>
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        <EOYAmt>209800</EOYAmt>
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        <EOYAmt>11792302</EOYAmt>
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        <EOYAmt>220115</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2657884</EOYAmt>
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        <EOYAmt>1502878</EOYAmt>
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        <EOYAmt>15497265</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>20686052</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>63680</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>52629976</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>5669078</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>63680</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>5170445</BOYAmt>
        <EOYAmt>5732758</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>44332330</BOYAmt>
        <EOYAmt>44019755</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2893946</BOYAmt>
        <EOYAmt>2877463</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>47226276</BOYAmt>
        <EOYAmt>46897218</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>52396721</BOYAmt>
        <EOYAmt>52629976</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-2222074</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1893016</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE CFO THEN PRESENTED BY THE CFO AT A BOARD MEETING. THE BOARD RECEIVES THE FORM 990 PRIOR TO THE BOARD MEETING. THE FORM IS THEN REVIEWED AND APPROVED BY THE BOARD PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES THAT ALL MEMBERS OF THE GOVERNING BOARD AND SENIOR MANAGEMENT READ THE POLICY AND ANNUALLY SIGN A CONFLICT-OF-INTEREST STATEMENT DISCLOSING ANY CONFLICTS. THE STATEMENTS ARE REVIEWED BY THE COMPLIANCE COMMITTEE AND ENFORCED BY THE BOARD CHAIR AND CEO. IF A CONFLICT OCCURS THAT PERSON IS EXCUSED FROM THE DISCUSSION AND CANNOT ADVOCATE ON BEHALF OF THE CONFLICTING ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE CEO'S SALARY BASED ON AN ANNUAL EVALUATION. OTHER OFFICERS SALARIES ARE DETERMINED BY THE COMPARISON TO THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS SALARIES AND COMPENSATION SURVEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES THAT ALL MEMBERS OF THE GOVERNING BOARD AND SENIOR MANAGEMENT READ THE POLICY AND ANNUALLY SIGN A CONFLICT-OF-INTEREST STATEMENT DISCLOSING ANY CONFLICTS. THE STATEMENTS ARE REVIEWED BY THE COMPLIANCE COMMITTEE AND ENFORCED BY THE BOARD CHAIR AND CEO. IF A CONFLICT OCCURS THAT PERSON IS EXCUSED FROM THE DISCUSSION AND CANNOT ADVOCATE ON BEHALF OF THE CONFLICTING ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE O</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DHMSC REALTY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1353 DORCHESTER AVENUE</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02122</ZIPCd>
        </USAddress>
        <EIN>455435131</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)2</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1353 DORCHESTER AVENUE</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02122</ZIPCd>
        </USAddress>
        <EIN>000627627</EIN>
        <PrimaryActivitiesTxt>HEALTH CENTER RESOURCES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</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>
    </IRS990ScheduleR>
  </ReturnData>
</Return>