﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2019v5.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2021-08-10T16:20:08-05:00</ReturnTs>
    <TaxPeriodEndDt>2020-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>042571780</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>AAFCPAS INC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>50 WASHINGTON STREET</AddressLine1Txt>
        <CityNm>WESTBOROUGH</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>01581</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2019-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>042881348</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>LOWELL COMMUNITY HEALTH CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>LOWE</BusinessNameControlTxt>
      <PhoneNum>9787467831</PhoneNum>
      <USAddress>
        <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
        <CityNm>LOWELL</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>01854</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>SUSAN LEVINE</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>9787467831</PhoneNum>
      <SignatureDt>2021-07-23</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>SORIE KABA CPA</PreparerPersonNm>
      <PTIN>P01317106</PTIN>
      <PhoneNum>5083669100</PhoneNum>
      <PreparationDt>2021-07-07</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2019</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>SUSAN LEVINE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
        <CityNm>LOWELL</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>01854</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>53136429</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.LCHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1986</FormationYr>
      <LegalDomicileStateCd>MA</LegalDomicileStateCd>
      <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 2020, LOWELL CHC PROVIDED 188,093 VISITS TO NEARLY 32,000 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>
      <VotingMembersGoverningBodyCnt>19</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>19</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>652</TotalEmployeeCnt>
      <TotalVolunteersCnt>135</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>10915255</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>12760897</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>35981279</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>39660650</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>12963315</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>248095</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>725994</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>466787</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>60585843</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>53136429</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>33386987</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>33728121</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>213584</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>16697886</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>15559243</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>50084873</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>49287364</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>10500970</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3849065</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>68008326</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>81928693</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>28948876</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>39020178</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>39059450</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>42908515</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <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 2020, LOWELL CHC PROVIDED 188,093 VISITS TO NEARLY 32,000 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>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>27060045</ExpenseAmt>
      <RevenueAmt>22853922</RevenueAmt>
      <Desc>PRIMARY CARE: 103,133 VISITS IN FISCAL YEAR 2020LOWELL COMMUNITY HEALTH CENTER OFFERS ADULT, FAMILY MEDICINE AND PEDIATRIC SERVICES WITH A COMMITMENT TO QUALITY, CULTURALLY APPROPRIATE CARE. TO THAT END, WE PROVIDE CERTIFIED MEDICAL INTERPRETATION IN MORE THAN 28 LANGUAGES WITH OTHER LANGUAGES ADDRESSED TELEPHONICALLY OR VIA IPAD. MEDICAL SPECIALTIES INCLUDE PODIATRY AND NEUROLOGY. 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 SIX DAYS A WEEK FOR PATIENTS WHO NEED TO BE SEEN WHEN THEIR PRIMARY CARE DOCTOR IS NOT AVAILABLE. WITH A STRONG 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 AL THE INFORMATION NEEDED TO PROVIDE CARE THAT MEETS INDIVIDUAL NEEDS. LOWELL CHC IS OPEN SIX DAYS A WEEK, INCLUDING SATURDAY AND EVENING HOURS WITH ON-CALL DOCTORS AVAILABLE WHEN THE HEALTH CENTER IS CLOSED.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2198192</ExpenseAmt>
        <RevenueAmt>2572601</RevenueAmt>
        <Desc>METTA HEALTH CENTER: 17,126 VISITS IN FISCAL YEAR 2020METTA MEANS LOVING KINDNESS IN THE BUDDHIST PALI LANGUAGE. THE HEALTH CENTER 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, 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 CENTER, METTA ASSURES THAT REFUGEES RECEIVE HEALTH SCREENING AND TREATMENT WITHIN 30 DAYS OF ARRIVAL.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>4002544</ExpenseAmt>
        <RevenueAmt>2704898</RevenueAmt>
        <Desc>BEHAVIORAL HEALTH SERVICES: 34,163 VISITS IN FISCAL YEAR 2020LOWELL CHC OFFERS A WIDE RANGE OF BEHAVIORAL HEALTH SERVICES FOR THOSE WITH MENTAL HEALTH AND SUBSTANCE ABUSE 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. EXPERIENCES 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, ADJUNCT SERVICES 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>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <RevenueAmt>2225717</RevenueAmt>
        <Desc>OB/GYN AND FAMILY PLANNING: 12,077 VISITS AND 394 DELIVERIES IN FISCAL YEAR 2020QUALITY, AFFORDABLE, AND 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.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <RevenueAmt>332667</RevenueAmt>
        <Desc>CARINO HIV/AIDS SERVICES: 106 VISITS IN FISCAL YEAR 2020LOWELL 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>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1403106</ExpenseAmt>
        <RevenueAmt>370237</RevenueAmt>
        <Desc>SCHOOL BASED HEALTH CENTERS: 1,549 VISITS IN FISCAL YEAR 2020COMPREHENSIVE IN-SCHOOL SERVICES FOR ADOLESCENTS ATTENDING PUBLIC SCHOOL 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>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>COMMUNITY HEALTH PROGRAMMING: 10,628 VISITS IN FISCAL YEAR 2020LOWELL CHC OUTREACH PROGRAMS, CONDUCTED IN COLLABORATION WITH OUR CLINICAL PROGRAMS, SERVE THE DIVERSE COMMUNITIES OF GREATER LOWELL, WITH A FOCUS ON LATINO, CAMBODIAN, AFRICAN, AND NEWLY ARRIVED REFUGEES AND IMMIGRANTS, UNINSURED RESIDENTS, AND RESIDENTS IN NEED OF PRIMARY CARE OF MENTAL HEALTH SERVICES. THE HEALTH PROMOTION DEPARTMENT ALSO COLLABORATES WITH LOCAL COMMUNITY AGENCIES AND FAITH-BASED ORGANIZATIONS. PROGRAMS INCLUDE: DOMESTIC VIOLENCE PROGRAMMING FOR CAMBODIAN WOMEN AND FAMILIES EXPERIENCING DOMESTIC OR FAMILY VIOLENCE; HEALTH HOMES ASTHMA PROGRAM TO IMPROVE RESIDENTIAL ENVIRONMENTS OF LOW-INCOME, DIVERSE ASTHMATIC ADULTS WHO ARE 65+; AND PASSAGE TO HEALING 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, AS WE PARTNER TO SUPPORT OUR SIZABLE IMMIGRANT COMMUNITY. OUR COMMUNITY HEALTH EDUCATION CENTER IS A CENTERPIECE FOR COMMUNITY HEALTH TRAINING THROUGHOUT THE REGION, WITH A FOCUS ON WORKFORCE DEVELOPMENT FOR COMMUNITY HEALTH WORKERS AND MEDICAL INTERPRETERS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>YOUTH PROGRAMMING:THE LOWELL COMMUNITY HEALTH CENTER TEEN BLOCK'S MISSION IS TO SUPPORT THE HEALTHY DEVELOPMENT OF YOUNG PEOPLE AND EMPOWER THEM 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. PROGRAMS HAVE A STRONG FOCUS ON ARTS AND CREATIVE EXPRESSION, INCLUDING THE ANNUAL DANCE 4 PEACE, NOW IN ITS 25TH 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. DANCE 4 PEACE WAS CANCELED IN 2020 DUE TO THE COVID-19 PANDEMIC, AND WILL BE HELD VIRTUALLY IN 2021.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>5076451</ExpenseAmt>
        <RevenueAmt>6040534</RevenueAmt>
        <Desc>PHARMACY: 77,356 VISITS IN FISCAL YEAR 2020OPEN TO THE PUBLIC, THE LOWELL CHC 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 2020 PHARMACY SITES OFFERING OUR PATIENTS 340B PRICING WAS EXPANDED TO 14 LOCATIONS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1912029</ExpenseAmt>
        <RevenueAmt>580415</RevenueAmt>
        <Desc>DENTAL: 4,975 VISITS IN FISCAL YEAR 2020GOOD 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.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1741818</ExpenseAmt>
        <RevenueAmt>993458</RevenueAmt>
        <Desc>VISION: 9,439 VISITS IN FISCAL YEAR 2020SINCE 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 GLASSES FOR FAMILIES FUND IS AVAILABLE FOR THOSE WHO CANNOT AFFORD EYEWEAR COSTS OR LENS OPTIONS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <RevenueAmt>986201</RevenueAmt>
        <Desc>OBAT: 5,525 VISITS IN FISCAL YEAR 2020LOWELL 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>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>10133404</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>11529229</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>43394185</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>53</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>652</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>19</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>19</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>BRENDA RODRIGUEZ CFO</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9789379700</PhoneNum>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01582</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVE SNEHLATA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>304689</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49542</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LEVINE</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>282817</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38476</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER KUHLMANN</PersonNm>
        <TitleTxt>PHYSICIAN CHIEF OF OBGYN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>299055</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8965</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDI BERKOWITZ</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>301462</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3580</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARSHANA APTE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>261429</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15161</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISHNAMOORTHY RAO</PersonNm>
        <TitleTxt>PHYSICIAN CHIEF OF ADULT MEDICINE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>257442</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15086</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD MILLER</PersonNm>
        <TitleTxt>PHYSICIAN MEDICAL DIRECTOR OF STRATEGIC INITIATIVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>255814</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15075</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT WHEELER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>192397</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8455</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH HALE</PersonNm>
        <TitleTxt>CHIEF OF CLINICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>183544</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8795</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY OCH</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>182637</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2244</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA RODRIGUEZ</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>75831</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3098</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE ROBINSON</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IVY HO</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM WYMAN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHERYL BOURBEAU</PersonNm>
        <TitleTxt>CLERK</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINE DUONG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSANNE BEATON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA CUNHA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN LAPUT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY HOWARD MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DORIS UMUNNA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEO SHERIDAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAYTE RAMOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD DIONNE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIATOU ALLIE-DUMBUYA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALESSANDRA LOPES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SOKHOM CHUN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH WANDO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANGITA PILLAI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MOLYKA TIENG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2597117</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>168477</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>57</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8246858</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4514039</AllOtherContributionsAmt>
      <TotalContributionsAmt>12760897</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE RE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>39641871</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>39641871</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18779</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18779</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>39660650</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>248095</TotalRevenueColumnAmt>
        <ExclusionAmt>248095</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>445634</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>445634</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>445634</TotalRevenueColumnAmt>
        <ExclusionAmt>445634</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>21153</TotalRevenueColumnAmt>
        <ExclusionAmt>21153</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>21153</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>53136429</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>39660650</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>714882</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>786414</TotalAmt>
        <ProgramServicesAmt>73748</ProgramServicesAmt>
        <ManagementAndGeneralAmt>712666</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>27498242</TotalAmt>
        <ProgramServicesAmt>25153121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2186914</ManagementAndGeneralAmt>
        <FundraisingAmt>158207</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2886210</TotalAmt>
        <ProgramServicesAmt>2557649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314905</ManagementAndGeneralAmt>
        <FundraisingAmt>13656</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2557255</TotalAmt>
        <ProgramServicesAmt>2225063</ProgramServicesAmt>
        <ManagementAndGeneralAmt>322410</ManagementAndGeneralAmt>
        <FundraisingAmt>9782</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>110792</TotalAmt>
        <ManagementAndGeneralAmt>110792</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>96328</TotalAmt>
        <ManagementAndGeneralAmt>96328</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2929482</TotalAmt>
        <ProgramServicesAmt>2236694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>677339</ManagementAndGeneralAmt>
        <FundraisingAmt>15449</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>573631</TotalAmt>
        <ProgramServicesAmt>432664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>140967</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2466086</TotalAmt>
        <ProgramServicesAmt>2227477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>237584</ManagementAndGeneralAmt>
        <FundraisingAmt>1025</FundraisingAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>80238</TotalAmt>
        <ProgramServicesAmt>41383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23450</ManagementAndGeneralAmt>
        <FundraisingAmt>15405</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1149136</TotalAmt>
        <ProgramServicesAmt>1041847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107289</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1678407</TotalAmt>
        <ProgramServicesAmt>1495009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>183398</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>292977</TotalAmt>
        <ProgramServicesAmt>34021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>258956</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL AND PHARMACY SU</Desc>
        <TotalAmt>5375110</TotalAmt>
        <ProgramServicesAmt>5366185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8925</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES, FEES AND SUBSCRIP</Desc>
        <TotalAmt>249009</TotalAmt>
        <ProgramServicesAmt>169819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79190</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES AND EX</Desc>
        <TotalAmt>245686</TotalAmt>
        <ProgramServicesAmt>242827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2859</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PERSONNEL TRAINING AND</Desc>
        <TotalAmt>216130</TotalAmt>
        <ProgramServicesAmt>79727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136343</ManagementAndGeneralAmt>
        <FundraisingAmt>60</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>96231</TotalAmt>
        <ProgramServicesAmt>16951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79280</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>49287364</TotalAmt>
        <ProgramServicesAmt>43394185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5679595</ManagementAndGeneralAmt>
        <FundraisingAmt>213584</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5052356</BOYAmt>
        <EOYAmt>3704723</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2089928</BOYAmt>
        <EOYAmt>15892606</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>951712</BOYAmt>
        <EOYAmt>647502</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6629611</BOYAmt>
        <EOYAmt>9586274</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>17548292</BOYAmt>
        <EOYAmt>17548292</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>100849</BOYAmt>
        <EOYAmt>216742</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>250926</BOYAmt>
        <EOYAmt>288244</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>45525181</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11480871</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>33988083</BOYAmt>
        <EOYAmt>34044310</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1396569</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>68008326</BOYAmt>
        <EOYAmt>81928693</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3310235</BOYAmt>
        <EOYAmt>4402632</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>24057352</BOYAmt>
        <EOYAmt>23207616</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>5810725</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1581289</BOYAmt>
        <EOYAmt>5599205</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>28948876</BOYAmt>
        <EOYAmt>39020178</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>37273917</BOYAmt>
        <EOYAmt>41629189</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1785533</BOYAmt>
        <EOYAmt>1279326</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>39059450</BOYAmt>
        <EOYAmt>42908515</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>68008326</BOYAmt>
        <EOYAmt>81928693</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3849065</ReconcilationRevenueExpnssAmt>
      <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>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>39429759</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7783781</DepreciationAmt>
        <BookValueAmt>31645978</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1286132</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>665608</DepreciationAmt>
        <BookValueAmt>620524</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4384301</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2685676</DepreciationAmt>
        <BookValueAmt>1698625</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>424989</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>345806</DepreciationAmt>
        <BookValueAmt>79183</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>34044310</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT PAYABLE</Desc>
        <Amt>2212728</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
        <Amt>3386477</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5599205</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE COMBINING FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE COMBINING FINANCIAL STATEMENTS AT SEPTEMBER 30, 2020. THE AGENCY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS AND GENERALLY REMAIN OPEN FOR THE MOST RECENT THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>DAVE SNEHLATA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>304689</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>49542</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>354231</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN LEVINE</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>282817</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>38476</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>321293</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER KUHLMANN</PersonNm>
        <TitleTxt>PHYSICIAN CHIEF OF OBGYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>299055</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8965</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>308020</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDI BERKOWITZ</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>301462</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3580</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>305042</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARSHANA APTE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>261429</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15161</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>276590</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISHNAMOORTHY RAO</PersonNm>
        <TitleTxt>PHYSICIAN CHIEF OF ADULT MEDICINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>257442</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15086</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272528</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD MILLER</PersonNm>
        <TitleTxt>PHYSICIAN MEDICAL DIRECTOR OF STRATE</TitleTxt>
        <BaseCompensationFilingOrgAmt>255814</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15075</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270889</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT WHEELER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>192397</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8455</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200852</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH HALE</PersonNm>
        <TitleTxt>CHIEF OF CLINICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>183544</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8795</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192339</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HENRY OCH</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>182637</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2244</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>184881</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTRONIC COPIES OF THE 990 ARE PROVIDED TO ALL BOARD MEMBERS VIA EMAIL, AND THEN THE 990 IS REVIEWED BY THE FINANCE COMMITTEE. QUESTIONS AND CONCERNS ARE ADDRESSED AND THE COMMITTEE THEN MAKES A REPORT TO THE FULL BOARD, RECOMMENDING ITS ACCEPTANCE AND THAT IT SHOULD BE FILED.</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>12C</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>12C</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>