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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10470</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES BAKER</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10711</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEIDI LANDERS</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERNICE BURKARTH MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY DUCKETT</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN E GOMES</PersonNm>
        <TitleTxt>FORMER PRESIDENT/CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>42.50</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <OtherCompensationAmt>2087</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH WHITE</PersonNm>
        <TitleTxt>FORMER TRUSTEE (UNTIL 9/23)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>1117468</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23483</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE FARRAHER-SMITH</PersonNm>
        <TitleTxt>FORMER CHIEF CIO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <OtherCompensationAmt>3101</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EILEEN TREFONIDES</PersonNm>
        <TitleTxt>FORMER DIRECTOR OF FINANCE (8/23)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>183354</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10333</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1725141</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>4901293</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>581561</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>80</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SUPPLEMENTAL HEALTH CARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 677896</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL &amp; HEALTH CARE</ServicesDesc>
        <CompensationAmt>2591160</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAXIM HEALTHCARE STAFFING SERVICES INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7227 LEE DEFOREST DRIVE</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21046</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL &amp; HEALTH CARE</ServicesDesc>
        <CompensationAmt>1404893</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HEALTH NETWORK INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>747 WASHINGTON STREET</AddressLine1Txt>
            <CityNm>HOLLISTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01746</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL &amp; HEALTH CARE</ServicesDesc>
        <CompensationAmt>1094618</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOME CARE SPECIALISTS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 8237</AddressLine1Txt>
            <CityNm>HAVERHILL</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01835</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL &amp; HEALTH CARE</ServicesDesc>
        <CompensationAmt>810189</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BEAR HILL NURSING CENTER INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11 NORTH STREET</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL &amp; HEALTH CARE</ServicesDesc>
        <CompensationAmt>554904</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
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      <AllOtherContributionsAmt>286246</AllOtherContributionsAmt>
      <TotalContributionsAmt>300836</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621610</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>22994832</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPICE SERVICES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>19558596</RelatedOrExemptFuncIncomeAmt>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>13131</ProgramServicesAmt>
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        <ProgramServicesAmt>425533</ProgramServicesAmt>
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        <ProgramServicesAmt>218777</ProgramServicesAmt>
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        <ProgramServicesAmt>2730564</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>930721</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <EOYAmt>199</EOYAmt>
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      <InvestmentIncomePYPct>0.00290</InvestmentIncomePYPct>
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        </ContributorUSAddress>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>22100</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>22100</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>TUFTS MEDICINE CARE AT HOME, INC. PAYS MEMBERSHIP DUES TO NATIONAL ASSOCIATION FOR HOME CARE &amp; HOSPICE ("NAHC"). NAHC MAY ENGAGE IN LOBBYING ACTIVITIES, AS SUCH A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THERE IS NO DIRECT LOBBYING ACTIVITY OR ANY CONTROL OVER THE LOBBYING ACTIVITIES PERFORMED BY NAHC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1400000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1400000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5640169</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1752055</DepreciationAmt>
        <BookValueAmt>3888114</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>927765</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>293792</DepreciationAmt>
        <BookValueAmt>633973</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1008566</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>895650</DepreciationAmt>
        <BookValueAmt>112916</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>219835</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19835</DepreciationAmt>
        <BookValueAmt>200000</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6235003</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>523778</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTANGIBLE ASSETS</Desc>
        <BookValueAmt>5510900</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTANGIBLE ASSETS - ACCUMULATED APPRECIATION</Desc>
        <BookValueAmt>-1188000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4846678</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>81289735</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>510223</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>81799958</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>46963578</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>3997702</OtherRevenueAmt>
      <RevenueNotReportedAmt>3997702</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>42965876</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-6382</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-6382</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>42959494</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>51763806</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>51763806</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>6382</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>6382</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>51770188</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF NET ASSETS 3,997,702.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES -6,382.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 6,382.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL DANDORPH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>1330398</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>381250</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>14502</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>335493</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24218</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2085861</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH WHITE</PersonNm>
        <TitleTxt>FORMER TRUSTEE (UNTIL 9/23)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>650140</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>1140951</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>261092</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>116452</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES WHIPPLE ESQ</PersonNm>
        <TitleTxt>ASSISTANT SECRETARY (UNTIL 4/24)</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERNICE BURKARTH MD</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>43068</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>8895</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>17749</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>440021</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>209730</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>1901</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>303162</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>24</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN E GOMES</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <TotalCompensationRltdOrgsAmt>262351</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOANNE NOWAK</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>4536</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEIDI LANDERS</PersonNm>
        <TitleTxt>VP OF HOME HEALTH SERVICES</TitleTxt>
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        <PersonNm>JAMES BAKER</PersonNm>
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        <TotalCompensationFilingOrgAmt>203576</TotalCompensationFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>194778</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EILEEN TREFONIDES</PersonNm>
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        <DeferredCompensationFlngOrgAmt>4344</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>193687</TotalCompensationFilingOrgAmt>
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        <PersonNm>KATHY DUCKETT</PersonNm>
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        <DeferredCompensationFlngOrgAmt>3308</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>48</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA O'BRIEN</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>24375</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4846</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1544</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3306</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>163658</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION SETTING PROCEEDURES OF THE PRESIDENT/CEO ARE ESTABLISHED BY TUFTS MEDICINE CARE AT HOME PARENT, INC., A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS: KAREN GOMES - $190,930 DIANE FARRAHER-SMITH - $201,649 EILEEN TREFONIDES - $43,922 JOSEPH WHITE - $196,823 SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: MICHAEL DANDORPH - $321,300 CHARLES WHIPPLE, ESQ. - $44,064</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE APPROVED BY THE BOARD AND ARE BASED ON PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TUFTS MEDICINE CARE AT HOME PARENT, INC., ACTING THROUGH ITS BOARD OF TRUSTEES, SHALL BE THE SOLE MEMBER OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER SHALL ELECT AND MAY REMOVE OR SUSPEND THE TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER SHALL HAVE THE RIGHT TO APPROVE EACH OF THE FOLLOWING ACTIONS OF THE BOARD OF TRUSTEES, AND SUCH ACTIONS BY THE BOARD SHALL NOT BE EFFECTIVE UNLESS AND UNTIL APPROVED BY THE MEMBER: A) THE ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS; B) THE ADOPTION OF ANY LONG RANGE PLANS OF THE CORPORATION; C) THE DECISION TO ESTABLISH A NEW PROGRAM OF SERVICE TO DISCONTINUE AN EXISTING PROGRAM; D) THE APPROVAL OF ANY BORROWING BY THE CORPORATION; E) THE EXPENDITURE, DISPOSITION, DONATION, OR ACQUISTION BY PURCHASE, LEASE OR OTHER MEANS, OF CORPORATE ASSETS, OTHER THAN IN THE ORDINARY COURSE OF BUDINESS OR BUDGETED ITEMS; F) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANY OTHER CORPORATION AND THE FORMATION OR DISSOLUTION OF SUBSIDIARIES; G) THE CONDUCT OF ANY FUNDRAISING ACTIVITIES; H) THE SELECTION OR EMPLOYMENT OF LEGAL COUNSEL OR CERTIFIED PUBLIC ACCOUNTANTS, WHETHER FOR SPECIAL PROJECTS OR ON A REGULAR BASIS, AND; I) THE EXECUTION OF LEASES FOR EQUIPMENT OR REAL ESTATE, THE EXECUTION OF MAJOR CONTRACTS, AND THE APPROVAL OF INDIVIDUALS AUTHORIZED TO SIGN CHECKS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY MANAGEMENT, CHAIR AND TREASRUER OF THE BOARD OF TRUSTEES PRIOR TO SIGNING. PRIOR TO FILING, THE COMPLETE 990 IS PROVIDED TO THE ENTIRE BOARD VIA AN ONLINE SECURE PORTAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION STUDY OF SIMILAR POSITIONS IS PREPARED EVERY OTHER YEAR AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF NET ASSETS 3,997,702.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>MELROSEWAKEFIELD HEALTHCARE INC</BusinessNameLine1Txt>
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          <CityNm>MEDFORD</CityNm>
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          <BusinessNameLine1Txt>THE LOWELL GENERAL HOSPITAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>LGH PHYSICIAN ASSOCIATES INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>CIRCLE HEALTH PHYSICIANS INC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>TUFTS MEDICINE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER COMMUNITY CARE INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER PHYSICIANS ORG INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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</Return>