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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY MORALES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA GOVONI MOYLAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE QUINK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANETTE RODRIGUEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY ROQUE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER SCHMIDT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE THOMAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLORIA WILSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALLY WITTENBERG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA S YOUNG</PersonNm>
        <TitleTxt>ADMIN &amp; FINANCE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>106381</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14112</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JILL KEOUGH</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>103499</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23584</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>209880</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>37696</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASSOCIATED HOME CARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 639401</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452639401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH CARE</ServicesDesc>
        <CompensationAmt>1409512</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CW RESOURCES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 MYRTLE STREET</AddressLine1Txt>
            <CityNm>NEW BRITAIN</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06053</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NUTRITION CATERER</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROFESSIONAL MEDICAL SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>112 WESTFIELD STREET</AddressLine1Txt>
            <CityNm>WEST SPRINGFIELD</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01089</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH CARE</ServicesDesc>
        <CompensationAmt>823731</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EXCEL NURSING SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4 STONEY HILL ROAD</AddressLine1Txt>
            <CityNm>WILBRAHAM</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01095</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH CARE</ServicesDesc>
        <CompensationAmt>785441</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>O'CONNEL PROFESSIONAL NURSE SERVICES IN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>19 COLLEGE STREET SUITE 7</AddressLine1Txt>
            <CityNm>SOUTH HADLEY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01075</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH CARE</ServicesDesc>
        <CompensationAmt>726331</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>16881768</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>294015</AllOtherContributionsAmt>
      <TotalContributionsAmt>17175783</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER GRANTS AND CONTRACTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14933214</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14933214</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>707838</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>707838</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>233173</TotalRevenueColumnAmt>
        <ExclusionAmt>233173</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>208</TotalRevenueColumnAmt>
        <ExclusionAmt>208</ExclusionAmt>
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      <OtherRevenueTotalAmt>208</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>33050216</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15641052</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>233381</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>295487</TotalAmt>
        <ManagementAndGeneralAmt>295487</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>9867001</TotalAmt>
        <ProgramServicesAmt>9150165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>716836</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>385475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36221</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2460429</TotalAmt>
        <ProgramServicesAmt>2261699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198730</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>35043</TotalAmt>
        <ManagementAndGeneralAmt>35043</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>16850568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78127</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>18850</TotalAmt>
        <ProgramServicesAmt>12097</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6753</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>292075</TotalAmt>
        <ProgramServicesAmt>200434</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91641</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>54218</TotalAmt>
        <ProgramServicesAmt>20973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33245</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>499341</TotalAmt>
        <ProgramServicesAmt>404553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94788</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>196675</TotalAmt>
        <ProgramServicesAmt>195618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1057</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7648</TotalAmt>
        <ProgramServicesAmt>4424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3224</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>220346</TotalAmt>
        <ProgramServicesAmt>68164</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152182</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>1024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46975</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER PROGRAM EXPENSES</Desc>
        <TotalAmt>170966</TotalAmt>
        <ProgramServicesAmt>169712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1254</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DISPOSABLES</Desc>
        <TotalAmt>93369</TotalAmt>
        <ProgramServicesAmt>93369</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>46468</TotalAmt>
        <ProgramServicesAmt>34695</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11773</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>STAFF TRAINING</Desc>
        <TotalAmt>8917</TotalAmt>
        <ProgramServicesAmt>1563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7354</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>38452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50710</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>29892985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1861400</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>21417</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>11920555</BOYAmt>
        <EOYAmt>12400814</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>6252789</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>31079</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>382370</EOYAmt>
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        <EOYAmt>19088469</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2475185</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>2480614</EOYAmt>
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        <EOYAmt>16606766</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>1089</EOYAmt>
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        <EOYAmt>16607855</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>19088469</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>15233935</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14958728</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15581236</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17175783</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>15233935</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14958728</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15581236</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17175783</CurrentTaxYearAmt>
        <TotalAmt>77246122</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>109550</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>175081</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>233173</CurrentTaxYearAmt>
        <TotalAmt>651368</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>2904</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7210</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6474</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>208</CurrentTaxYearAmt>
        <TotalAmt>22742</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>74106087</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.40910</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2015 AMOUNT: $ 5,946. 2016 AMOUNT: $ 2,904. 2017 AMOUNT: $ 7,210. 2018 AMOUNT: $ 6,474. 2019 AMOUNT: $ 208.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>1143694</DepreciationAmt>
        <BookValueAmt>148656</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1114616</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>880902</DepreciationAmt>
        <BookValueAmt>233714</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>382370</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>33050216</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>33050216</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>33050216</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>31754385</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>31754385</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>31754385</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED SIGNIFICANT TAX POSITIONS AGAINST THE CRITERIA ESTABLISHED BY PROFESSIONAL STANDARDS AND BELIEVES THERE ARE NO SUCH TAX POSITIONS REQUIRING ACCOUNTING RECOGNITION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENT PRIOR TO MAILING OF THE FORM TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES, MANAGEMENT AND BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SUBMIT PERTINENT INFORMATION ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INITIAL COMPENSATION FOR A NEW EXECUTIVE DIRECTOR OR A NEW ADMINISTRATION &amp; FINANCE DIRECTOR IS ESTABLISHED BY THE HIRING COMMITTEE AT THAT TIME BASED ON AN ANALYSIS OF THE POSITION(S) AND COMPARABLE RATES FOR SIMILAR POSITIONS OF LIKE AGENCIES TAKING INTO CONSIDERATION THE EXPERIENCE AND EXPERTISE OF ALL THE VARIOUS INDIVIDUALS. SUBSEQUENT SALARY INCREASES FOR THESE TWO POSITIONS MOST OFTEN OCCUR WHEN AGENCY-WIDE INCREASES ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS HOWEVER THE PERSONNEL COMMITTEE MAY PERFORM AN INTERIM ANALYSIS OF EITHER OR BOTH POSITIONS WHEN CIRCUMSTANCES WARRANT AND RECOMMEND COMPENSATION CHANGES TO THE BOARD OF DIRECTORS WHO WOULD BE RESPONSIBLE FOR APPROVING ANY CHANGES.</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. THE PUBLIC CAN ALSO VIEW FORM 990, FINANCIAL STATEMENTS, AND MASS FORM PC ON THE OFFICIAL WEBSITE OF THE ATTORNEY GENERAL OF MASSACHUSETTS (PUBLIC CHARITIES ANNUAL FILING WEBSITE) AND THE UFR ON THE MASSACHUSETTS OPERATIONAL SERVICES DIVISION WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,850,668. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,850,668. SUBGRANTEE EXPENSE: PROGRAM SERVICE EXPENSES 816,535. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 816,535. CAREGIVER GRANTS: PROGRAM SERVICE EXPENSES 109,617. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,617. PAYROLL SERVICE: PROGRAM SERVICE EXPENSES 35,142. MANAGEMENT AND GENERAL EXPENSES 3,666. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,808. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 38,606. MANAGEMENT AND GENERAL EXPENSES 74,461. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,067.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>