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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE LIPTAK</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA PAGAN</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MORIARTY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRACY MACGRATH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN SWINNEY</PersonNm>
        <TitleTxt>BOARD MEMBER BEG 02/20</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>109792</TotalOtherCompensationAmt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <PersonNm>MCCORMICK ALLUM</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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        </ContractorAddress>
        <ServicesDesc>HVAC CONTRACTOR</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BEHAVIORAL HEALTH NETWORK</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BEHAVIORAL HEALTH</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BAYSTATE MEDICAL CENTER</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN CONTRACTS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SCRIBE AMERICA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRANSCRIPTION SVCS</ServicesDesc>
        <CompensationAmt>141529</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BKD</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>658011190</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CPAS &amp; ADVISORS</ServicesDesc>
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      <GovernmentGrantsAmt>7320850</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>42565</NoncashContributionsAmt>
      <TotalContributionsAmt>7984522</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>17078146</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17078146</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>18574480</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>DSRIP / EHR INCENTIVE REVENUE</Desc>
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        <TotalRevenueColumnAmt>1832022</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1832022</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>530314</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>305606</RelatedOrExemptFuncIncomeAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>14511956</ProgramServicesAmt>
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        <ProgramServicesAmt>62708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74157</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>56547</ProgramServicesAmt>
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        <ProgramServicesAmt>38349657</ProgramServicesAmt>
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      <InvestmentIncomeAndUBTIGrp>
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      <InvestmentIncomePYPct>0.00758</InvestmentIncomePYPct>
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        <BookValueAmt>244664</BookValueAmt>
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      <FinancialDerivativesGrp />
      <CloselyHeldEquityInterestsGrp />
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        <ExplanationTxt>UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: HOLYOKE HEALTH CENTER, INC MONITORS THE GRANT EXPENDITURES BY REQUIRING THE SUBRECIPIENT OF ANY GRANT TO PROVIDE A BUDGET OF ITS EXPENDITURES AND TO SUBSTANTIATE ANY DEVIATION FROM ITS BUDGET. IN ADDITION, AT THE END OF ITS FISCAL YEAR, THE SUBRECIPIENT MUST PROVIDE ITS AUDITED FINANCIAL STATEMENTS TO HOLYOKE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTORS: THE AMOUNT REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACEUTICAL SERVICES: THE ON-SITE, STATE OF THE ART, COMMUNITY PHARMACY, FILLS APPROXIMATELY 6,200 PRESCRIPTIONS PER WEEK, IS OWNED AND OPERATED BY HOLYOKE HEALTH CENTER AND IS AN INTEGRAL PART OF ALL SERVICES OFFERED IN THE HOLYOKE HEALTH CENTER MEDICAL HOME. BOTH CLINICAL AND DISPENSING PHARMACY STAFF ARE ACTIVE IN HEALTH CENTER COMMITTEES THAT WORK TO CONTINUOUSLY IMPROVE HOLYOKE HEALTH CENTER'S QUALITY, PATIENT CENTERED PROGRAMMING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES: TO FURTHER ITS MISSION TO IMPROVE THE HEALTH OF ITS PATIENTS, HOLYOKE HEALTH CENTER OFFERS THE FOLLOWING OUTREACH AND NUTRITIONAL PROGRAMS: - HIV SUPPORT AND CASE MANAGEMENT. HOLYOKE HEALTH CENTER HAS A COMPREHENSIVE PROGRAM TO SUPPORT PATIENTS LIVING WITH HIV, INCLUDING PRIMARY MEDICAL CARE, INFECTIOUS DISEASE SPECIALISTS WITH EXPERIENCE IN HIV, AND CASE MANAGEMENT SUPPORT TO MEET THE NON-MEDICAL NEEDS OF ITS PATIENTS. THE PHARMACY PROVIDES CONSULTATION WITH A PHARMACIST EXPERIENCED IN HIV MEDICATIONS AND ASSISTANCE WITH ENROLLING IN THE HIV DRUG ASSISTANCE PROGRAM. ALSO AVAILABLE FOR PATIENTS WITH HIV ARE NUTRITION AND EYE CARE SERVICES. - LA LINDA MANITA LA LINDA MANITA OFFERS FREE GROUPS THAT PROVIDE PEER SUPPORT, BRINGS TOGETHER PARENTS, AND EDUCATES ABOUT CHILD DEVELOPMENT, PARENTING SKILLS, AND RESOURCES. THESE GROUPS ARE CONDUCTED IN ENGLISH AND SPANISH AND ARE SCHEDULED FOR AFTERNOON AND EARLY EVENING TIMES TO INCREASE ACCESS. LA LINDA MANITA'S GOAL IS TO PROVIDE CRUCIAL PARENTING INFORMATION AND TO REDUCE THE LEARNING DELAYS AND BEHAVIORAL/DEVELOPMENTAL DISORDERS IN YOUNG CHILDREN THAT CAN OCCUR FREQUENTLY IN OUR COMMUNITY. THIS PROGRAM IS MEETING AN OVERALL NEED FOR SUPPORT AND EDUCATION FOR FAMILIES WITH YOUNG CHILDREN AND IS DOING SO AS A PART OF A CITY-WIDE EFFORT TO IMPROVE SCHOOL READINESS AS WELL AS PREVENTING LEARNING AND BEHAVIORAL ISSUES IN YOUNG CHILDREN. - LET'S MOVE HOLYOKE 5-2-1-0 THE LET'S MOVE HOLYOKE 5-2-1-0 IS A COLLABORATIVE INITIATIVE THAT FOCUSES ON THE PROMOTION OF HEALTHY LIVING BY INTEGRATING THE 5-2-1-0 MESSAGE INTO THE COMMUNITY BY USING THE HEALTHY LIVING PLAN FOR CHILDREN AND FAMILY MEMBERS, AS A WAY TO SET GOALS FOR LIFESTYLE CHANGES. - 5 OR MORE FRUITS AND VEGETABLES EACH DAY - 2 HOURS OR LESS OF SCREEN TIME (TV, PHONE, COMPUTER) EACH DAY - 1 HOUR OF PHYSICAL ACTIVITY EACH DAY - 0 SUGAR SWEETENED DRINKS - WOMEN'S HEALTH PROGRAM HOLYOKE HEALTH HAS A WOMEN'S HEALTH PROGRAM THAT FOCUSES ON CERVICAL CANCER AND BREAST CANCER SCREENING, DIAGNOSTICS, AND CASE MANAGEMENT. THE ORGANIZATION HAS ESTABLISHED A TEAM OF PROVIDERS, NURSE CASE MANAGERS, AND MEDICAL ASSISTANTS WHO USE THE LATEST TECHNOLOGY TO TRACK THE PATIENTS TO MAKE SURE THAT THEY HAVE GOTTEN A PAP TEST OR SCREENING MAMMOGRAM. THE STAFF COMMUNICATES ALL RESULTS AND SCHEDULED APPOINTMENTS WITH THE PATIENTS' PRIMARY CARE PROVIDER AND WILL WORK CLOSELY WITH ANY PATIENTS WHO RECEIVE ABNORMAL CERVICAL OR BREAST SCREENING RESULTS. THE CASE MANAGER AND MEDICAL ASSISTANT WORK DIRECTLY WITH THE PATIENTS TO SCHEDULE ANY FOLLOW UP APPOINTMENTS, SECURE PAYMENT FOR THE PROCEDURES, AND PROVIDE SUPPORTIVE REFERRALS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BUSINESS RELATIONSHIPS: JAY BREINES AND BENJAMIN CARTAGENA HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD OF DIRECTORS DIRECTED THE CFO TO PRESENT THE 990 FILING (IN DRAFT FORM) TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW. ONCE THE REVIEW HAS BEEN COMPLETED, THE COMMITTEE RECOMMENDS TO THE BOARD OF DIRECTORS THAT THE 990 FILING BE APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE HOLYOKE HEALTH CENTER INC. REQUIRES NEW EMPLOYEES AND NEWLY APPOINTED MEMBERS OF THE BOARD OF DIRECTORS TO REVIEW AND SIGN THE HOLYOKE HEALTH CENTER INC. CONFLICT OF INTEREST POLICY. THEREAFTER, THE POLICY IS REVIEWED AND SIGNED ANNUALLY BY THE EMPLOYEES AND APPOINTED MEMBERS OF THE BOARD OF DIRECTORS. THE ORGANIZATION'S LEADERS AND BOARD OF DIRECTORS WILL REVIEW ANY RELATIONSHIPS CAREFULLY TO ENSURE THAT HEALTH CENTERS' MISSION AND COMMUNITY SERVED IS NOT HARMED BY ANY CONTRACTUAL RELATIONSHIP. DISCIPLINARY ACTIONS CAN RESULT FOR THOSE FAILING TO COMPLY TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF CEO COMPENSATION: THE BOARD OF DIRECTORS ESTABLISHED A SPECIAL COMPENSATION COMMITTEE COMPOSED OF THREE BOARD OF DIRECTOR MEMBERS TO CONDUCT A REVIEW OF THE COMPENSATION PACKAGE FOR THE CEO. DURING THE REVIEW, THIS COMMITTEE CONTACTED THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS FOR COMPENSATION INFORMATION REGARDING COMPARABLE POSITIONS AND COMPARABLE RESPONSIBILITIES. BASED UPON THAT REVIEW, THE COMMITTEE MADE ITS RECOMMENDATION TO THE BOARD OF DIRECTORS, WHICH WAS ACCEPTED BY THE BOARD. LATEST REVIEW DATE: OCTOBER 2020.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE HOLYOKE HEALTH CENTER INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND ANNUAL INFORMATION RETURNS (FORM 990 SERIES) ARE AVAILABLE TO THE PUBLIC DURING REGULAR BUSINESS HOURS AT THE CENTER'S ADMINISTRATIVE OFFICES AT 230 MAPLE STREET, HOLYOKE, MA 01040-6260.</ExplanationTxt>
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