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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH CASEY</PersonNm>
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        <OtherCompensationAmt>76186</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY PFEFFER</PersonNm>
        <TitleTxt>CFO &amp; TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>35.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>383892</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>84288</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN MORRIS</PersonNm>
        <TitleTxt>VP OF CLINICAL OPS &amp; INTEGRITY</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID SPOOR</PersonNm>
        <TitleTxt>VP OF PATIENT SRVS/CHF. OF NSG</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>37166</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KELLY MD</PersonNm>
        <TitleTxt>VP &amp; CMO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL BARROWS</PersonNm>
        <TitleTxt>VP HR (THRU 11/18)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN PATEL MD</PersonNm>
        <TitleTxt>CHIEF AMBULATORY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD VANESS-OTUNNU MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK MCGUIRE MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALLAN RASKIN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURINE THORNTON-POTTER MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE AUERBACH MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>196604</TotReportableCompRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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        <ContractorName>
          <PersonNm>ARUP LABORATORIES INC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 27964</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84127</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>REFERENCE LAB</ServicesDesc>
        <CompensationAmt>908300</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEDASSETS SUPPLY CHAIN SYSTEMS</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 742081</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>751764</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>INTEGRATED PHARMACY SOLUTIONS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>50 TREMONT ST SUITE 201</AddressLine1Txt>
            <CityNm>MELROSE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02176</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING/CONT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MCLEAN HOSPITAL</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3122</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>024413122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>337318</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>COMPHEALTH</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972651</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972651</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>307553</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>20</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>29153</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>67322</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>757585</AllOtherContributionsAmt>
      <NoncashContributionsAmt>29153</NoncashContributionsAmt>
      <TotalContributionsAmt>854060</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>205068797</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>205068797</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT RELATED REVENUE, OTHER</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1573510</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1573510</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>994690</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>994690</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVE PAYMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>593757</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>593757</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REBATES, REFUNDS AND DISCOUNTS</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>426846</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>426846</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>382888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>297210</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>85678</UnrelatedBusinessRevenueAmt>
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      <TotalProgramServiceRevenueAmt>209040488</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <UnrelatedBusinessRevenueAmt>17780</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8643042</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>33911</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>33911</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>33911</TotalRevenueColumnAmt>
        <ExclusionAmt>33911</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>80196649</SecuritiesAmt>
        <OtherAmt>15000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>74928428</SecuritiesAmt>
        <OtherAmt>13289</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>5268221</SecuritiesAmt>
        <OtherAmt>1711</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>5269932</TotalRevenueColumnAmt>
        <ExclusionAmt>5269932</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <Desc>PENSION/POST RETIREMENT ADJUSTMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8879800</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8879800</ExclusionAmt>
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      <OtherRevenueTotalAmt>8879800</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>232739013</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>103458</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>23821375</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>7837018</ProgramServicesAmt>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>2630693</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>537286</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>79077586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10231774</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9683287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1577214</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>10999889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1791662</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4536436</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>439179</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>182100</TotalAmt>
        <ManagementAndGeneralAmt>182100</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>237147</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>855284</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8122045</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>217603</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3235594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>872896</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>4998494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>401792</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3103690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60417</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>92249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78786</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>217434</TotalAmt>
        <ProgramServicesAmt>96956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120478</ManagementAndGeneralAmt>
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      <InterestGrp>
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      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>8050234</ProgramServicesAmt>
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        <TotalAmt>1343912</TotalAmt>
        <ProgramServicesAmt>1039923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>303989</ManagementAndGeneralAmt>
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        <TotalAmt>35475454</TotalAmt>
        <ProgramServicesAmt>35462300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13154</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROVISION FOR DOUBTFUL DEBTS</Desc>
        <TotalAmt>7423956</TotalAmt>
        <ProgramServicesAmt>7423956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; REPAIRS</Desc>
        <TotalAmt>3261877</TotalAmt>
        <ProgramServicesAmt>3021064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240813</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES AND TAXES</Desc>
        <TotalAmt>2380410</TotalAmt>
        <ProgramServicesAmt>53114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2327296</ManagementAndGeneralAmt>
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      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1b</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL EMPLOYEES MAY MEET WITH LOCAL AND STATE REPRESENTATIVES TO DISCUSS CURRENT ISSUES AFFECTING THE DELIVERY OF HEALTHCARE IN OUR SERVICE AREA. THE HOSPITAL WORKS TO ADVANCE INITIATIVES TO ENHANCE AND IMPROVE ACCESS TO HEALTH CARE SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <BookValueAmt>1672420</BookValueAmt>
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        <MethodValuationCd>F</MethodValuationCd>
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      <SupplementalInformationDetail>
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        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 5 Community engagement and feedback was an integral part of Sturdys CHNA process. Holleran Consulting, an independent research and consulting firm, collected AND interpreted information from secondary sources and Key Informants. Key Informants were defined as community stakeholders with expert knowledge, including public health and health care professionals, social service providers, non-profit leaders, business leaders, faith-based organizations, and other community leaders. The Hospital identified these individuals with assistance from Holleran Consulting. From April 5 through May 6, 2019, an Online Key Informant Survey was conducted. The survey was designed to understand health issues in the community, missing resources/services, access to health care, identification of underserved, low income and minority populations, and community assets. The purpose of the survey was to obtain a combination of quantitative ratings and qualitative feedback through closed and open-ended questions around health issues and barriers to health care access in the community. Sixty-seven key informants completed the survey. A copy of the survey tool and list of survey participants and their connection to the community is incorporated in the CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HOSPITAL FACILITY'S WEBSITE - CHNA REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 7A Sturdy Memorial Hospitals most recent Community Health Needs Assessment can be found at: https://www.sturdymemorial.org/app/files/public/682/2019-CHNA.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HOSPITAL FACILITY'S WEBSITE - IMPLEMENTATION STRATEGY</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 9 Sturdy Memorials Community Health Needs Assessment was approved by the Board of Managers on September 23, 2019. The Board of Managers approved the 2019 Community Health Needs Assessment Implementation Plan on January 27, 2020, within the statutory adoption period. SCHEDULE H, PART V, SECTION B, LINE 10A The Hospitals most recently adopted CHNA implementation strategy can be found at: https://www.sturdymemorial.org/app/files/public/860/2020-2020-Implementati on-Plan.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SIGNIFICANT NEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 11 The 2019 Community Health Needs Assessment (CHNA) identified five key community health issues: access to care, behavioral health and substance abuse, cancer, chronic disease management, and obesity. The Hospitals implementation plan further prioritized its community health needs as: access to care, behavioral health and substance abuse, chronic disease management and prevention, and cancer prevention education and screening. It was determined that obesity would be addressed as part of chronic disease management and prevention. Access to care: Sturdy will address barriers to accessing care by increasing providers in its service area. The CHNA determined that the provider density in Sturdys primary service area is lower thaN other Massachusetts communities. StuRdy plans to recruit and retain more providers at both the Hospital and Sturdy Memorial Associates (SMA), an affiliate. StuRdy also plans to reduce barriers to care by investigating/identifying telemedicine opportunities and off-hours clinics that can accommodate individuals who have limited daytime flexibility. Other initiatives will assist individuals with limited transportation options, help connect EMERGENCY DEPARTMENT patients with primary care physicians, help connect the uninsured/underinsured to financial counselors and partner with local dentist offices for screening. Behavioral Health and Substance Abuse: Many respondents to the Key Informant Survey conducted through the CHNA process listed access to behavioral health and treatment of substance abuse disorders as the most significant problems facing Sturdys primary and secondary service areas. Access and integration/coordination of services was seen as inadequate compared to the needs of the community. Sturdy plans to address this need by continuing to provide treatment and services, as well as partner with Column Health, a provider of integrated mental health/substance abuse programs. Other initiatives will continue screening and education, increase primary and specialty providers within SMA with integrated behavioral health services, collaborate with local organizations to address the high percentage of at-risk youth in the service area, work with community organizations to create a comprehensive list of mental health providers in Sturdys service area, and explore telehealth options for behavioral health patients. Chronic Disease Prevention and Management: Key Informants recognized that health behaviors are often correlated with certain chronic health conditions. Chronic illnesses such as cancer and heart disease, are THE leading causes of death in Sturdys primary and secondary service areas. Individuals often lack the time, knowledge and resources to manage chronic illness. Sturdy plans to continue to hold health fairs for screening and community education. Also, the Hospital will support current programs that increase physical activity opportunities for at-risk individuals. Sturdy plans to improve care coordination for diabetic/pre-diabetic patients and increase screening for pre-diabetic patients. Sturdy will explore opportunities/programs that increase access to healthy foods, support nutrition education and determine if a new smoking cessation program should be implemented. The Hospital will continue to collaborate with the Healthy Living Consortium to increase education and awareness in the community. Cancer Prevention Education and Screening: Cancer is a leading cause of death in both the Hospitals primary and secondary service areas. Sturdys objective is to provide services to decrease cancer mortality within its service area. To do this, the Hospital will continue to offer early detection and prevention through various screenings, education and support programs. This includes providing early intervention and screening and early navigation for patients with abnormal findings on breast imaging. Sturdy will enhance its current oncology program and develop additional services, adding providers and facilitating relationships between primary care providers and oncologists. Nurse navigations will reduce barriers to care by identifying uninsured/underinsured patients and helping patients with transportation. Lack of affordable housing in our primary and secondary service areas was noted by many respondents as a barrier to care. Sturdy Memorial Hospital acknowledges that the inability to secure affordable housing is a difficulty faced by many residents in our area but is unable to fully address this issue as it is beyond our scope as a healthcare provider.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>OTHER FINANCIAL ASSISTANCE POLICY PUBLICITY METHODS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 16A Sturdy Memorial Hospitals Financial Assistance Policy can be found at: https://www.sturdymemorial.org/app/files/public/530/smh-fap-policy---updat ed-for-fy19.pdf SCHEDULE H, PART V, SECTION B, LINE 16B The Hospitals FAP application forms can be found AT: https://www.sturdymemorial.org/patients-visitors/billing-insurance/financi al-assistance/ under the section 'How do I know if Im eligible?' SCHEDULE H, PART V, SECTION B, LINE 16C The Hospitals FAP Plain Language Summary can be found at: https://www.sturdymemorial.org/app/files/public/711/FAP-Plain-language-FY2 0-english.pdf SCHEDULE H, PART V, SECTION B, LINE 16J The Hospitals policy is attached to billing invoices. Additionally, Sturdy Memorial makes this information available at locations throughout its facility-in the Main Lobby, Emergency Department, Patient Registration, and Financial Counselors Office. Individuals in our community without insurance are directed to a financial counselor who will provide them with Sturdys Financial Assistance Policy as well as resources available to them through MassHealth or the Commonwealths Health Safety Net. Financial counselors will assist anyone in completing an application for free or subsidized care, as well as MassHealth. This service is available to anyone in the community.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NOTIFICATION OF FINANCIAL ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 20 For planned admissions, patients are notified of the Hospitals Financial Assistance Policy prior to admission. Emergent patients are notified prior to discharge or the following business day. Patients arriving at the Hospital for outpatient visits are notified of the financial assistance policy at the time of registration (if registered at the main registration area). Notification is also included with patient bills.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mansfield Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 Copeland Drive</AddressLine1Txt>
            <CityNm>Mansfield</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02488</ZIPCd>
          </USAddress>
          <FacilityTxt>Licensed output clinic PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS CALCULATION</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART I, LINE 7 Sturdy Memorial Hospital uses the cost to charge ratio for calculating amounts in the table for Line 7. The cost to charge ratio is total patient care costs divided by total patient care charges per Worksheet S-10, line 1 of the Medicare Cost Report. Bad debt is not included in any amounts reported in the table.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7, column (f)</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense of $7,423,956 attributable to patient accounts has been excluded from the computation of all community benefit expense shown in Part I, Line 7, column F.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART II Sturdy Memorial Hospital undertakes community building activities designed to promote the wellbeing of residents in its primary and secondary service areas. The Hospital is involved in emergency management and preparedness and works with others in ITS region to coordinate ITS preparation and response to catastrophic health events. The Organinization works with local, state and federal law enforcement and other first responders on matters of public safety. The Hospital provides training opportunities for local students completing medical laboratory technician and phlebotomy programs. High school students interested in health care careers may shadow staff members or participate in internships.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART III, LINES 2, 3, AND 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductibles and copayment balances due), the Hospital records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SHORTFALL TREATED AS COMMUNITY BENEFIT</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H, Part III, Line 8 Sturdy Memorial Hospital, in keeping with its charitable mission, provides care to Medicare eligible patients of the community it serves beyond the amount it receives from the Medicare program. These individuals would have to travel out of our area or possibly forgo medical treatment without the services the Hospital provides. The Medicare shortfall incurred by the Hospital is viewed as lessening the burden of government, therefore providing a valuable community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DEBT COLLECTION POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H, Part III, Line 9b The Hospital's collection policy contains procedures to be followed for patients who are known to qualify for financial assistance. Once it is determined that a patient qualifies for free care, all collection procedures cease and the full balance is written off. If the patient qualifies for partial free care, the amount that qualifies under partial free care is written off and the remaining balance is subject to normal collection procedures. Massachusetts hospitals are required to adopt credit and collection policies. State regulations (101 CMR 613.00) outline the specific process for determining eligibility for public assistance programs and hospital collection practices. The Hospital provides patients with information about free care available through the hospital (a significant portion of which is coordinated through the state's Health Safety Net program, as well as financial assistance programs, such as MassHealth and Commonwealth Care, that are available through the Massachusetts Executive Office of Health and Human Services). The Hospital employs two full-time financial counselors that assist patients, and anyone else presenting who requires assistance, in applying for free care and state financial assistance programs through the state's uniform application. The Hospital Financial Assistance policy and Billing &amp; Collection policy, that outlines its charity care practices, is filed with the Massachusetts Center for Health Information and Analysis and also available to patients upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>With guidance and oversight from the Hospitals Planning Committee, Sturdys Community Benefits report is developed to reflect on activities from the prior year and provide recommendations for the Hospitals focus on community involvement for the following year. Community benefits planning is integrated into Sturdys annual planning and budgeting process to ensure we effectively support community benefits programming. Sturdy Memorial Hospital is involved in ongoing assessments of the health needs in our communities and participates in a number of community based programs. Continually being engaged in and familiar with our communities provides us with opportunities to identify health issues of greatest concern to our care providers and community partners and consider committing budgeted resources to those areas, whenever appropriate, to guide efforts to improve community health and wellness. The Hospital constantly monitors the results of patient satisfaction surveys, service statistics, provider and community feedback, insurer data, and other local and regional data. In addition, the Hospital continually works closely with community leaders, school and social services personnel, and other health care providers to identify health care trends and needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients are informed of the availability of financial assistance by way of posted notices throughout the hospital as well as printed financial assistance brochures available in common areas of the hospital. Financial assistance information is printed on all itemized bills and patient statements. Scheduled Self Pay Surgical Day Care (SDC) &amp; Inpatients are reviewed prior to admission to determine payment arrangement or to coordinate a meeting with a Financial Counselor. SDC &amp; Inpatients who are unable to leave a deposit or make a payment arrangement towards a large out of pocket expense are also encouraged to meet with a Financial Counselor. Upon discharge from the Emergency Care Center (ECC), uninsured patients are encouraged to meet with a Financial Counselor. If unable to see a Financial Counselor following discharge, the patient is given a financial assistance letter outlining the application process, the documents required, telephone numbers and directions to the financial counselor's office. Following an ECC visit, uninsured patients receive a phone call from a Patient Financial Services Representative encouraging the patient to meet with a Financial Counselor for financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART VI, LINE 4 The Hospital serves a total population base of 228,800 (based on 2010 U.S. Census data) in 12 suburban communities located between Boston, MA and Providence, RI that is largely educated (completed high school), employed, and English speaking. As a community resource, the Hospital has a primary commitment to serve the residents of Attleboro, Foxboro, Mansfield, North Attleboro, Norton, Plainville, Seekonk, Rehoboth, and Wrentham. Norfolk, Sharon, and Walpole are considered part of our secondary service area. We also serve bordering towns in nearby Rhode Island. However, anyone who requires care will receive it, regardless of place of residence.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART VI, LINE 5 Sturdy Memorial Hospital furthers its exempt purpose by promoting the health and wellbeing of members of the communities it serves. In addition to providing health care to all, regardless of ability to pay, the Hospital annually offers nearly one hundred community benefit programs and events. The Hospital extends medical staff privileges to all qualified physicians in our service area. A majority of the Hospitals Board of Managers are comprised of individuals living in the community who are independent civic, health care and business leaders. Surplus funds are used to improve our facilities, purchase state-of-the art medical equipment and expand our community offerings. SCHEDULE H, PART VI, LINE 6 Sturdy Memorial Hospital is part of an affiliated health care system. Under the control of its parent organization, Sturdy Memorial Foundation, affiliates Sturdy Memorial Hospital and Sturdy Memorial Associates coordinate the provision of health care services to residents in its service area of Bristol and Norfolk counties in Massachusetts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>STATE FILING OF COMMUNITY BENEFITS REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART VI, LINE 7 Sturdy Memorial Hospital files its Community Benefits Report in Massachusetts</ExplanationTxt>
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        <ExplanationTxt>SCHEDULE I, PART I, LINE 2 THE HOSPITAL PROVIDES GRANTS IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO PROMOTE GENERAL WELL-BEING IN THE COMMUNITIES IT SERVES. WHEN GRANTS ARE MADE, THEY ARE REVIEWED AND APPROVED BY THE BOARD OF MANAGERS. THE HOSPITAL MONITORS GRANTS TO ENSURE THEY ARE USED FOR THEIR INTENDED PURPOSE.</ExplanationTxt>
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        <PersonNm>ROBIN MORRIS</PersonNm>
        <TitleTxt>VP OF CLINICAL OPS &amp; INTEGRITY</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID SPOOR</PersonNm>
        <TitleTxt>VP OF PATIENT SRVS/CHF. OF NSG</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN KELLY MD</PersonNm>
        <TitleTxt>VP &amp; CMO</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL BARROWS</PersonNm>
        <TitleTxt>VP HR (THRU 11/18)</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN PATEL MD</PersonNm>
        <TitleTxt>CHIEF AMBULATORY</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD VANESS-OTUNNU MD</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK MCGUIRE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLAN RASKIN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>283392</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>384735</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURINE THORNTON-POTTER MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>274734</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE AUERBACH MD</PersonNm>
        <TitleTxt>FORMER EXEC DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>379518</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>126205</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>228719</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>-61356</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27390</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>700476</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>TAX INDEMNIFICATION AND GROSS-UP PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 1a HOSPITAL PAYMENTS TO RETIREMENT PLANS THAT ARE TAXABLE UPFRONT, ARE PARTIALLY GROSSED UP FOR TAXES. DURING CALENDER YEAR 2018, THE EXECUTIVE DIRECTOR RECEIVED A PAYMENT (SEE SCHEDULE J, PART I, LINE 4 EXPLANATION FOR MORE DETAIL). ALSO, THE HOSPITAL PAID A BONUS TO ALL HOSPITAL EMPLOYEES. EMPLOYEES RECEIVED SAME NET AMOUNT (PRORATED FOR HOURS WORKED), WITH THE HOSPITAL EFFECTIVELY PAYING TAXES. THE HOSPITAL ALSO PROVIDES ITS SENIOR MANAGERS WITH LONG-TERM DISABILITY INSURANCE. THE COST OF THIS INSURANCE IS GROSSED UP TO EFFECTIVELY PAY FOR THE RELATED TAXES AND IS ADDED TO THE MANAGERS' GROSS EARNINGS. THIS BENEFIT WAS PROVIDED TO JOSEPH CASEY, BRUCE AUERBACH, MD, AMY PFEFFER, CHERYL BARROWS, DAVID SPOOR, ROBIN MORRIS, BRIAN PATEL, MD, AND BRIAN KELLY, MD DURING CALENDAR YEAR 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>APPROVAL FOR GROSS-UP PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 1b THE EXECUTIVE COMMITTEE APPROVES THE SUPPLEMENTAL RETIREMENT PLAN. THE ANNUAL BONUS AND DECISION TO GROSS UP THE AMOUNT IS DISCRETIONARY AND IS APPROVED BY THE BOARD OF MANAGERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SEVERANCE AGREEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 4a BRUCE AUERBACH, MD, EXECUTIVE DIRECTOR THROUGH 8/2018, RECEIVED $203,191 IN SEVERANCE PAY IN 2018 FROM STURDY MEMORIAL HOSPITAL. CHERYL BARROWS, VP OF HUMAN RESOURCES THROUGH 11/2018, RECEIVED $12,692 IN SEVERANCE PAY IN 2018 FROM STURDY MEMORIAL HOSPITAL. ALL AMOUNTS WERE TREATED AS TAXABLE INCOME AND ARE INCLUDED IN SCHEDULE J, PART II,COLUMN (B)(III).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN STURDY MEMORIAL HOSPITAL PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. SUPPLEMENTAL RETIREMENT CONTRIBUTIONS WERE MADE THROUGH NON-QUALIFIED RETIREMENT PLANS FOR QUALIFIED EMPLOYEES IN CALENDAR YEAR 2018. THE TOTAL OF NON-QUALIFIED RETIREMENT CONTRIBUTIONS IN 2018 ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). JOSEPH CASEY ($14,455) PARTICIPATED IN THE PLAN IN 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>NON-FIXED PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 7 COMPENSATION PACKAGES FOR THE CEO, SENIOR MANAGERS, AND LISTED PHYSICIANS INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF MEETING OR EXCEEDING PRE-DETERMINED GOALS. ALL INCENTIVE COMPENSATION IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE AND HAS BEEN REPORTED ON SCHEDULE J, PART II, COLUMN B (II).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DEFERRED COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part II, Column C The actuarial adjustment for the deferred compensation plan for Bruce Auerbach resulted in a negative accrual for the year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>29153</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>BLUE BOOK VALUE</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ORGANIZATION'S MISSION (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART III, LINE 1 THE HOSPITAL WORKS TO ENSURE THAT AMPLE, HIGH QUALITY PRIMARY AND SPECIALTY PHYSICIAN SERVICES ARE ACCESSIBLE TO AREA RESIDENTS. ADDITIONALLY, WE TRY TO AVOID COSTLY DUPLICATION OF HEALTH CARE SERVICES BY COORDINATING WITH OTHER AREA HEALTH CARE PROVIDERS TO THE EXTENT PRACTICABLE. THE HOSPITAL PROVIDES LEADERSHIP WHILE WORKING IN COOPERATION WITH PUBLIC AND PRIVATE HEALTH ORGANIZATIONS, AS WELL AS CIVIC AND BUSINESS ORGANIZATIONS, TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART III, LINE 4A THE HOSPITAL PROVIDES HIGH QUALITY CARE TO THE SICK AND INJURED, ON BOTH AN INPATIENT AND OUTPATIENT BASIS, WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN AGE, GENDER, DISABILITY, OR ABILITY TO PAY. IN FISCAL YEAR 2019, THE HOSPITAL PROVIDED 3,579 FREE CARE VISITS AND 477 PARTIAL FREE CARE VISITS. THE HOSPITAL TREATED 10,732 INPATIENTS AND OBSERVATION PATIENTS, INCLUDING BIRTHS, OF WHICH THERE WERE 645. THE HOSPITAL TREATED 48,588 PATIENTS IN THE EMERGENCY ROOM AND PERFORMED SURGERY ON 1,546 INPATIENTS AND 9,457 OUTPATIENTS. THE HOSPITAL PROVIDES MANY OTHER SERVICES OF WHICH THE FOLLOWING IS A PARTIAL LIST: ONCOLOGY 7,833 VISITS; MANSFIELD HEALTH CENTER- 20,613 VISITS; CARDIAC REHABILITATION- 17,238 VISITS; AND WOUND CARE- 4,226 VISITS. IN ADDITION, THE HOSPITAL PROVIDES A VARIETY OF ANCILLARY SERVICES - A PARTIAL LIST INCLUDES: LABORATORY, RADIOLOGY, MAMMOGRAPHY, COMPUTERIZED TOMOGRAPHY, MRI, NUCLEAR MEDICINE, VASCULAR, ULTRASOUND, SLEEP STUDY AND PHYSICAL THERAPY. THE HOSPITAL PROVIDED APPROXIMATELY $6,457,000 IN SERVICES FOR THOSE WHO COULD NOT PAY (FREE CARE) OR WOULD NOT PAY (BAD DEBT) IN FISCAL YEAR 2019. IN ADDITION, THE HOSPITAL PROVIDED APPROXIMATELY $9,148,000 IN UN-REIMBURSED MASSHEALTH (MEDICAID) SERVICES DURING THE YEAR. FURTHER, THE HOSPITAL PROVIDES A NUMBER OF PROGRAMS TO BENEFIT OUR COMMUNITY EITHER AT NO CHARGE OR AT REDUCED RATES. THE HOSPITAL ALSO PROVIDES LEADERSHIP IN THE INTEGRATION OF HEALTH SERVICES FOR THE COMMUNITIES IT SERVES. IN APRIL 2019, IN RESPONSE TO THE OPIOID CRISIS, STURDY PARTNERED WITH COLUMN HEALTH TO BRING SUBSTANCE USE DISORDER TREATMENT TO OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EMPLOYEES REPORTED ON FORM W-3</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART V, LINE 2A STURDY MEMORIAL HOSPITAL, INC. IS THE COMMON PAYMASTER FOR STURDY MEMORIAL ASSOCIATES, INC. AND STURDY MEMORIAL FOUNDATION, INC. THE TOTAL NUMBER OF EMPLOYEES LISTED ON PART V, LINE 2A REPRESENTS HOSPITAL EMPLOYEES INCLUDED UNDER THE COMMON PAYMASTER FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VOTING RIGHTS OF GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION A, LINE 1A THE BYLAWS OF STURDY MEMORIAL HOSPITAL, INC. STATE THAT "THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF MANAGERS EXCEPT FOR SUCH MATTERS AS ARE SPECIFIED IN SECTION 55 OF THE [MASSACHUSETTS] GENERAL LAWS, CHAPTER 156B." THE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE BOARD OF MANAGERS OF STURDY MEMORIAL HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BUSINESS RELATIONSHIPS WITH GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION A, LINE 2 JOSEPH CASEY, DENNIS KELLY AND EDWARD DION-BUSINESS RELATIONSHIP. PAUL HEROUX AND LAURA GIGNAC-BUSINESS RELATIONSHIP. IN ADDITION, OTHER PERSONS LISTED IN PART VII HAVE A "BUSINESS RELATIONSHIP" WITH ONE ANOTHER DUE TO THE OVERLAPPING BOARD STRUCTURE OF STURDY MEMORIAL FOUNDATION AND ITS AFFILIATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION A, LINE 6 STURDY MEMORIAL FOUNDATION, INC., A MASSACHUSETTS CHARITABLE CORPORATION, ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE SOLE MEMBER OF THE STURDY MEMORIAL HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MEMBERS OR STOCKHOLDERS WHO MAY ELECT MEMBERS OF GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF MANAGERS OF STURDY MEMORIAL HOSPITAL, INC. CONSISTS OF THOSE PERSONS WHO SERVE AS THE DIRECTORS OF STURDY MEMORIAL FOUNDATION, INC. FOUNDATION MEMBERS ARE ELIGIBLE TO ATTEND ALL MEETINGS OF THE CORPORATION AND TO HOLD OFFICE. NEW MEMBERS ARE ELECTED TO MEMBERSHIP BY THE EXISTING MEMBERS FOR THREE YEAR TERMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 REVIEW PROCESS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY STURDY MEMORIAL'S TAX PROVIDERS, GRANT THORNTON LLP, USING INFORMATION PROVIDED BY MANAGEMENT UPON COMPLETION OF THE ANNUAL INDEPENDENT AUDIT. THE INFORMATION PROVIDED IS THE RESPONSIBILITY OF THE CFO AND STURDY'S FISCAL SERVICES DEPARTMENT. THE RETURN IS REVIEWED BY GRANT THORNTON LLP, THE CONTROLLER AND CFO, AND COMPENSATION AND BENEFIT SECTIONS ARE SPECIFICALLY REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES FOR STURDY MEMORIAL HOSPITAL, INC. FORM 990 IS THEN PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATION OF APPROVAL. EVERY BOARD MEMBER RECEIVES FORM 990 AND ALL SCHEDULES PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CONFLICT OF INTEREST POLICY MONITORING AND ENFORCEMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 12C ALL HOSPITAL LEADERSHIP AND BOARD MEMBERS COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE STATEMENT REQUIRES DISCLOSURE OF ANY OUTSIDE INTERESTS IN ANY BUSINESS, OUTSIDE ACTIVITY, GIFTS, OR ENTERTAINMENT THAT MAY HAVE INFLUENCED THE RESPONDENT. IN ADDITION, THESE SIGNED STATEMENTS ARE REVIEWED BY THE INTEGRITY OFFICER AND ANY POTENTIAL CONFLICTS ARE ADDRESSED AND RESOLVED. THE INTEGRITY OFFICER DISCUSSES DISCLOSED POTENTIAL CONFLICTS WITH EMPLOYEES, OFFICERS AND DIRECTORS OF THE HOSPITAL, SO THAT THEY UNDERSTAND WHAT CONSTITUTES AN INAPPROPRIATE BUSINESS ACTIVITY. ANY GIFTS RECEIVED THAT CREATE A CONFLICT OR ARE IN VIOLATION OF THE CONFLICT OF INTEREST POLICY MUST BE RETURNED. INDIVIDUALS WITH DOCUMENTED CONFLICTS MUST ABSTAIN FROM ANY DECISION MAKING SPECIFIC TO THE IDENTIFIED AREA. AN ANNUAL REPORT IS PREPARED AND PROVIDED TO THE HOSPITAL'S PRESIDENT AND CEO AS WELL AS BOARD OF MANAGERS; THIS COMPREHENSIVE REPORT INCLUDES ALL INTEGRITY COMPLIANCE ISSUES AS WELL AS ANY NEWLY IDENTIFIED CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCESS FOR DETERMINING COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 15A INDEPENDENT MEMBERS OF STURDY MEMORIAL HOSPITAL'S EXECUTIVE COMMITTEE, ACTING AS THE COMPENSATION COMMITTEE, MAKE COMPENSATION DECISIONS FOR THE ORGANIZATION'S CEO. THE HOSPITAL OBTAINS COMPARATIVE MARKET DATA FROM AN OUTSIDE CONSULTANT AND ALSO RELIES ON PERFORMANCE METRICS FOR MASSACHUSETTS HOSPITALS FROM THE CENTER FOR HEALTH INFORMATION AND ANALYSIS. THE COMPENSATION COMMITTEE REVIEWS COMPARATIVE DATA FOR CEO TOTAL COMPENSATION, INCLUDING BASE SALARY, INCENTIVES AND BENEFITS. ONLY COMMITTEE MEMBERS WHO ARE INDEPENDENT WITH REGARDS TO COMPENSATION MATTERS MAY PARTICIPATE IN DELIBERATIONS AND VOTES. THE COMMITTEE'S REVIEW AND APPROVAL PROCESS TAKES PLACE ANNUALLY FOR IMPLEMENTATION AT THE START OF THE FISCAL YEAR. DELIBERATIONS AND VOTES ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15B THE CEO USES COMPARATIVE MARKET DATA OBTAINED FROM AN INDEPENDENT CONSULTANT TO DETERMINE ANNUAL COMPENSATION ADJUSTMENTS FOR THE CFO AND HOSPITAL KEY EMPLOYEES. THE EXECUTIVE COMMITTEE REVIEWS THE SURVEY INFORMATION, AS WELL AS PROPOSED BASE AND INCENTIVE PAY, AND VOTES TO ACCEPT THE RECOMMENDATION OF THE CEO FOR SENIOR MANAGER COMPENSATION. THE INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE, ACTING AS THE COMPENSATION COMMITTEE, VOTES TO APPROVE THE CFO'S COMPENSATION. THE VOTE IS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PARTICIPATION IN JOINT VENTURE ARRANGEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 16B STURDY MEMORIAL HOSPITAL HAS A POLICY REQUIRING EVALUATION OF ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL AND STATE LAW. THE HOSPITAL REQUIRES THAT ANY VENTURE OR ARRANGEMENT WITH THIRD PARTIES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE HOSPITAL'S EXEMPTION, SUCH AS POLITICAL ACTIVITIES, SUBSTANTIAL LOBBYING, PRIVATE INUREMENT OR SUBSTANTIAL NONEXEMPT ACTIVITIES. THE HOSPITAL SHALL MAINTAIN CONTROL, PRIORITIZE ITS EXEMPT PURPOSES, ENTER CONTRACTS AT ARMS-LENGTH, REQUIRE TRANSPARENT REPORTING, AND ENSURE ANY VENTURE COMPLY WITH INTERNAL REVENUE CODE SECTION 501(R). THE HOSPITAL'S MANAGEMENT SHALL NEGOTIATE ANY VENTURES OR ARRANGEMENTS WITH THE ASSISTANCE OF LEGAL COUNSEL, IF NECESSARY, AND THE HOSPITAL'S BOARD OF MANAGERS APPROVES ANY VENTURE OR ARRANGEMENT. THE HOSPITAL CURRENTLY PARTICIPATES IN SEVERAL VENTURES, ALL RELATED TO HEALTH CARE OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES AVAILABLE COPIES OF ITS BY-LAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER CHANGES IN NET ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XI, LINE 9 Pension Adjustment $(50,251,000) NET ASSETS RELEASED FROM RESTRICTION $117,847 --------------- TOTAL $(50,133,153)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sturdy Memorial Associates Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>211 Park Street PO Box 2963</AddressLine1Txt>
          <CityNm>Attleboro</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02703</ZIPCd>
        </USAddress>
        <EIN>042709501</EIN>
        <PrimaryActivitiesTxt>Physicians</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12-II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SMF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sturdy Memorial Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>212 Park Street PO Box 2963</AddressLine1Txt>
          <CityNm>Attleboro</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02703</ZIPCd>
        </USAddress>
        <EIN>042103631</EIN>
        <PrimaryActivitiesTxt>Development</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12-II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Emory Street Radiology Associates Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>213 Park Street PO Box 2963</AddressLine1Txt>
          <CityNm>Attleboro</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02703</ZIPCd>
        </USAddress>
        <EIN>043137282</EIN>
        <PrimaryActivitiesTxt>RADIOLOGY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12-II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SHV Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>127 Pearl Street</AddressLine1Txt>
          <CityNm>Attleboro</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02703</ZIPCd>
        </USAddress>
        <EIN>042855097</EIN>
        <PrimaryActivitiesTxt>salES AND rental</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SMF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>RELATED TAX-EXEMPT ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE R, PART II STURDY MEMORIAL ASSOCIATES, INC.'S PRIMARY ACTIVITIES: RECRUIT PHYSICIANS TO EXPAND AND IMPROVE THE AVAILABILITY OF QUALITY MEDICAL CARE IN THE STURDY MEMORIAL HOSPITAL SERVICE AREA. STURDY MEMORIAL FOUNDATION, INC.'S PRIMARY ACTIVITIES: ENGAGING IN PHILANTHROPHIC ACTIVITIES TO SUPPORT THE MISSION AND PURPOSE OF STURDY MEMORIAL HOSPITAL, INC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>RELATED ORGANIZATION TAXABLE AS A CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule R, Part IV SHV Inc., which does business under the trade name Attleboro Area Medical Equipment Co, is a for-profit corporation actively engaged in the sale and rental of medical equipment and accessories in the Greater Attleboro Area. The company extends credit to its customers and is paid directly or by private insurance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>