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      <Form990PartVIISectionAGrp>
        <PersonNm>ELYSE A KAPLAN</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER TO 7.15.18</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>257443</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23732</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE KIMURA MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>553230</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>167795</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD LOPEZ MD SVP POP</PersonNm>
        <TitleTxt>HEALTH &amp; VNA CMO TO 7.15.18; PHY.</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>296082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>32898</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42052</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL D MORIARTY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>487626</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>151165</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL ROSENBLUM MHA</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <ReportableCompFromOrgAmt>395870</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>122483</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCI SINDELL</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFF.;SVP EXT. AFFAIRS</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>150213</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS A BLEY MD</PersonNm>
        <TitleTxt>CHIEF ORTHOPEDICS</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1050650</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>64534</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RALPH A IANNUZZI MD</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>876069</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>34318</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER S KIM MD</PersonNm>
        <TitleTxt>ORTHOPEDIST</TitleTxt>
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        <OtherCompensationAmt>57058</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN B LAZOR MD</PersonNm>
        <TitleTxt>OTOLARYNGOLOGIST</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>55511</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES E PHILLIPS MD</PersonNm>
        <TitleTxt>ORTHOPEDIST</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1005227</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>55000</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM BOYD MD</PersonNm>
        <TitleTxt>ASSOCIATE CMO; FMR SVP NO.REGION</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>459000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>113243</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL C BURNES MD</PersonNm>
        <TitleTxt>DERMATOLOGIST; FMR TRANS.PRES/CEO</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>192582</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>30852</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL K PINNOLIS MD</PersonNm>
        <TitleTxt>OPHTHALMOLOGIST; FORMER CMO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42860</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>13229895</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>32898</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>2289534</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1330</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICAN CLEANING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>28 STATE STREET</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>3117197</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALTERNATIVE SOLUTIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 29647</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75229</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>1698464</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AP STAFFING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>133 FEDERAL STREET</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02110</ZIPCd>
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        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASSOCIATED REG &amp; UNIVERSITY PATHOLOGIST</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 27964</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84127</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>PATHOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>1477908</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUEST DIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5763 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>LABORATORY SERVICES</ServicesDesc>
        <CompensationAmt>1290349</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>33</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>2082</RelatedOrganizationsAmt>
      <TotalContributionsAmt>2082</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1321990534</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1321990534</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>FEE FOR SERVICE</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>447755320</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>128404</UnrelatedBusinessRevenueAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>89093074</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>89093074</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>26732950</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26732950</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>4208967</ExclusionAmt>
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      <NetRentalIncomeOrLossGrp>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>52107953</SecuritiesAmt>
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        <SecuritiesAmt>-283793</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-283793</TotalRevenueColumnAmt>
        <ExclusionAmt>-283793</ExclusionAmt>
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        <Desc>SUBPART F - FORMS 5471</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>4475975</TotalRevenueColumnAmt>
        <ExclusionAmt>4475975</ExclusionAmt>
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      <OtherRevenueTotalAmt>4475975</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1897163392</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1885571878</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>218724</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11370708</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>9975</TotalAmt>
        <ProgramServicesAmt>9975</ProgramServicesAmt>
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        <ProgramServicesAmt>9123334</ProgramServicesAmt>
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        <TotalAmt>474115504</TotalAmt>
        <ProgramServicesAmt>422165471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51950033</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>27641213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3600654</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>64994654</TotalAmt>
        <ProgramServicesAmt>56441273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8553381</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>30593794</TotalAmt>
        <ProgramServicesAmt>27067831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3525963</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>671075</TotalAmt>
        <ProgramServicesAmt>23145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>647930</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>381843</TotalAmt>
        <ManagementAndGeneralAmt>381843</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>53000</ProgramServicesAmt>
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        <ProgramServicesAmt>784338911</ProgramServicesAmt>
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        <ProgramServicesAmt>3965</ProgramServicesAmt>
        <ManagementAndGeneralAmt>833945</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>14528992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3981341</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>784132</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15539270</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>126985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>215607</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>69620</ProgramServicesAmt>
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        <ProgramServicesAmt>24436863</ProgramServicesAmt>
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        <ProgramServicesAmt>13956659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123927</ManagementAndGeneralAmt>
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        <Desc>PHARMACY EXPENSE</Desc>
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        <ProgramServicesAmt>289925458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7405</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>6058421</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>INCOME TAX EXPENSE</Desc>
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        <ProgramServicesAmt>750000</ProgramServicesAmt>
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        <ProgramServicesAmt>1754010812</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100239133</ManagementAndGeneralAmt>
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        <EOYAmt>88889</EOYAmt>
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        <EOYAmt>158849619</EOYAmt>
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        <EOYAmt>77424759</EOYAmt>
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        <EOYAmt>79169209</EOYAmt>
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        <EOYAmt>227298375</EOYAmt>
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        <EOYAmt>152744987</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>2058226</EOYAmt>
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        <EOYAmt>1880144</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>660711098</BOYAmt>
        <EOYAmt>709926269</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>282665586</EOYAmt>
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        <EOYAmt>4082724</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>91697620</BOYAmt>
        <EOYAmt>85928334</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>67522171</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>478064</BOYAmt>
        <EOYAmt>146381</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>428493145</BOYAmt>
        <EOYAmt>440345196</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>232217953</BOYAmt>
        <EOYAmt>269581073</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>232217953</BOYAmt>
        <EOYAmt>269581073</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>660711098</BOYAmt>
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        <PersonNm>ELYSE A KAPLAN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE KIMURA MD</PersonNm>
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        <PersonNm>RICHARD LOPEZ MD SVP POP</PersonNm>
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        <PersonNm>DANIEL D MORIARTY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACHEL ROSENBLUM MHA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCI SINDELL</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFF.;SVP EXT. AFFAIRS</TitleTxt>
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        <OtherCompensationFilingOrgAmt>25378</OtherCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS A BLEY MD</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RALPH A IANNUZZI MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER S KIM MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>873366</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN B LAZOR MD</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES E PHILLIPS MD</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, QUESTION 4B - INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A WHO PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. LOUIS BLEY; WILLIAM BOYD; DANIEL BURNES; STEVEN FERZOCO; RALPH IANNUZZI; JOO KIM; PETER KIM; JOSEPH KIMURA; JOHN LAZOR; LAURA LEE; RICHARD LOPEZ; SCOTT PERMAN; JAMES PHILLIPS; MICHAEL PINNOLIS; ELIZA SHULMAN; GUY SPINELLI; STEVEN STRONGWATER</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
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        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
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        </IssuerName>
        <BondIssuerEIN>043431814</BondIssuerEIN>
        <BondIssuedDt>2012-04-25</BondIssuedDt>
        <IssuePriceAmt>86095000</IssuePriceAmt>
        <PurposeDesc>REFINANCE CAPITAL COSTS (NOTE 1)</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>7541666</RetiredAmt>
        <TotalProceedsAmt>29980000</TotalProceedsAmt>
        <RefundingEscrowAmt>29980000</RefundingEscrowAmt>
        <SubstantialCompletionYr>2004</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>22605000</RetiredAmt>
        <TotalProceedsAmt>86095000</TotalProceedsAmt>
        <RefundingEscrowAmt>68256651</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>568546</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>17269803</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.03000</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.03000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART 1, LINE B, COLUMN F - NOTE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2012 ISSUE REFINANCED THE 2007 ISSUE. THE PROCEEDS OF THE 2012 ISSUE WERE USED TO: RETIRE THE 2007 ISSUE - $68,256,651; PAY ISSUANCE COSTS - $568,546; AND PAY THE SWAP TERMINATION CHARGES - $17,269,803 (PART II, LINE 11 - OTHER SPENT PROCEEDS).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ATRIUS HEALTH'S MOST SIGNIFICANT ACTIVITIES ARE: 1) PROVIDING OUTSTANDING HEALTHCARE FOR PATIENTS ACROSS EASTERN MASSACHUSETTS, 32 CLINICAL SITES FROM CHELMSFORD IN THE NORTH TO CAPE COD IN THE SOUTH AND TO RT 495 IN THE WEST. INNOVATING THE WAY IN WHICH CARE IS DELIVERED. 2) TEACHING THE NEXT GENERATION OF CLINICIANS, INCLUDING MEDICAL STUDENTS AND RESIDENTS FROM HARVARD MEDICAL SCHOOL AND TUFTS MEDICAL SCHOOL, AS WELL AS MASSACHUSETTS COLLEGE OF PHARMACY AND OTHER NURSING AND ANCILLARY PROGRAMS 3) CONDUCTING CLINICAL RESEARCH LARGELY AIMED AT IMPROVING THE WAY IN WHICH CARE IS DELIVERED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>STATEMENT 2: DESCRIPTION OF ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>ATRIUS HEALTH PROVIDES OUTSTANDING AND INNOVATIVE HEALTHCARE TO PATIENTS ACROSS EASTERN MASSACHUSETTS, IN 32 CLINICAL SITES FROM CHELMSFORD IN THE NORTH TO CAPE COD IN THE SOUTH AND TO RT 495 IN THE WEST. IN 2018 THE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS APPROXIMATELY 616,000 PATIENTS THROUGH 2,331,163 PATIENT VISITS (INCLUDING 142,591 MEDICAID VISITS AND 536,989 MEDICARE VISITS). THE ORGANIZATION PARTICIPATED IN EDUCATIONAL AND TRAINING PROGRAMS FOR THE NEXT GENERATION OF CLINICIANS, INCLUDING RESIDENTS, FELLOWS, MEDICAL STUDENTS, NURSING STUDENTS, PA STUDENTS, PHARMACY STUDENTS AND PT STUDENTS FROM HARVARD MEDICAL SCHOOL, TUFTS MEDICAL SCHOOL, COLLEGE OF PHARMACY AND OTHER PROGRAMS. SUCH PROGRAMS INCLUDED 300 CLINICIAN TEACHERS TEACHING 400 STUDENTS. THE ORGANIZATION CONDUCTED CLINICAL RESEARCH LARGELY AIMED AT IMPROVING THE WAY IN WHICH CARE IS DELIVERED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VOTING MEMBERS OF THE CORPORATION ("VMOCS") ARE EMPLOYED PHYSICIANS WHO HAVE BEEN EMPLOYED BY THE ORGANIZATION FOR 2 YEARS AND ACHIEVE VMOC STATUS IN ACCORDANCE WITH ORGANIZATION'S POLICY AND PROCEDURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VMOCS ELECT THE PHYSICIAN TRUSTEES WHO SERVE ON THE ORGANIZATION'S BOARD OF TRUSTEES. THE VMOCS HAVE NO STATUTORY OR OTHER GOVERNANCE RIGHTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO REVIEW AND PREPARE THE FORM 990. AN INTERNAL TEAM INCLUDING STAFF FROM THE ORGANIZATION'S LEGAL, ACCOUNTING, AND HUMAN RESOURCES DEPARTMENTS WORKS CLOSELY WITH THE OUTSIDE FIRM TO PREPARE THE DOCUMENT. THE SECTIONS OF THE FORM 990 RELATED TO COMPENSATION WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD, WHOSE VOTING MEMBERS ARE CERTAIN INDEPENDENT COMMUNITY TRUSTEES. THE FORM 990 IN ITS ENTIRETY IS REVIEWED AND APPROVED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, WHOSE VOTING MEMBERS ARE CERTAIN INDEPENDENT COMMUNITY TRUSTEES. MATERIAL ISSUES (IF ANY) WOULD BE HIGHLIGHTED IN THE OUTSIDE FIRM'S PRESENTATION TO THE AUDIT AND COMPLIANCE COMMITTEE BEFORE FILING. PRIOR TO FILING, THE FULL BOARD OF TRUSTEES RECEIVES A FINAL COPY OF THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S OFFICERS, TRUSTEES, KEY EMPLOYEES, SENIOR MANAGERS AND CERTAIN OTHER EMPLOYEES AS APPROPRIATE ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS AS DEFINED BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, WHICH INCORPORATES THE IRS CONFLICT OF INTEREST RECOMMENDATIONS. THE RESPONSES ARE REVIEWED BY THE CHIEF LEGAL OFFICER. IN THE EVENT THE CHIEF LEGAL OFFICER DETERMINES THAT A DISCLOSURE MAY RESULT IN A REAL OR POTENTIAL CONFLICT OF INTEREST, THEN THE CHIEF LEGAL OFFICER REVIEWS SUCH POTENTIAL CONFLICT WITH THE CHAIR OF THE GOVERNANCE COMMITTEE. IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, AS DETERMINED BY THE CHAIR OF THE GOVERNANCE COMMITTEE, ANY SUCH DISCLOSURE THAT MEETS THE DEFINITION OF A POTENTIAL CONFLICT IS REVIEWED BY EITHER THE GOVERNANCE COMMITTEE OR THE BOARD OF TRUSTEES AND IS ADDRESSED AS DIRECTED BY THE GOVERNANCE COMMITTEE OR THE BOARD. IN ACCORDANCE WITH THE POLICY, OFFICERS, TRUSTEES, KEY EMPLOYEES, SENIOR MANAGERS AND CERTAIN OTHER EMPLOYEES AS APPROPRIATE ARE EXPECTED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THAT ARISES DURING THE YEAR AND ANY SUCH POTENTIAL CONFLICT WOULD BE REVIEWED IN ACCORDANCE WITH THE PROCESS NOTED ABOVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN COMMUNITY TRUSTEES, WHO MEET THE IRS'S DEFINITION OF INDEPENDENCE, SERVE AS THE VOTING MEMBERS OF THE COMPENSATION COMMITTEE, A COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES. IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS, THE COMPENSATION COMMITTEE: (I) CONSULTS WITH A NATIONALLY RECOGNIZED COMPENSATION CONSULTING COMPANY TO ASSIST IT IN DETERMINING THAT COMPENSATION RANGES AND STRUCTURES ARE REASONABLE (AS DEFINED BY APPLICABLE INTERNAL REVENUE SERVICE (IRS) REGULATIONS AND RULINGS); AND (II) ADOPTS AND IMPLEMENTS POLICIES AND PROCEDURES CONSISTENT WITH SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME, AND THE REGULATIONS ISSUED THEREUNDER. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR OFFICERS AND OTHER EMPLOYEES AS APPROPRIATE BASED ON RESEARCH AND STATEMENTS OF REASONABLENESS FROM NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS WHO PROVIDE AN ANALYSIS OF THE MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION. ANNUALLY THE COMPENSATION COMMITTEE APPROVES THE ORGANIZATIONAL GOALS AND RELATED METRICS FOR THE CEO, OFFICERS AND CERTAIN OTHER EMPLOYEES. THE KEY CRITERIA FOR OFFICERS, CERTAIN EMPLOYEES AND PHYSICIANS ARE MARKET COMPETITIVENESS, ORGANIZATIONAL ACHIEVEMENT AND INDIVIDUAL PERFORMANCE. CEO COMPENSATION IS BASED ON MARKET COMPETITIVENESS, AN EVALUATION OF INDIVIDUAL PERFORMANCE, AN ASSESSMENT OF ACHIEVEMENT OF ORGANIZATIONAL GOALS AND SUBJECTIVE AND OBJECTIVE MEASUREMENTS APPROVED BY THE COMPENSATION COMMITTEE. COMPENSATION DECISIONS BY THE COMPENSATION COMMITTEE ARE MADE IN ADVANCE OF IMPLEMENTATION AND ARE PROPERLY DOCUMENTED ON A TIMELY BASIS IN COMPENSATION COMMITTEE MINUTES. ALL COMPENSATION DECISIONS RELATED TO OFFICERS AND CERTAIN DEFINED EMPLOYEES AND THE PHYSICIAN COMPENSATION MODELS MUST BE APPROVED BY THE ORGANIZATION'S COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS ARE ATTACHED TO THE MA FORM PC FILED WITH THE ATTORNEY GENERAL'S OFFICE, WHICH IS AVAILABLE TO THE PUBLIC FOR INSPECTION. THE ARTICLES OF ORGANIZATION ARE AVAILABLE AT THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE, INCLUDING THROUGH ITS WEBSITE. OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. REQUESTS FOR COPIES OF SUCH DOCUMENTS ARE CONSIDERED ON A CASE BY CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE UTILIZATION CHARGES (CAPITATION CONTRACTS): PROGRAM SERVICE EXPENSES 768,424,581. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 768,424,581. OTHER SERVICES: PROGRAM SERVICE EXPENSES 15,914,330. MANAGEMENT AND GENERAL EXPENSES 2,875,763. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,790,093.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN AFFILIATE 20,491. SUBPART F INCOME -4,475,975. CRICO DISTRIBUTION IN INCOME FOR FINANCIAL REPORTING 1,000,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ATRIUS HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>275 GROVE STREET SUITE 3-300</AddressLine1Txt>
          <CityNm>NEWTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02466</ZIPCd>
        </USAddress>
        <EIN>264517944</EIN>
        <PrimaryActivitiesTxt>SUPPORT ATRIUS HEALTH AND ITS PARTICIPATING ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF BOSTON INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>500 RUTHERFORD AVENUE</AddressLine1Txt>
          <CityNm>CHARLESTOWN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>042105800</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSN OF BOSTON FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>500 RUTHERFORD AVENUE</AddressLine1Txt>
          <CityNm>CHARLESTOWN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>042880614</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF BOSTON MANAGMENT RESOURCES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>500 RUTHERFORD AVENUE</AddressLine1Txt>
          <CityNm>CHARLESTOWN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>042880108</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSN OF BOSTON FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA CARE HOSPICE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>120 THOMAS STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
        </USAddress>
        <EIN>043217872</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>120 THOMAS STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
        </USAddress>
        <EIN>042794849</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ATRIUS HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>120 THOMAS STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
        </USAddress>
        <EIN>042103825</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>120 THOMAS STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
        </USAddress>
        <EIN>042953171</EIN>
        <PrimaryActivitiesTxt>DAY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>120 THOMAS STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01608</ZIPCd>
        </USAddress>
        <EIN>812016808</EIN>
        <PrimaryActivitiesTxt>PROVIDE TEMPORARY STAFFING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>86828</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>461135</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA CARE NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>852538</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>