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        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MICHELLE NADOW - DOTHOUSE HEALTH</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES W HUNT</PersonNm>
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        <PersonNm>ELLEN HAFER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA EDRAOS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DIANA ERANI</PersonNm>
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        <OtherCompensationAmt>27287</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY LEARY</PersonNm>
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        <PersonNm>DAVID CONCANNON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL CURRY</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>AZARA CONSULTING</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>70 BLANCHARD ROAD SUITE 401</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRACTICE PARTNERSHIP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTH MANAGEMENT ASSOCIATES</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARLA BETTANO</BusinessNameLine1Txt>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
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      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>58617</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>105080</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>163697</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS PROVIDE INCIDENTAL LOBBYING DONE WITH NON-FEDERAL FUNDS REGARDING STATE AND MUNICIPAL HEALTH POLICY. PART II-B, LINE 1(G): CONSULTANT PROVIDES GOVERNMENT RELATIONS AT STATE LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1434598</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>87802</DepreciationAmt>
        <BookValueAmt>1346796</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>225724</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>108598</DepreciationAmt>
        <BookValueAmt>117126</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>497098</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>38742</DepreciationAmt>
        <BookValueAmt>458356</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1922278</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCOUNTS HELD AS FISCAL AGENT</Desc>
        <Amt>172180</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>172180</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20530427</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20530427</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>20530427</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14907896</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14907896</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14907896</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LEAGUE ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE LEAGUE HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2018. THE LEAGUE'S INFORMATION AND TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>ANNUAL GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>208800</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>40680</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>168120</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>121967</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF</Event2Nm>
        <GrossReceiptsEvent2Amt>35850</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>17850</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>18000</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>11688</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>244650</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>58530</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>186120</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>133655</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>133655</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>52465</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAYSTATE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>759 CHESTNUT ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01199</ZIPCd>
        </USAddress>
        <RecipientEIN>042790311</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOSTON HEALTH CARE FOR THE HOMELESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>780 ALBANY STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02118</ZIPCd>
        </USAddress>
        <RecipientEIN>043160480</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>61000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROCKTON NEIGHBORHOOD HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>157 MAIN STREET</AddressLine1Txt>
          <CityNm>BROCKTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02301</ZIPCd>
        </USAddress>
        <RecipientEIN>043165044</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>61000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROOKSIDE COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3297 WASHINGTON STREET</AddressLine1Txt>
          <CityNm>JAMAICA PLAIN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02130</ZIPCd>
        </USAddress>
        <RecipientEIN>042312909</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CAMBRIDGE HEALTH ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1493 CAMBRIDGE STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02139</ZIPCd>
        </USAddress>
        <RecipientEIN>043167608</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>43221</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARING HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1040 MAIN STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01103</ZIPCd>
        </USAddress>
        <RecipientEIN>042620040</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>52000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHARLES RIVER CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>287 WESTERN AVE</AddressLine1Txt>
          <CityNm>ALLSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02134</ZIPCd>
        </USAddress>
        <RecipientEIN>237221597</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>80059</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CODMAN SQ HEATH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>637 WASHINGTON STREET</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02124</ZIPCd>
        </USAddress>
        <RecipientEIN>042678774</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>34350</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMM HEALTH CENTER OF CAPE COD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>210 JONES ROAD SUITE 22 HOMEPORT</AddressLine1Txt>
          <CityNm>FALMOUTH</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02540</ZIPCd>
        </USAddress>
        <RecipientEIN>043370560</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>31000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>338 MONTAGUE CITY ROAD</AddressLine1Txt>
          <CityNm>TURNER FALLS</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01376</ZIPCd>
        </USAddress>
        <RecipientEIN>043312968</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH CONNECTIONSFITCHBURG</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>275 NICHOLS RD</AddressLine1Txt>
          <CityNm>FITCHBURG</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01420</ZIPCd>
        </USAddress>
        <RecipientEIN>043452697</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH LINK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>72 JAQUES AVE</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01060</ZIPCd>
        </USAddress>
        <RecipientEIN>562175328</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH PROGRAMS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>444 STOCKBRIDGE ROAD</AddressLine1Txt>
          <CityNm>GREAT BARRINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01230</ZIPCd>
        </USAddress>
        <RecipientEIN>042582119</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DOTHOUSE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1353 DORCHESTER AVE</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02122</ZIPCd>
        </USAddress>
        <RecipientEIN>237125970</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>60503</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DUFFY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>105 PARK STREET</AddressLine1Txt>
          <CityNm>HYANNIS</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02601</ZIPCd>
        </USAddress>
        <RecipientEIN>043373741</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST BOSTON NEIGHBORHOOD HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 GOVE STREET</AddressLine1Txt>
          <CityNm>EAST BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02128</ZIPCd>
        </USAddress>
        <RecipientEIN>237425849</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>29000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EDWARD M KENNEDY CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>19 TACOMA STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01605</ZIPCd>
        </USAddress>
        <RecipientEIN>042513817</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>52869</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY HEALTH CENTER OF WORCESTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26 QUEEN STREET</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01610</ZIPCd>
        </USAddress>
        <RecipientEIN>042485308</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>310719</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GR NEW BEDFORD COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>874 PURCHASE STREET</AddressLine1Txt>
          <CityNm>NEW BEDFORD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02740</ZIPCd>
        </USAddress>
        <RecipientEIN>042675800</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER LAWRENCE FAMILY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>34 HAVERILL STREET</AddressLine1Txt>
          <CityNm>LAWRENCE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01841</ZIPCd>
        </USAddress>
        <RecipientEIN>042708824</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>31350</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER ROSLINDALE MEDICAL &amp; DENTAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4199 WASHINGTON STREET</AddressLine1Txt>
          <CityNm>ROSLINDALE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02131</ZIPCd>
        </USAddress>
        <RecipientEIN>042579527</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARBOR HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1135 MORTON STREET</AddressLine1Txt>
          <CityNm>MATTAPAN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02126</ZIPCd>
        </USAddress>
        <RecipientEIN>237100550</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>49000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARVARD STREET NEIGHBORHOOD HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>632 BLUE HILL AVE</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02121</ZIPCd>
        </USAddress>
        <RecipientEIN>042600042</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>42000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH FIRST FAMILY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>387 QUARRY ST STE 100</AddressLine1Txt>
          <CityNm>FALL RIVER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02723</ZIPCd>
        </USAddress>
        <RecipientEIN>042503444</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HILLTOWN COMMUNITY HEALTH CENTERS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>58 OLD NORTH ROAD</AddressLine1Txt>
          <CityNm>WORTHINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01098</ZIPCd>
        </USAddress>
        <RecipientEIN>042161484</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOLYOKE HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>230 MAPLE STREET</AddressLine1Txt>
          <CityNm>HOLYOKE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01040</ZIPCd>
        </USAddress>
        <RecipientEIN>042492730</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>16533</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ISLAND HEALTH CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>245 EDGARTOWN-VINEYARD HAVEN ROAD</AddressLine1Txt>
          <CityNm>EDGARTOWN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02539</ZIPCd>
        </USAddress>
        <RecipientEIN>000820031</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWELL COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>597 MERRIMACK STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01854</ZIPCd>
        </USAddress>
        <RecipientEIN>042881348</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>72000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LYNN COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>269 UNION STREET</AddressLine1Txt>
          <CityNm>LYNN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01901</ZIPCd>
        </USAddress>
        <RecipientEIN>001021080</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>61000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MANET COMMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1193 SEA STREET</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02169</ZIPCd>
        </USAddress>
        <RecipientEIN>042646695</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>64503</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MATTAPAN CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1575 BLUE HILL AVE</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02126</ZIPCd>
        </USAddress>
        <RecipientEIN>042544151</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>52000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MGH - COMMUNITY HEALTH ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 OCEAN AVENUE</AddressLine1Txt>
          <CityNm>REVERE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02151</ZIPCd>
        </USAddress>
        <RecipientEIN>041564655</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35069</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH END WATERFRONT HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>332 HANOVER STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02113</ZIPCd>
        </USAddress>
        <RecipientEIN>237089746</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>60334</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH SHORE COMMUNITY HEALTH INCSALEM CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>47 CONGRESS STREET</AddressLine1Txt>
          <CityNm>SALEM</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01960</ZIPCd>
        </USAddress>
        <RecipientEIN>042610447</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OUTER CAPE HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3073 STATE HIGHWAY ROUTE 6</AddressLine1Txt>
          <CityNm>WELLFLEET</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02667</ZIPCd>
        </USAddress>
        <RecipientEIN>042509828</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>26000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH BOSTON COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>409 W BROADWAY</AddressLine1Txt>
          <CityNm>SOUTH BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02127</ZIPCd>
        </USAddress>
        <RecipientEIN>042682152</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>309500</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH COVE CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>145 SOUTH STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02111</ZIPCd>
        </USAddress>
        <RecipientEIN>042501818</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>16500</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH END COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1601 WASHINGTON STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02118</ZIPCd>
        </USAddress>
        <RecipientEIN>042456134</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>106000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHERN JAMAICA PLAIN CHC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>640 CENTRE STREET</AddressLine1Txt>
          <CityNm>JAMAICA PLAIN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02130</ZIPCd>
        </USAddress>
        <RecipientEIN>042312909</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPFLD DEPT OF HEALTH &amp; HUMAN SVC FOR THE HOMELESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1145 MAIN ST STE 208</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01103</ZIPCd>
        </USAddress>
        <RecipientEIN>046001415</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSTAR FAMILY HEALTH CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 STANLEY STREET</AddressLine1Txt>
          <CityNm>FALL RIVER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02720</ZIPCd>
        </USAddress>
        <RecipientEIN>042604426</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE DIMOCK CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 DIMOCK STREET</AddressLine1Txt>
          <CityNm>ROXBURY</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02119</ZIPCd>
        </USAddress>
        <RecipientEIN>043487835</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>36000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPHAMS CORNER HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 COLUMBUS ROAD</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02125</ZIPCd>
        </USAddress>
        <RecipientEIN>237211732</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHITTIER ST HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1125 TREMONT STREET</AddressLine1Txt>
          <CityNm>ROXBURY</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02120</ZIPCd>
        </USAddress>
        <RecipientEIN>042619517</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAYSTATE BRIGHTWOOD HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>380 PLAINFIELD STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01107</ZIPCd>
        </USAddress>
        <RecipientEIN>000110314</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7350</CashGrantAmt>
        <PurposeOfGrantTxt>SUSTAIN COHORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOWDOIN STREET HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>230 BOWDOIN STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02122</ZIPCd>
        </USAddress>
        <RecipientEIN>042529788</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONNECTICUT RIVER VALLEY FARMWORKER HEALTH PROGRAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>40 COURT STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FENWAY COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1340 BOYLSTON STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <RecipientEIN>042510564</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEIGER GIBSON HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>250 MT VERNON STREET</AddressLine1Txt>
          <CityNm>DORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02125</ZIPCd>
        </USAddress>
        <RecipientEIN>237100550</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4000</CashGrantAmt>
        <PurposeOfGrantTxt>EMERGENCY PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>49</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>LOAN REPAYMENT PROGRAM</GrantTypeTxt>
        <RecipientCnt>13</RecipientCnt>
        <CashGrantAmt>261450</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE LOAN REPAYMENT PROGRAM THE LEAGUE GETS REPORTS FROM LOAN INSTITUTIONS FOR THE REPAID LOANS. THE LEAGUE IS ALSO INFORMED BY THE CHC IF THE PHYSICIAN LEAVES EMPLOYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LEAGUE ADMINISTERS A PRIMARY CARE PHYSICIAN LOAN REPAYMENT PROGRAM (LRP). THE LRP PROVIDES LOANS TO QUALIFYING PHYSICIANS. THESE LOANS WILL BE FORGIVEN IF THE PHYSICIAN MEETS CERTAIN CRITERIA, INCLUDING WORKING AT LEAST TWO YEARS IN A COMMUNITY HEALTH CENTER. FROM THE INCEPTION OF THE LRP, THE LEAGUE RECEIVED GRANTS FROM VARIOUS FUNDERS TOTALING $10,626,000. FOR THE YEARS ENDED JUNE 30, 2018 LOANS UNDER THE LRP IN THE AMOUNT OF $210,000 WERE AWARDED TO VARIOUS QUALIFIED PHYSICIANS. THE LOANS AWARDED HAVE BEEN RECORDED AS LOANS RECEIVABLE BY THE LEAGUE UNTIL THEY ARE FORGIVEN OR RECOVERED. THE LEAGUE'S MANAGEMENT EXPECTS THAT ALL PHYSICIANS PARTICIPATING IN THE LRP WILL MEET THE CRITERIA TO HAVE THEIR LOANS FORGIVEN IN FUTURE YEARS AND, ACCORDINGLY, THE LEAGUE HAS RECORDED AN ALLOWANCE AND RELATED GRANT EXPENSE FOR FORGIVABLE LOANS RECEIVABLE EQUAL TO THE LOANS RECEIVABLE BALANCE, WHICH WAS APPROXIMATELY $2.5 MILLION AT JUNE 30, 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES W HUNT</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsFilingOrgAmt>634</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>161780</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID CONCANNON</PersonNm>
        <TitleTxt>FINANCE AND ADMINISTRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>143568</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10050</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17327</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>170945</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LEAGUE HAS MEMBERS, WHO ARE COMMUNITY HEALTH CENTERS (CHC'S), CHC NETWORKS, AND CHC HEALTH SYSTEMS. ANY QUALIFIED ORGANIZATION CAN APPLY TO BE A LEAGUE MEMBER. EACH MEMBER ELECTS A VOTING REPRESENTATIVE TO THE LEAGUE'S BOARD OF DIRECTORS. THE ANNUAL ASSEMBLY OF MEMBERS MUST APPROVE OR VERIFY THE SELECTIONS OF THE FULL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE EXPLANATION PROVIDED IN PART VI, SEC A, LINE 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRELIMINARY 990 FORM IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW AND TO PROVIDE ANY SUGGESTED CHANGES. IF ANY CHANGES ARE IDENTIFIED THE 990 IS UPDATED AND RESUBMITTED TO THE BOARD OF DIRECTORS FOR FINAL REVIEW AND APPROVAL. THE EXECUTIVE BOARD NAME HAS BEEN CHANGED TO THE BOARD OF DIRECTORS. THIS IS THE ONLY CHANGE IN PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBERS COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY AND DISCLOSES ANY AREAS OF POTENTIAL CONFLICT. THESE ARE REVIEWED WITH THE BOARD CHAIR AND MANAGED BY THE CHAIR IN MEETINGS WHERE APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CHAIR CONDUCTS AN ANNUAL EVALUATION OF THE CEO WITH INPUT OF OFFICERS AND BOARD OF DIRECTORS. COMPARATIVE SALARY AND BENEFIT INFORMATION IS REVIEWED ANNUALLY AND UPDATED PERIODICALLY WITH USE OF COMPENSATION CONSULTANTS. THE BOARD CHAIR PROVIDES EVALUATION INFORMATION AND A RECOMMENDATION TO THE BOARD FOR FINAL APPROVAL OF ADJUSTMENTS TO COMPENSATION ANNUALLY. SALARIES AND POSITION RESPONSIBILITIES ARE REVIEWED ANNUALLY. SALARIES ARE REGULARLY REVIEWED FOR INTERNAL EQUITY ACROSS POSITIONS WITHIN THE ORGANIZATION AND PERIODICALLY REVIEWED FOR MARKET EQUITY THROUGH SALARY SURVEY INFORMATION. BENEFITS ARE REVIEWED ANNUALLY FOR EQUITY AND COMPETITIVENESS, COSTS AND FOR AFFORDABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE THROUGH REQUIRED PUBLIC REPORTING AND FILINGS, AS WELL AS THROUGH REQUIREMENTS OF FUNDERS, AND DESCRIPTIONS OF OUR ORGANIZATION ON OUR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING AND OUTREACH SERVICES: PROGRAM SERVICE EXPENSES 3,261,237. MANAGEMENT AND GENERAL EXPENSES 77,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,338,512. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 45,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,110.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE ANNUAL FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMONWEALTH PURCHASING GROUP LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>40 COURT STREET 10TH FLOOR</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
        </USAddress>
        <EIN>861135007</EIN>
        <PrimaryActivitiesTxt>GROUP PURCHASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <TotalIncomeAmt>2235886</TotalIncomeAmt>
        <EndOfYearAssetsAmt>767836</EndOfYearAssetsAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH CENTER CAPITAL FUND INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>40 COURT ST 10 FLR</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
        </USAddress>
        <EIN>043122535</EIN>
        <PrimaryActivitiesTxt>ASSISTS COMM HEALTH CTRS IN ACCESSING CAPITAL FOR BLDG &amp; EQUIPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAPITAL LINK</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAPITAL LINK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>40 COURT ST 10 FLR</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
        </USAddress>
        <EIN>521593251</EIN>
        <PrimaryActivitiesTxt>ASSISTS COMM HEALTH CTRS IN PLANNING &amp; OBTAINING FINANCING FOR BLDG &amp; EQUIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MASSACHUSETTS ASSOCIATION OF COMMUNITY HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>40 COURT ST 10 FLR</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
        </USAddress>
        <EIN>043535724</EIN>
        <PrimaryActivitiesTxt>PROMOTE &amp; IMPROVE ACCESS TO &amp; PROVISION TO PRIMARY CARE SVCS IN UDRSVD AREAS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPITAL LINK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>217298</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MEMORANDUM OF AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPITAL LINK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>122671</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ADMIN SERVICES AND IT SUPPORT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPITAL LINK INC - SEE ABOVE TYPE P</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>MEMORANDUM OF AGREEMENT (IN P)</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>