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        <ExclusionAmt>46497</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <FundraisingAmt>42435</FundraisingAmt>
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        <FundraisingAmt>99095</FundraisingAmt>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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        <FundraisingAmt>70150</FundraisingAmt>
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        <FundraisingAmt>822</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>1003773</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
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        <FundraisingAmt>96005</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>LATINA BREAST PROGRAM</Desc>
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        <FundraisingAmt>61026</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>GOLF TOURNAMENT</Desc>
        <TotalAmt>25397</TotalAmt>
        <FundraisingAmt>25397</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MISC</Desc>
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        <FundraisingAmt>41562</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>0</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>15928</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>100</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>33870000</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>3119349</BOYAmt>
        <EOYAmt>2078854</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>35992265</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>25372863</BOYAmt>
        <EOYAmt>19757368</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>1812751</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>21570119</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>59720111</BOYAmt>
        <EOYAmt>57562384</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-902286</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>533593</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>-52255</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>-5473389</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1115990</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1646023</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>941875</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1646000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>904250</CurrentTaxYearAmt>
        <TotalAmt>6254138</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1115990</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1646023</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>941875</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1646000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>904250</CurrentTaxYearAmt>
        <TotalAmt>6254138</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>596256</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>5657882</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>174395</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>202752</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>218415</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>329785</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>317323</CurrentTaxYearAmt>
        <TotalAmt>1242670</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>7496808</TotalSupportAmt>
      <PublicSupportCY170Pct>0.75470</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.74477</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" />
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp />
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5250</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5150</DepreciationAmt>
        <BookValueAmt>100</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>100</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN AFFILIATE</Desc>
        <BookValueAmt>10978628</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>1844416</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>TEMPORARILY RESTRICTED CASH</Desc>
        <BookValueAmt>585639</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>FUNDS HELD BY TRUSTEES</Desc>
        <BookValueAmt>0</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>LGH INTEREST IN REAL ESTATE</Desc>
        <BookValueAmt>326750</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>LT INTEREST RECEIVABLE-LGHAS N</Desc>
        <BookValueAmt>772470</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>14507903</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>2078854</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2078854</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1853918</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>533593</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>52255</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>585848</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1268070</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>1268070</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2118101</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>-52255</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>-52255</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2170356</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2170356</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIALS POSITION. TAX YEARS FROM 2014 THROUGH THE CURRENT YEAR REMAIN OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANNE J ANDERSON</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>601797</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>150672</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>20000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22149</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>794618</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH J WILSON</PersonNm>
        <TitleTxt>CORP. ASSISTANT TREASURER &amp; EX</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>324786</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>38009</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>20000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>8530</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>391325</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CYNTHIA PHELAN</PersonNm>
        <TitleTxt>CORP. ASSISTANT SECRETARY &amp; VP</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>239374</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>12824</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>21000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>4184</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>277382</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO/President of LGH Charitable Trust, INC is 100% paid through its parent company, Lawrence General Hospital. The CEO's compensation is established by the following methods: (A) Compensation committee, (B) independent compensation consultant, (C) Form 990 of other organizations, (D) written employment contract, (E) compensation survey and (F) approval by an executive compensation committee of the board of trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF ITS TOTAL COMPENSATION PACKAGE FOR EXECUTIVE-LEVEL STAFF, LAWRENCE GENERAL HOSPITAL OFFERS 403(B), 457(B) AND 457(F) NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANS. FOR THE 2017 CALENDAR YEAR, LAWRENCE GENERAL HOSPITAL CONTRIBUTED THESE AMOUNTS TO THE FOLLOWING EMPLOYEES LISTED ON FORM 990, SCHEDULE J, PART II: DIANNE J. ANDERSON, 403B PLAN ($2,000), 457B PLAN ($18,000); 457F Plan ($150,672) DEBORAH J. WILSON, 403B PLAN ($2,000), 457B PLAN ($18,000); 457F Plan ($38,009) CYNTHIA PHELAN, 403B PLAN ($3,000), 457B PLAN ($18,000),457F Plan ($12,824)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYROLL RECORDS ARE FOR THE 1/1/2017-12/31/17 CALENDER YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Mass Development Series 2016A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuedDt>2016-02-11</BondIssuedDt>
        <IssuePriceAmt>20000000</IssuePriceAmt>
        <PurposeDesc>Construction of new surgical build</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Mass Development Series 2016B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuedDt>2016-02-11</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>Construction of new surgical build</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>20000000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>20000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>934250</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>10000000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>10000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part V Section B Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL ACCOUNTANT AND SUBSEQUENTLY REVIEWED BY THE ASSISTANT CONTROLLER AND THE CFO. ONCE COMPLETE, THE FORM AND ALL SCHEDULES ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES FOR REVIEW. THE ORGANIZATION'S CFO AND EXECUTIVE VICE PRESIDENT ARE AVAILABLE TO FACILIATATE THE REVIEW AS WELL AS ANSWER ANY QUESTIONS REGARDING THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Section C LIne 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes all documents available to the general public upon request. The Form 990 is also available on the website of the Massachusetts' Attorney General and through www.guidestar.org.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Section B Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ON an annual basis, the parent company (Lawrence General Hospital) of LGH Charitable Trust, Inc. distributes a conflict of interest policy to the Board of Trustees. The members are required to disclose, in writing, any potential conflict that they are aware of.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Section B Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The parent company CEO's compensation is reviewed and approved by an executive compensation committee of the Board of Trustees. The compensation for the EVP and CFO are determined by the CEO and reviewed by an executive compensation committee of the Board of Trustees. Independent surveys are also performed to determine salary reasonableness.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Section C Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes all documents available to the general public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part XI Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Reconciliation of net assets Net asset transfer to LGH ($3,584,000) Net assets released for capital expenditures $392,000 LOSS ON EXTINGUISHMENT OF DEBT ($2,241,064) OTHER ($40,325) TOTAL ($5,473,389)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>by ensuring access to high-quality care, the latest technologies and caring,personalized treatment.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAWRENCE GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 GENERAL STREET</AddressLine1Txt>
          <CityNm>LAWRENCE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01841</ZIPCd>
        </USAddress>
        <EIN>042103586</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>community medical associates Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 GENERAL STREET</AddressLine1Txt>
          <CityNm>LAWRENCE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01841</ZIPCd>
        </USAddress>
        <EIN>272142635</EIN>
        <PrimaryActivitiesTxt>primary care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>lgh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LGH Administrative Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 GENERAL STREET</AddressLine1Txt>
          <CityNm>lAWRENCE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01841</ZIPCd>
        </USAddress>
        <EIN>320423203</EIN>
        <PrimaryActivitiesTxt>QALICB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>lgh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERRIMACK VALLEY HEALTH SERVICES I</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 FEDERAL STREET</AddressLine1Txt>
          <CityNm>ANDOVER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01810</ZIPCd>
        </USAddress>
        <EIN>222604915</EIN>
        <PrimaryActivitiesTxt>MEDICAL IMagi</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>lgh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Merrimack Valley in Mortion LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1 General Street</AddressLine1Txt>
          <CityNm>Lawrence</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01841</ZIPCd>
        </USAddress>
        <EIN>320578008</EIN>
        <PrimaryActivitiesTxt>Mgt Services</PrimaryActivitiesTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ShareOfTotalIncomeAmt>50</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>51</ShareOfEOYAssetsAmt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LGH HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>38 PROSPECT STREET</AddressLine1Txt>
          <CityNm>LAWRENCE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01842</ZIPCd>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <EntityTypeTxt>C-Corp</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LGH PHYSICIAN ASSOCIATES PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>38 PROSPECT STREET</AddressLine1Txt>
          <CityNm>LAWRENCE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01842</ZIPCd>
        </USAddress>
        <EIN>043174041</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LAWRENCE G</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Lawrence General Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>3583576</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Review of recor</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Lawrence General Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>535886</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>review of recor</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LGH Administrative Services</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>25908052</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>review of recor</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Lawrence General Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>e</TransactionTypeTxt>
        <InvolvedAmt>2078854</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>review of recor</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Lawrence General Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>e</TransactionTypeTxt>
        <InvolvedAmt>1222153</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>review of recor</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>