﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2016v3.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2018-08-14T09:06:44-05:00</ReturnTs>
    <TaxPeriodEndDt>2017-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>042571780</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>ALEXANDER ARONSON FINNING &amp; CO PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>21 E MAIN STREET</AddressLine1Txt>
        <CityNm>WESTBOROUGH</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>01581</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2016-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>042881348</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>LOWELL COMMUNITY HEALTH CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>LOWE</BusinessNameControlTxt>
      <PhoneNum>9787467831</PhoneNum>
      <USAddress>
        <AddressLine1Txt>161 JACKSTON STREET</AddressLine1Txt>
        <CityNm>LOWELL</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>01854</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>SUSAN LEVINE</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>9787467831</PhoneNum>
      <SignatureDt>2018-08-10</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>SORIE KABA CPA</PreparerPersonNm>
      <PTIN>P01317106</PTIN>
      <PhoneNum>5083669100</PhoneNum>
      <PreparationDt>2018-08-10</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2016</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>SUSAN LEVINE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>161 JACKSTON STREET</AddressLine1Txt>
        <CityNm>LOWELL</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>01854</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>40576178</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.LCHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1986</FormationYr>
      <LegalDomicileStateCd>MA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>LOWELL COMMUNITY HEALTH CENTER (WWW.LCHEALTH.ORG) (LOWELL CHC) SERVES INDIVIDUALS FROM THROUGHOUT GREATER LOWELL, WITH THE MAJORITY LIVING IN THE CITY OF LOWELL. MANY LOWELL CHC PATIENTS ARE MEDICALLY UNDERSERVED AND LOW INCOME, WITH 45% SPEAKING IN LANGUAGES OTHER THAN ENGLISH. IN 2017, LOWELL CHC PROVIDED 261,361 VISITS TO 28,810 PATIENTS AND TOUCHED THE LIVES OF NEARLY 50,000 PEOPLE THROUGH HEALTH CARE, COMMUNITY HEALTH SCREENING AND EDUCATION, HIV SERVICES, YOUTH PROGRAMMING, AND LINKAGE TO ESSENTIAL COMMUNITY SERVICES. THE LOWELL CHC HAS ACHIEVED JOINT COMMISSION ACCREDITATION AND LEVEL 3 PATIENT-CENTERED MEDICAL HOME RECOGNITION FOR COMPLYING WITH RIGOROUS NATIONAL PERFORMANCE STANDARDS THAT PROMOTE QUALITY HEALTH CARE DELIVERY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>19</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>19</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>509</TotalEmployeeCnt>
      <TotalVolunteersCnt>165</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>11120467</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>11464932</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>27128766</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>27859758</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>795772</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1078967</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>24627</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>164958</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>39069632</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>40568615</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>26125833</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>26220181</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>317366</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>12741374</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>13838827</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>38867207</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>40059008</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>202425</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>509607</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>56959070</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>56230385</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>33212847</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>31974555</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>23746223</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>24255830</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>LOWELL COMMUNITY HEALTH CENTER (WWW.LCHEALTH.ORG) (LOWELL CHC) SERVES INDIVIDUALS FROM THROUGHOUT GREATER LOWELL, WITH THE MAJORITY LIVING IN THE CITY OF LOWELL. MANY LOWELL CHC PATIENTS ARE MEDICALLY UNDERSERVED AND LOW INCOME, WITH 45% BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. IN 2017, LOWELL CHC PROVIDED 261,361 VISITS TO 28,810 PATIENTS AND TOUCHED THE LIVES OF NEARLY 50,000 PEOPLE THROUGH HEALTH CARE, COMMUNITY HEALTH SCREENING AND EDUCATION, HIV SERVICES, YOUTH PROGRAMMING, AND LINKAGE TO ESSENTIAL COMMUNITY SERVICES. THE LOWELL CHC HAS ACHIEVED JOINT COMMISSION ACCREDITATION AND LEVEL 3 PATIENT-CENTERED MEDICAL HOME RECOGNITION FOR COMPLYING WITH RIGOROUS NATIONAL PERFORMANCE STANDARDS THAT PROMOTE QUALITY HEALTH CARE DELIVERY.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>13619739</ExpenseAmt>
      <RevenueAmt>12015578</RevenueAmt>
      <Desc>.PRIMARY CARE: 81,764 VISITS IN 2017.LOWELL COMMUNITY HEALTH CENTER OFFERS ADULT AND FAMILY MEDICINE AND PEDIATRICS WITH A COMMITMENT TO QUALITY, CULTURALLY APPROPRIATE CARE. TO THAT END, WE PROVIDE CERTIFIED MEDICAL INTERPRETATION IN MORE THAN 28 LANGUAGES. MEDICAL SPECIALTIES INCLUDE PODIATRY AND NEUROLOGY. LOWELL CHC ALSO OFFERS COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICES WITH CARE PROVIDED BY DOCTORS AND MIDWIVES WHO HAVE DELIVERY PRIVILEGES AT LOWELL GENERAL HOSPITAL. WITH A STRONG COMMITMENT TO CULTURAL COMPETENCY, LOWELL CHC UNDERSTANDS THE IMPORTANCE OF COORDINATING HEALTH CARE AMONG DIFFERENT MEDICAL PROVIDERS. WE HELP PATIENTS FIND SPECIALISTS, SET UP APPOINTMENTS, AND MAKE SURE EACH MEDICAL PROVIDER HAS ALL THE INFORMATION HE OR SHE NEEDS TO PROVIDE CARE THAT MEETS INDIVIDUAL NEEDS. LOWELL CHC IS OPEN SIX DAYS A WEEK, INCLUDING SATURDAY AND EVENING HOURS. THE ANNUAL WRAPAROUND FUND PROVIDES NEEDED PHILANTHROPIC SUPPORT FOR SERVICES NOT COVERED BY INSURANCE BUT VITAL TO THE HEALTH AND WELL- BEING OF OUR PATIENTS, INCLUDING CERTIFIED MEDICAL TRANSLATION AND INTERPRETATION; COMMUNITY HEALTH SCREENINGS; YOUTH PROGRAMMING, AND LINKAGES TO LOCAL HOUSING, FOOD, JOBS, CHILD CARE, HEALTH INSURANCE AND OTHER COMMUNITY SUPPORTS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2720799</ExpenseAmt>
        <RevenueAmt>2231274</RevenueAmt>
        <Desc>METTA HEALTH CENTER: 13,524 VISITS IN 2017. "METTA" MEANS LOVING KINDNESS IN THE BUDDHIST PALI LANGUAGE. THE HEALTH CENTER IS ONE OF THE NATION'S FIRST FULLY INTEGRATED EAST-MEETS-WEST HEALTH CARE FACILITIES, WITH A FOCUS ON LOWELL'S SIGNIFICANT SOUTHEAST ASIAN AND OTHER REFUGEE POPULATIONS. SERVICES INCLUDE PRIMARY MEDICAL CARE FOR ALL AGES USING A FAMILY MEDICINE MODEL, CHRONIC DISEASE MANAGEMENT, NUTRITION COUNSELING, MENTAL HEALTH SERVICES, TRADITIONAL HEALING ADVICE, ACUPUNCTURE, MASSAGE THERAPY, SOCIAL SERVICES, MEDITATION, HEALTH EDUCATION AND REFERRALS. METTA'S STAFF MEMBERS ARE BILINGUAL AND BICULTURAL. METTA'S UNIQUE TEAM-BASED BEHAVIORAL HEALTH SERVICES MODEL ACKNOWLEDGES THE IMPORTANCE OF CULTURAL BELIEFS AND PAIRS A BICULTURAL MENTAL HEALTH SPECIALIST WITH A LICENSED MENTAL HEALTH CLINICIAN AND, IF NEEDED, A PSYCHIATRIST OR A PSYCHIATRIC NURSE PRACTITIONER. AS THE REGION'S ONLY REFUGEE HEALTH ASSESSMENT CENTER, METTA ASSURES THAT REFUGEES RECEIVE HEALTH SCREENING AND TREATMENT WITHIN 30 DAYS OF ARRIVAL.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>3698772</ExpenseAmt>
        <RevenueAmt>2403819</RevenueAmt>
        <Desc>BEHAVIORAL HEALTH SERVICES: 24,744 VISITS IN 2017. LOWELL CHC OFFERS A WIDE RANGE OF BEHAVIORAL HEALTH SERVICES DESIGNED TO PROVIDE CARE AND PROMOTE WELLNESS FOR MENTAL HEALTH ISSUES AND/OR ADDICTION, WITH A COMMITMENT TO CULTURAL DIVERSITY, CLINICAL EXCELLENCE, AND BEHAVIOR HEALTH CARE INTEGRATED WITH PRIMARY CARE SERVICES. A TEAM OF BICULTURAL, BILINGUAL, EXPERIENCED CLINICIANS PROVIDE TREATMENT FOR CHILDREN, ADOLESCENTS AND ADULTS THROUGH INDIVIDUAL, GROUP, COUPLE, AND FAMILY THERAPY SESSIONS. EXPERIENCED MENTAL HEALTH PROFESSIONALS AND CERTIFIED ADDICTION COUNSELORS WORK TO IDENTIFY INDIVIDUAL NEEDS AND DEVELOP LONG-TERM GOALS. PSYCHOPHARMACOLOGY (MENTAL HEALTH DRUG THERAPY) IS AN ADDITIONAL SERVICE OFFERED TO CLIENTS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>4505621</ExpenseAmt>
        <RevenueAmt>4008820</RevenueAmt>
        <Desc>FAMILY PLANNING: 17,071 VISITS IN 2017.QUALITY, AFFORDABLE AND CONFIDENTIAL REPRODUCTIVE HEALTH CARE SERVICES FOR BOTH MALE AND FEMALE ADULTS AND ADOLESCENTS. FAMILY NURSE PRACTITIONERS AND HEALTH EDUCATORS PROVIDE SERVICES THAT INCLUDE GYNECOLOGICAL EXAMS, BIRTH CONTROL SERVICES, TESTING AND TREATMENT OF STDS (SEXUALLY TRANSMITTED DISEASES), HIV COUNSELING AND TESTING, TESTING AND TREATMENT OF URINARY TRACT INFECTIONS, COLPOSCOPY AND BREAST EXAMS. PARENTAL CONSENT IS NOT REQUIRED AT OUR TEEN CLINIC, WHERE TEENS CAN RECEIVE CONFIDENTIAL SERVICES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1632563</ExpenseAmt>
        <RevenueAmt>184675</RevenueAmt>
        <Desc>CARINO/HIV SERVICES: 1,449 INDIVIDUALS SCREENED IN 2017. LOWELL CHC OFFERS COMPREHENSIVE HIV SERVICES INCLUDING COUNSELING, TESTING, TREATMENT, SOCIAL SUPPORT, AND ADVOCACY FOR THOSE LIVING WITH OR AFFECTED BY HIV/AIDS. SPECIFIC HIV SERVICES INCLUDE: CARE MANAGEMENT; HIV PRIMARY AND SPECIALTY CARE; MEDICATION ADHERENCE SERVICES; PEER SUPPORT IN INDIVIDUAL AND GROUP SETTINGS; MASSCARE SERVICES FOCUSING ON PREGNANT WOMEN, CHILDREN AND FAMILIES; PREVENTION AND EDUCATION; HIV/AIDS, STI, HEPATITIS C SCREENING, REFERRAL, AND TREATMENT; MEDICAL TRANSPORTATION; PARTNER SERVICES; ACUPUNCTURE; LINKAGES TO COMPLEMENTARY COMMUNITY SERVICES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>415559</ExpenseAmt>
        <RevenueAmt>323943</RevenueAmt>
        <Desc>SCHOOL-BASED HEALTH CENTERS: 2,110 VISITS IN 2017.COMPREHENSIVE IN-SCHOOL SERVICES FOR ADOLESCENTS ATTENDING PUBLIC SCHOOL IN LOWELL. CENTERS ARE LOCATED AT LOWELL HIGH SCHOOL AND STOKLOSA MIDDLE SCHOOL. EACH CENTER IS STAFFED BY NURSE PRACTITIONERS, MEDICAL ASSISTANTS AND A MENTAL HEALTH CLINICIAN, PROVIDING STUDENTS WITH COMPREHENSIVE PRIMARY MEDICAL CARE DURING SCHOOL HOURS. SERVICES INCLUDE PHYSICAL EXAMS, MANAGEMENT OF CHRONIC MEDICAL CONDITIONS, URGENT CARE, NUTRITION COUNSELING, HEALTH SCREENINGS, IMMUNIZATIONS, SPORTS AND EMPLOYMENT PHYSICALS AND MENTAL HEALTH SERVICES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>643619</ExpenseAmt>
        <Desc>COMMUNITY HEALTH PROGRAMMING: 5,670 SERVED IN 2017. LOWELL CHC OUTREACH PROGRAMS, CONDUCTED IN COLLABORATION WITH OUR CLINICAL PROGRAMS, SERVE THE DIVERSE COMMUNITIES OF GREATER LOWELL, WITH A FOCUS ON LATINO, CAMBODIAN, AFRICAN, AND NEWLY ARRIVED REFUGEES AND IMMIGRANTS, UNINSURED RESIDENTS, AND RESIDENTS IN NEED OF PRIMARY CARE OR MENTAL HEALTH SERVICES. THE HEALTH PROMOTION DEPARTMENT ALSO COLLABORATES WITH LOCAL COMMUNITY AGENCIES AND FAITH-BASED ORGANIZATIONS. PROGRAMS INCLUDE: DOMESTIC VIOLENCE PROGRAMMING FOR CAMBODIAN WOMEN AND FAMILIES EXPERIENCING DOMESTIC OR FAMILY VIOLENCE; HEALTHY HOMES ASTHMA PROGRAM TO IMPROVE RESIDENTIAL ENVIRONMENTS OF LOW-INCOME, DIVERSE ASTHMATIC ADULTS WHO ARE 65+; AND PASSAGE TO HEALING PROVIDING MULTI-DISCIPLINARY SERVICES TO SURVIVORS OF TORTURE SO THEY MAY BE FULLY FUNCTIONING MEMBERS OF SOCIETY. IN RECENT YEARS, WE HAVE ALSO WORKED TO STRENGTHEN OUR RELATIONSHIP WITH THE FAITH-BASED COMMUNITIES IN LOWELL, AS WE PARTNER TO SUPPORT OUR SIZABLE IMMIGRANT COMMUNITY.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>474828</ExpenseAmt>
        <Desc>YOUTH PROGRAMMING: 5,000 SERVED IN 2017 THROUGH THE TEEN BLOCK PROGRAM.THE TEEN BUILDING LEADERSHIP OPPORTUNITIES IN THE COMMUNITY (BLOCK) PROGRAM SUPPORTS THE HEALTHY DEVELOPMENT OF YOUNG PEOPLE AND EMPOWERS THEM TO BECOME LEADERS IN THE COMMUNITY. PROGRAMS HAVE A STRONG FOCUS ON ARTS AND CREATIVE EXPRESSION, INCLUDING THE ANNUAL DANCE 4 PEACE, NOW IN ITS 20TH YEAR, WHICH BRINGS TEENS FROM MANY COMMUNITIES TOGETHER TO EXPLORE A PARTICULAR THEME OR SUBJECT RELATED TO VIOLENCE PREVENTION. OUR UNIQUE JOURNEY TO HEALING PROGRAM HELPS ADDRESSES ISSUES FACED BY YOUTH WHOSE PARENTS FLED PERSECUTION AND TORTURE DURING THE KHMER ROUGE GENOCIDE, TO HELP THEM UNDERSTAND THE ONGOING PHYSICAL AND MENTAL HEALTH ISSUES THEIR PARENTS AND ELDERS FACE WHILE RECONNECTING THEM WITH THEIR CAMBODIAN HERITAGE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>5803141</ExpenseAmt>
        <RevenueAmt>6239647</RevenueAmt>
        <Desc>PHARMACY: 139,875 PRESCRIPTIONS FILLED FOR LOW-INCOME PATIENTS. OPEN TO THE PUBLIC, THE LOWELL CHC PHARMACY PROVIDES PATIENTS AND COMMUNITY RESIDENTS WITH CONVENIENT ACCESS TO LOW COST PRESCRIPTION MEDICATIONS. THE FEDERAL 340B PRICING PROGRAM IS AVAILABLE FOR LOW-INCOME PATIENTS, MAKING MEDICATIONS EXTREMELY AFFORDABLE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1222161</ExpenseAmt>
        <RevenueAmt>433710</RevenueAmt>
        <Desc>ALL OTHER PROGRAMS SERVICES</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>14697492</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>11190795</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>34736802</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>60</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>509</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>19</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>19</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>LOWELL COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9789379700</PhoneNum>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01582</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE ROBINSON</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSANNE BEATON</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATTY SULLIVAN-TALTY</PersonNm>
        <TitleTxt>CLERK</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA CUNHA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN ANDRICOPOULOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHERYL BOURBEAU</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN LAPUT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY HOWARD MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DORIS UMUNNA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEO SHERIDAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAYTE RAMOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VANNA HOWARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD DIONNE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN GREEN</PersonNm>
        <TitleTxt>TREASURER (THROUGH JUNE, 2018)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIATOU ALLIE-DUMBUYA</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOLANDA MAURICIO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IVY HO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SOKHM CHUN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH WANDO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM WYMAN</PersonNm>
        <TitleTxt>TREASURER (EFFECTIVE JUNE, 2018)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DORCAS GRIGG-SAITO</PersonNm>
        <TitleTxt>CEO (THROUGH MAY, 2016)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>113002</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT EBERSOLE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168989</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2591</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LEVINE</PersonNm>
        <TitleTxt>CEO (EFFECTIVE JUNE, 2016)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2650</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KUMBLE RAJESH</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>289768</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26977</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA ETHIER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>314377</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18112</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRANAV PRAKASH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>293922</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14468</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SNEH DAVE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>276067</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26959</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISHNAMOORTHY RAO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>264195</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19734</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1845320</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>111491</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>36</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DBVW ARCHITECTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>111 CHESTNUT STREET 2</AddressLine1Txt>
            <CityNm>PROVIDENCE</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02903</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTS</ServicesDesc>
        <CompensationAmt>271554</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>31500</FundraisingAmt>
      <GovernmentGrantsAmt>7279145</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4154287</AllOtherContributionsAmt>
      <TotalContributionsAmt>11464932</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE RE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>27841467</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27841467</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18291</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18291</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>27859758</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1078967</TotalRevenueColumnAmt>
        <ExclusionAmt>1078967</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>121065</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>121065</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>121065</TotalRevenueColumnAmt>
        <ExclusionAmt>121065</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>14318</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>31500</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>7563</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>6755</TotalRevenueColumnAmt>
        <ExclusionAmt>6755</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>37138</TotalRevenueColumnAmt>
        <ExclusionAmt>37138</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>37138</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>40568615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27859758</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1243925</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>454297</TotalAmt>
        <ProgramServicesAmt>92086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>362211</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>21872225</TotalAmt>
        <ProgramServicesAmt>19469765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2259965</ManagementAndGeneralAmt>
        <FundraisingAmt>142495</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2354131</TotalAmt>
        <ProgramServicesAmt>2010084</ProgramServicesAmt>
        <ManagementAndGeneralAmt>335842</ManagementAndGeneralAmt>
        <FundraisingAmt>8205</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1539528</TotalAmt>
        <ProgramServicesAmt>1355034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145796</ManagementAndGeneralAmt>
        <FundraisingAmt>38698</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>98450</TotalAmt>
        <ManagementAndGeneralAmt>98450</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>95136</TotalAmt>
        <ManagementAndGeneralAmt>95136</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1435543</TotalAmt>
        <ProgramServicesAmt>1095554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>332225</ManagementAndGeneralAmt>
        <FundraisingAmt>7764</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>543255</TotalAmt>
        <ProgramServicesAmt>347166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196089</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>3149969</TotalAmt>
        <ProgramServicesAmt>2726822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>421894</ManagementAndGeneralAmt>
        <FundraisingAmt>1253</FundraisingAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>67009</TotalAmt>
        <ProgramServicesAmt>36397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18134</ManagementAndGeneralAmt>
        <FundraisingAmt>12478</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1326775</TotalAmt>
        <ProgramServicesAmt>1120409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>206366</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>630292</TotalAmt>
        <ProgramServicesAmt>536436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93856</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>87838</TotalAmt>
        <ProgramServicesAmt>5173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82665</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL AND PHARMACY SU</Desc>
        <TotalAmt>5153184</TotalAmt>
        <ProgramServicesAmt>5147932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5252</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>448250</TotalAmt>
        <ProgramServicesAmt>293000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>155250</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES AND EX</Desc>
        <TotalAmt>298084</TotalAmt>
        <ProgramServicesAmt>296622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1462</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES, FEES AND SUBSCRIP</Desc>
        <TotalAmt>195154</TotalAmt>
        <ProgramServicesAmt>98739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96415</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>309888</TotalAmt>
        <ProgramServicesAmt>105583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97832</ManagementAndGeneralAmt>
        <FundraisingAmt>106473</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>40059008</TotalAmt>
        <ProgramServicesAmt>34736802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5004840</ManagementAndGeneralAmt>
        <FundraisingAmt>317366</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1327106</BOYAmt>
        <EOYAmt>1686400</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3493108</BOYAmt>
        <EOYAmt>2659412</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>535729</BOYAmt>
        <EOYAmt>434870</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6622554</BOYAmt>
        <EOYAmt>7372680</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>36927642</BOYAmt>
        <EOYAmt>36927642</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>194405</BOYAmt>
        <EOYAmt>215450</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>112343</BOYAmt>
        <EOYAmt>93655</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>6951783</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2860256</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4639992</BOYAmt>
        <EOYAmt>4091527</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3106191</BOYAmt>
        <EOYAmt>2748749</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>56959070</BOYAmt>
        <EOYAmt>56230385</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2947374</BOYAmt>
        <EOYAmt>2490381</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>25589738</BOYAmt>
        <EOYAmt>24265503</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>4675735</BOYAmt>
        <EOYAmt>5218671</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>33212847</BOYAmt>
        <EOYAmt>31974555</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>22847137</BOYAmt>
        <EOYAmt>23408506</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>899086</BOYAmt>
        <EOYAmt>847324</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>23746223</BOYAmt>
        <EOYAmt>24255830</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>56959070</BOYAmt>
        <EOYAmt>56230385</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>509607</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2538904</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>306595</DepreciationAmt>
        <BookValueAmt>2232309</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1218583</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>522141</DepreciationAmt>
        <BookValueAmt>696442</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1859641</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1124320</DepreciationAmt>
        <BookValueAmt>735321</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1334655</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>907200</DepreciationAmt>
        <BookValueAmt>427455</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4091527</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>22973</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT PAYABLE</Desc>
        <Amt>5195698</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5218671</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY 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 COMBINING FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE COMBINING FINANCIAL STATEMENTS AT SEPTEMBER 30, 2017. THE AGENCY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS AND GENERALLY REMAIN OPEN FOR THE MOST RECENT THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>TOP TWO EVENTS</Event1Nm>
        <GrossReceiptsEvent1Amt>45818</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>31500</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>14318</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>5510</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>200</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1853</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>45818</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>31500</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>14318</GrossRevenueTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>5510</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>200</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1853</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>7563</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>6755</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT EBERSOLE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>168989</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2591</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171580</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KUMBLE RAJESH</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>289768</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26977</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>316745</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA ETHIER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>314377</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18112</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>332489</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PRANAV PRAKASH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>293922</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14468</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>308390</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SNEH DAVE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>276067</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26959</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303026</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISHNAMOORTHY RAO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>264195</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19734</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>283929</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>LOWELL GENERAL HOSPITAL (LGH)</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CFO OF LGH IS THE BOARD TREASURER OF THE HEALTH CENTER</RelationshipDescriptionTxt>
        <TransactionAmt>39250</TransactionAmt>
        <TransactionDesc>PENSION EXPENSE FUNDED BY LGH.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTRONIC COPIES OF THE 990 ARE PROVIDED TO ALL BOARD MEMBERS VIA EMAIL, AND THEN THE 990 IS REVIEWED BY THE FINANCE COMMITTEE. QUESTIONS AND CONCERNS ARE ADDRESSED AND THE COMMITTEE THEN MAKES A REPORT TO THE FULL BOARD, RECOMMENDING ITS ACCEPTANCE AND THAT IT SHOULD BE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL DISCLOSURE QUESTIONNAIRE IS CIRCULATED TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMITTEE OF THE BOARD SETS THE COMPENSATION FOR THE CEO. FOR OTHER KEY EMPLOYEES, COMPENSATION IS ESTABLISHED BY THE CEO, USING THE LOCAL MARKET COMPARISONS SUCH AS THE FORM 990, MASS LEAGUE OF COMMUNITY HEALTH CENTERS, AND OTHER SURVEYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF STATE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LCHC SUPPORT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01852</ZIPCd>
        </USAddress>
        <EIN>043498316</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOWELL GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>295 VARBNUM AVENUE</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01854</ZIPCd>
        </USAddress>
        <EIN>042103590</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LCHC QALICB LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01852</ZIPCd>
        </USAddress>
        <EIN>452631409</EIN>
        <PrimaryActivitiesTxt>RENTAL OF COMMERCIAL SPACE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCHC NMTC CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LOWELL MASTER TENANT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01852</ZIPCd>
        </USAddress>
        <EIN>452631445</EIN>
        <PrimaryActivitiesTxt>RENTAL OF COMMERCIAL SPACE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCHC NMTC CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LCHC UNIT B HOLDER CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01852</ZIPCd>
        </USAddress>
        <EIN>453125723</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>16811</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LCHC NMTC CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>161 JACKSON STREET</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01852</ZIPCd>
        </USAddress>
        <EIN>452631072</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-5709</ShareOfTotalIncomeAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCHC QALICB LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>149124</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST - DUE TO LCHC</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCHC UNIT B HOLDER CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>844042</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST - DUE TO LCHC</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCHC QALICB LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>34384135</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT OF LOANS GUARANTEED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCHC QALICB LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>2314191</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>STRAIGHT LINED RENT PER LEASE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>