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        <FormAndLineReferenceDesc>Section A. All Supporting Organizations</FormAndLineReferenceDesc>
        <ExplanationTxt>effective january 1, 2017 tufts medical center parent, inc. and consolidated affiliates ("tufts mc"), circle health, inc. and consolidated affiliates ("Circle Health") and hallmark health corporation and consolidated affiliates ("hallmark health"), became the founding members of wellforce, inc. ("wellforce"), which is hereinafter referred to as the "system." WELLFORCE WILL PROVIDE ASSISTANCE IN POPULATION HEALTH MANAGEMENT AS A SUPPORTING ORGANIZATION TO TUFTS MEDICAL CENTER, HALMARK HEALTH, AND THE LOWELL GENERAL HOSPITAL, ALL OF WHICH ARE 501(C)(3) TAX EXEMPT ORGANIZATIONS. THIS WILL ALLOW FOR INNOVATION IN CARE MANAGEMENT MODELS, DISSEMINATION OF BEST PRACTICES, AND SHARED INFRASTRUCTURE AND INFORMATION SYSTEMS. TUFTS MC, HALLMARK HEALTH AND LGH WOULD CARRY OUT THESE ACTIVITIES ON THEIR OWN IF THEY WERE NOT PERFORMED BY WELLFORCE. WELLFORCE IS THE COMMON PARENT, INC. ("TUFTS MC PARENT") CIRCLE HEALTH, INC. ("CIRCLE HEALTH") AND HALLMARK HEALTH, ALL 501(C)(3) ORGANIZATIONS. UNTIL SEPTEMBER 30, 2020, EACH OF TUFTS MC PARENT AND CIRCLE HEALTH WILL APPOINT 7 OF THE 22 TRUSTEES OF WELLFORCE, AND THE 22TH TRUSTEE WILL BE APPOINTED BY TUFTS MC PARENT, HALLMARK HEALTH AND CIRCLE HEALTH JOINTLY. THEREAFTER, EACH OF TUFTS MC PARENT, HALLMARK HEALTH AND CIRCLE HEALTH WILL APPOINT 3 TRUSTEES OF WELLFORCE, AND THE REMAINING TRUSTEES WILL BE ELECTED BY THE TRUSTEES OF WELLFORCE THEN IN OFFICE. WHILE WELLFORCE'S GOVERNING DOCUMENTS DO NOT EXPRESSLY REQUIRE THAT A MAJORITY OF ITS GOVERNING BOARD CONSISTS OF INDIVIDUALS WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), WELLFORCE BELIEVES THAT IT MEETS TEST 1 BECAUSE, DURING AN INITIAL TRANSITION PERIOD OF SIX YEARS, A MAJORITY OF ITS CURRENT GOVERNING BOARD ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), AND THE APPOINTMENT PROCESS WILL ALLOW FOR A MAJORITY OF THE GOVERNING BOARD TO CONTINUE TO CONSIST OF INDIVIDUALS WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S). AFTER THE INITIAL TRANSITION PERIOD, (I) THREE OF THE TRUSTEES WILL BE APPOINTED BY CIRCLE HEALTH, (II) THREE OF THE TRUSTEES WILL BE APPOINTED BY TUFTS MC PARENT, (III), THREE OF THE TRUSTEES WILL BE APPOINTED BY HALLMARK HEALTH, THE PRESIDENT AND CEO OF WELLFORCE SHALL BE AN EX OFFICIO TRUSTEE, AND (IV) THE REMAINING TRUSTEES SHALL BE ELECTED BY A MAJORITY VOTE OF THE TRUSTEES OF WELLFORCE THEN IN OFFICE. CURRENTLY, A SIGNIFICANT NUMBER OF THE WELLFORCE TRUSTEES ARE ALSO ON THE GOVERNING BOARD OF LGH, HALLMARK HEALTH AND TUFTS MC, RESULTING IN MAJORITY WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTEDORGANIZATION(S), WITH ONE VACANCY. IN APPOINTING FUTURE TRUSTEES, TUFTS MC PARENT,HALLMARK HEALTH, CIRCLE HEALTH AND THE TRUSTEES OF WELLFORCE WILL ENSURE THAT A MAJORITY OF THE TRUSTEES OF WELLFORCE ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S).</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section A, Line 5a:</FormAndLineReferenceDesc>
        <ExplanationTxt>the bylaws were amended to add hallmark health corporation, EIN: 04-2103587 effective january 1, 2017 tufts medical center parent, inc. and consolidated affiliates, circle health, inc. and consolidated affiliates and hallmark health corporation and consolidated affiliates, became the founding members of wellforce, inc. the system represents a unique model that serves that health needs of communities while enhancig the affordability of care. the system focuses on care integration, population health management, patient access, and operational performance. The Bylaws may be amended by the affirmative vote of two-thirds (2/3) of the trustees of the Member's Board then in office, upon recommendation of the Board of Trustees of the Corporation or, if not upon such recommendation, then following consultation between the Member's Board and the Board of Trustees of the Corporation.</ExplanationTxt>
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    </IRS990ScheduleA>
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      <EquipmentGrp>
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      <TotalBookValueLandBuildingsAmt>117026</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>CONSTITUTIONAL HeaLTH INVESTment</Desc>
        <BookValueAmt>23500</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>23500</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
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      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>23500</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14623052</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>14623052</OtherRevenueAmt>
      <RevenueNotReportedAmt>14623052</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>0</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>contributions from non-controlled affiliates 6,921,061. interentity net asset transfers 7,701,991.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>medstart</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>136 harrison avenue</AddressLine1Txt>
          <CityNm>boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02111</ZIPCd>
        </USAddress>
        <RecipientEIN>270440772</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>sponsor event</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Wellforce, inc. responds to specific requests for funding to local agencies and organizations related to community benefit events and needs. Wellforce, inc. requires that the organization state the nature of their need prior to them making the contribution and, in the case of major donations an annual report is requested which details how such donated funds were spent.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital has entered into Restrictive Endorsement Bonus Arrangements ("REBA's") with the following employees as part of a retirement retention program: Normand Deschene - Pres. of board &amp; CEO - the Lowell General Hospital Joseph White - PRESIDENT - the LOWELL GENERAL HOSPITAL Susan Green - Senior VP &amp; CFO &amp; treasurer - the lowell general hospital Amounts paid by the Hospital under the arrangement are required to be repaid to the Hospital if length of service requirements are not met. Amounts paid under the REBA arrangements are treated as taxable compensation in the year paid by the Hospital. This arrangement was approved by the Hospital's Compensation Committee as documented in the Committee Minutes. The W-2 compensation reported for Mr. Deschene - Pres. of board &amp; CEO - the Lowell General Hospital on Form 990, Schedule J, Part II, Column B(iii) includes $853,081 paid in 2016 in connection with the REBA arrangement. The W-2 compensation reported for Ms. Green - Senior VP &amp; CFO &amp; treasurer - the lowell general hospital on Form 990, Schedule J, Part II, Column B(iii) includes $208,531 paid in 2016 in connection with the REBA arrangement. The W-2 compensation reported for Mr. White - PRESIDENT - the LOWELL GENERAL HOSPITAL on Form 990, Schedule J, Part II, Column B(iii) includes $448,475 paid in 2016 in connection with the REBA arrangement. Social club dues are provided to Normand Deschene, Susan Green and Joseph White. Social club dues are treated as taxable compensation to the extent considered personal useage.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE PAID AS INDICATED ON SCHEDULE J, PART II. BONUS PAID TO OFFICERS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. OTHER BONUSES ARE APPROVED BY THE OFFICERS OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1, line 4a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Normand Deschene's other reportable compensation includes two (2) years of vested contractual benefits for retirement earnings in the amount of $1,601,145.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1, line 4b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital has entered into a split-dollar life insurance agreement with Normand Deschene - President of board &amp; CEO - the Lowell General Hospital. Premiums paid in calendar 2016 were $92,197. All premiums will be repaid to the Hospital. Section 457(f) retirement plan employer deferrals: michael wagner, $108,500 Jeffrey a. weinstein, $52,500 deborah c. joelson, $47,909 william j. shickolovich, $47,838</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>effective january 1, 2017 tufts medical center parent, inc. and consolidated affiliates ("tufts mc"), circle health, inc. and consolidated affiliates ("Circle Health") and hallmark health corporation and consolidated affiliates ("hallmark health"), became the founding members of wellforce, inc. ("wellforce"), which is hereinafter referred to as the "system." the system represents a unique model that serves that health needs of communities while enhancig the affordability of care. the system focuses on care integration, population health management, patient access, and operational performance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of trustees shall consist of twenty-three (23) persons, who shall be designated or elected at the annual meeting, or at any regular meeting or special meeting called for the purpose as follows and shall be composed as follows during the period commencing on January 1, 2017: - for so long as the corporation is the sole member of circle, seven (7) of the trustees shall be designated by circle. - for so long as the corporation is the sole member of tufts, seven (7) of the trustees shall be designated by tufts. - for so long as the corporation is the sole member of hallmark health, seven (7) of the trustees shall be designated by hallmark health. - for so long as the corporation is the sole member of each of the founding members, one (1) person jointly designated by the founding members who shall not be a trustee, officer, employee, physician affiliated with circle, tufts or hallmark health or their respective affiliates. - the chief executve officer of the corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>wellforce, Inc's 990 was prepared by an independent accounting firm in accordance with information provided by the finance department. The finance department reviewed and made recommendations based upon the draft prior to its presentation to the full board of directors. Based upon this review, the finance department formed a recommendation to the board of directors as to the acceptability and content of the filing. All members of the board of directors were provided a copy of the completed 990 before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>wellforce, Inc. follows the conflict of interest policy of lowell general hospital. All Trustees, officers and key employees sign an annual conflict of interest statement following the policy of lowell general hospital as outlined below: ALL OFFICERS, BOARD MEMBERS, AND key EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ANY ACTUAL OR POTENTIAL CONFLICTS ARE FORWARDED TO THE COMPLIANCE COMMITTEE FOR CONSIDERATION. IN THE EVENT OF AN ACTUAL OR POTENTIAL CONFLICT, THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS OR DECISIONS RELATING TO THE MATTER. A Compliance Committee meeting is held every other month to address concerns.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>wellforce Inc. does not directly compensate its CEO or any other officers. Compensation for the ceo and other officers follows the process of Lowell General Hospital as outlined below: A third party consultant is hired for an independent assessment of appropriate salary ranges for the officers of the organization such as the CEO, COO, and CFO. This assessment is reviewed by the Compensation Committee and a recommendation is given to the Executive Committee on salary increases and bonuses.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>wellforce, Inc's financial statements are made available to the public through the massachusetts's attorney general's website. wellforce, Inc. does not make its governing documents or its conflict of interest policy available to the public. the 990 is available on the massachusett's attorney general's website and www.guidestar.org.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Professional Fees: Program service expenses 4,051,157. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,051,157. OTHER SERVICE FEES: Program service expenses 187,268. Management and general expenses 0. Fundraising expenses 0. Total expenses 187,268.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>contributions from non-controlled affiliates 6,921,061. interentity net asset transfers 7,701,991.</ExplanationTxt>
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        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>tufts medical center parent inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02111</ZIPCd>
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        <EIN>042810022</EIN>
        <PrimaryActivitiesTxt>fundraising, admin. planning &amp; other activities</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>WELLFORCE INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEW ENGLAND LONG-TERM CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER PARENT INC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEW ENGLAND QUALITY CARE ALLIANCE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>neqca accountable care inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>325 WOOD RD SUITE 210</AddressLine1Txt>
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          <ZIPCd>02184</ZIPCd>
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          <BusinessNameLine1Txt>NEW ENGLAND QUALITY CARE ALLIANCE INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER COMMUNITY CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>325 WOOD RD SUITE 210</AddressLine1Txt>
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          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER PARENT INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>800 WASHINGTON STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Heart Center of Metrowest Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>PRATT ANESTHESIOLOGY ASSOCIATES INC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
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          <BusinessNameLine1Txt>Lawrence Melrose Medical Electronics Record Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>170 Governors Ave</AddressLine1Txt>
          <CityNm>Medford</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>electronic medical records</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>melrosewakefield healthcare inc</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>hallmark health pho inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>170 Governors Ave</AddressLine1Txt>
          <CityNm>Medford</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02155</ZIPCd>
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        <PrimaryActivitiesTxt>physician hospital organization</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>melrosewakefield healthcare inc</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>lgh services inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>295 varnum avenue</AddressLine1Txt>
          <CityNm>lowell</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ciRcle health inc</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LGH MEDICAL BUILDING SERVICES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>295 varnum avenue</AddressLine1Txt>
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        <PrimaryActivitiesTxt>MEDICAL OFFICE BUILDING</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TUFTS MEDICAL CENTER INDEMNITY CO LTD</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
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      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MELROSEWAKEFIELD HEALTHCARE INC</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>