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            <State>MA</State>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>Covenant Health Systems Inc</BusinessNameLine1>
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            <AddressLine1>100 Ames Pond Drive Suite 102</AddressLine1>
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            <State>MA</State>
            <ZIPCode>01876</ZIPCode>
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        <ProgramServiceRevPartVIIGrp>
          <Desc>Other Income</Desc>
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        <ProgramServiceRevPartVIIGrp>
          <Desc>Income from Passthrough</Desc>
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      <GeneralExplanationGrp>
        <FormAndLineReferenceDesc>Form 990-PF, Part VIII:</FormAndLineReferenceDesc>
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      <GeneralExplanationGrp>
        <IdentifierTxt>Continuation</IdentifierTxt>
        <FormAndLineReferenceDesc>Form 990-PF, Part IX-A, line 1:</FormAndLineReferenceDesc>
        <MediumExplanationTxt>Yankee Alliance is working with Premier as an Affinity Group to support our member hospitals in efforts regionally while utilizing the support of the Premier national member network. This is a two year program with an optional third year of funding if the goals are met. We currently have four separate hospital systems and a total of eight hospitals involved in the program.</MediumExplanationTxt>
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    </GeneralExplanationAttachment>
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        <EOYFMVAmt>400624</EOYFMVAmt>
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      <LandEtcGrp>
        <CategoryOrItemTxt>Furniture and Fixtures</CategoryOrItemTxt>
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        <EOYFMVAmt>69251</EOYFMVAmt>
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        <Desc>Due From Affiliates</Desc>
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        <EOYBookValueAmt>6473</EOYBookValueAmt>
        <EOYFMVAmt>6473</EOYFMVAmt>
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      <OtherAssetsScheduleGrp>
        <Desc>CSV of Life Insurance</Desc>
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        <EOYFMVAmt>921481</EOYFMVAmt>
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      <OtherDecreasesDetail>
        <Description>Income from Passthrough -- Premier Healthcare Alliance, L.P.</Description>
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        <Desc>Other Operating Expenses</Desc>
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      <OtherExpensesScheduleGrp>
        <Desc>Insurance Expense</Desc>
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    </OtherExpensesSchedule>
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        <AdjustedNetIncomeAmt>129630</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>Other Income</Desc>
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        <AdjustedNetIncomeAmt>155510</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>Income from Passthrough</Desc>
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    </OtherIncomeSchedule2>
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      <OtherIncreasesDetail>
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      <OtherLiabilitiesDetail>
        <Desc>Deferred Compensation</Desc>
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    </OtherLiabilitiesSchedule>
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