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        <PersonNm>MATTHIAS NURNBERGER MD</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>406437</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46519</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA Y LOGAN MD</PersonNm>
        <TitleTxt>FMR HEAD-OB/GYN; OBSTETRIC</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>225735</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36272</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>6256709</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>20000</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>789361</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>65</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HEART CENTER OF METROWEST</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>99 LINCOLN STREET</AddressLine1>
            <City>FRAMINGHAM</City>
            <State>MA</State>
            <ZIPCode>01702</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CARDIOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>383485</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MARLBORO HOSPITAL</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>157 UNION STREET</AddressLine1>
            <City>MARLBORO</City>
            <State>MA</State>
            <ZIPCode>01752</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MGMT/IMAGING SERVICES</ServicesDesc>
        <CompensationAmt>329240</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>UMASS MEMORIAL MEDICAL CENTER</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>119 BELMONT STREET</AddressLine1>
            <City>WORCESTER</City>
            <State>MA</State>
            <ZIPCode>01605</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LABORATORY SERVICES</ServicesDesc>
        <CompensationAmt>302707</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>QUEST DIAGNOSTICS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>5035 COLLECTIONS CENTER DRIVE</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LABORATORY SERVICES</ServicesDesc>
        <CompensationAmt>200000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MARLBORO RADIOLOGY ASSOCIATES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1342 BELMONT STREET</AddressLine1>
            <City>BROCKTON</City>
            <State>MA</State>
            <ZIPCode>02301</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>153429</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>66587586</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66587586</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEE FOR SERVICE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>31595680</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31595680</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>3629871</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3629871</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>740369</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>740369</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM RELATED INVESTMENT</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>210410</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>210410</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>102763916</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>85480</TotalRevenueColumnAmt>
        <ExclusionAmt>85480</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>102849396</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>102763916</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>85480</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>9447</TotalAmt>
        <ProgramServicesAmt>9447</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4885015</TotalAmt>
        <ProgramServicesAmt>3993131</ProgramServicesAmt>
        <ManagementAndGeneralAmt>891884</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>25441788</TotalAmt>
        <ProgramServicesAmt>22167574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3274214</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>944002</TotalAmt>
        <ProgramServicesAmt>822514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121488</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2961751</TotalAmt>
        <ProgramServicesAmt>2580590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>381161</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1748278</TotalAmt>
        <ProgramServicesAmt>1494621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253657</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1501058</TotalAmt>
        <ProgramServicesAmt>668022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>833036</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>103005</TotalAmt>
        <ManagementAndGeneralAmt>103005</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>52196</TotalAmt>
        <ManagementAndGeneralAmt>52196</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>49159276</TotalAmt>
        <ProgramServicesAmt>49055741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103535</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>50299</TotalAmt>
        <ProgramServicesAmt>15056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35243</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1029424</TotalAmt>
        <ProgramServicesAmt>901879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127545</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2205261</TotalAmt>
        <ProgramServicesAmt>1904595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>300666</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4245023</TotalAmt>
        <ProgramServicesAmt>3651032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>593991</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>117139</TotalAmt>
        <ProgramServicesAmt>79309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37830</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>72987</TotalAmt>
        <ProgramServicesAmt>62769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10218</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1875381</TotalAmt>
        <ProgramServicesAmt>1656589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218792</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2055686</TotalAmt>
        <ProgramServicesAmt>2022904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32782</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>2997616</TotalAmt>
        <ProgramServicesAmt>2997616</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>344225</TotalAmt>
        <ProgramServicesAmt>344225</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>101798857</TotalAmt>
        <ProgramServicesAmt>94427614</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7371243</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5099</BOYAmt>
        <EOYAmt>5514</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>19062372</BOYAmt>
        <EOYAmt>19861756</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3387944</BOYAmt>
        <EOYAmt>3460549</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>38702</BOYAmt>
        <EOYAmt>43126</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>369977</BOYAmt>
        <EOYAmt>345567</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>40019401</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>21308784</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>20321397</BOYAmt>
        <EOYAmt>18710617</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>333247</BOYAmt>
        <EOYAmt>353826</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2778050</BOYAmt>
        <EOYAmt>1278014</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>46296788</BOYAmt>
        <EOYAmt>44058969</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>12385557</BOYAmt>
        <EOYAmt>9075643</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>24944460</BOYAmt>
        <EOYAmt>24966016</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>37330017</BOYAmt>
        <EOYAmt>34041659</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>8966771</BOYAmt>
        <EOYAmt>10017310</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8966771</BOYAmt>
        <EOYAmt>10017310</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>46296788</BOYAmt>
        <EOYAmt>44058969</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1050539</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>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>98896135</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>101577102</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>103560136</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>102357471</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>102763916</CurrentTaxYearAmt>
        <TotalAmt>509154760</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>98896135</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>101577102</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>103560136</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>102357471</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>102763916</CurrentTaxYearAmt>
        <TotalAmt>509154760</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>509154760</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>64666</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>41971</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>74566</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>84787</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>85480</CurrentTaxYearAmt>
        <TotalAmt>351470</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>64666</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>41971</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>74566</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>84787</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>85480</CurrentTaxYearAmt>
        <TotalAmt>351470</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>98960801</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>101619073</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>103634702</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>102442258</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>102849396</CurrentTaxYearAmt>
        <TotalAmt>509506230</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99930</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99920</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00070</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00080</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>33232026</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15906817</DepreciationAmt>
        <BookValueAmt>17325209</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1704625</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1493646</DepreciationAmt>
        <BookValueAmt>210979</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5082750</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3908321</DepreciationAmt>
        <BookValueAmt>1174429</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>18710617</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION</Desc>
        <Amt>24373592</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT - LONG-TERM</Desc>
        <Amt>79300</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ENTITY - SOUTH SHORE MEDICAL CENTER, INC.</Desc>
        <Amt>73401</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ENTITY - DEDHAM MEDICAL ASSOCIATES, INC.</Desc>
        <Amt>8329</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ENTITY - GRANITE MEDICAL GROUP, INC.</Desc>
        <Amt>431394</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>24966016</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>102505171</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>102505171</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>344225</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>344225</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>102849396</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>101454632</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>101454632</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>344225</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>344225</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>101798857</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS REPORTED AS A REDUCTION TO REVENUE 344,225.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS REPORTED AS A REDUCTION TO REVENUE 344,225.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>JEWISH FAMILY SERVICE OF METROWEST INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>475 FRANKLIN ST STE 101</AddressLine1>
          <City>FRAMINGHAM</City>
          <State>MA</State>
          <ZIPCode>017026265</ZIPCode>
        </USAddress>
        <RecipientEIN>042730898</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>9447</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY/MEDICAL PARTNERSHIP AIMED AT MANAGING DIABETES IN SENIORS</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <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>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW BENZ MD</PersonNm>
        <TitleTxt>TRUSTEE; PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>320967</BaseCompensationFilingOrgAmt>
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        <PersonNm>JUSTIN N DORFMAN DO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>391964</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA HASSLER MD</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>305160</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35566</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>142</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13131</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25613</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>379612</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHIAS NURNBERGER MD</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>383927</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22405</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>105</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13131</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33388</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>452956</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIA Y LOGAN MD</PersonNm>
        <TitleTxt>FMR HEAD-OB/GYN; OBSTETRIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>220332</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5303</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>100</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11700</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24572</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262007</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DISCRETIONARY YEAR-END BONUS IS DETERMINED BY THE BOARD/COMPENSATION COMMITTEE BASED ON ORGANIZATIONAL PERFORMANCE, RESULTS AND OTHER FACTS AND CIRCUMSTANCES THAT ARE REVIEWED IN THEIR ENTIRETY IN ASSURING AND CONFIRMING THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED. COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SMG AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>STATEMENT 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TO OFFER A COMPREHENSIVE, INTEGRATED HEALTHCARE SYSTEM TO THE METROWEST COMMUNITY DISTINGUISHED BY RESPONSIVENESS TO PATIENT NEEDS, QUALITY OF CARE, PATIENT EDUCATION, AND HEALTH PROMOTION. THE SUCCESS OF OUR SERVICE IS MEASURED BY THE SATISFACTION OF OUR PATIENTS AND PROFESSIONAL STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>STATEMENT 2 TO OFFER A COMPREHENSIVE, INTEGRATED HEALTHCARE SYSTEM TO THE METROWEST COMMUNITY DISTINGUISHED BY RESPONSIVENESS TO PATIENT NEEDS, QUALITY OF CARE, PATIENT EDUCATION, AND HEALTH PROMOTION. THE SUCCESS OF OUR SERVICE IS MEASURED BY THE SATISFACTION OF OUR PATIENTS AND PROFESSIONAL STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHBORO MEDICAL GROUP, INC. ("SMG") HAS TWO CLASSES OF MEMBERS. THE CORPORATE MEMBER (ATRIUS HEALTH, INC.) CAN BE REMOVED ONLY IF SMG IS REMOVED, BY THE CORPORATE MEMBER, AS A PARTICIPATING ORGANIZATION IN THE ATRIUS HEALTH SYSTEM. THE CORPORATE MEMBER HAS CERTAIN DEFINED APPROVAL RIGHTS OF THE ACTIONS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PHYSICIAN MEMBERS ELECT THE BOARD MEMBERS, WHO MUST BE A PHYSICIAN MEMBER. THE CORPORATE MEMBER HAS THE RIGHT TO APPROVE, OR DISAPPROVE, THE SELECTION OR REMOVAL OF FOUR (4) MEMBERS OF THE BOARD. THE BOARD CONSISTS OF SIX (6) MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MOST MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MUST APPROVE ALL BUDGETS, PLANS, AND MATERIAL CHANGES; APPROVE ALL PROGRAM CHANGES; APPROVE ANY AMENDMENT TO THE ARTICLES OF ORGANIZATION AND OR BY-LAWS; APPROVE COMPENSATION STRUCTURES AND RANGES FOR DIRECTORS, PHYSICIANS, SENIOR MANAGERS AND OTHER PROFESSIONALS; AND, IN GENERAL APPROVE ANY OTHER ACTIONS NOT IN THE NORMAL COURSE OF BUSINESS. IN ADDITION TO POWERS PROVIDED BY LAW, THE ARTICLES OF ORGANIZATION AND SMG'S BY-LAWS, THE CORPORATE MEMBER HAS AUTHORITY TO: (A) LEVY ASSESSMENTS TO COVER THE CORPORATE MEMBER'S COSTS OF OPERATIONS; (B) APPROVE, OR DISAPPROVE, THE SELECTION AND REMOVAL OF MORE THAN FIFTY PERCENT (50%)BUT LESS THAN EIGHTY (80%) OF SMG'S TRUSTEES; AND, (C) ACT AS SMG'S EXCLUSIVE AGENT FOR PURPOSES OF NEGOTIATING PAYOR CONTRACTS FOR SMG AND THE OTHER PARTICIPATING ORGANIZATIONS AS DEFINED IN THE CORPORATE MEMBER'S BY-LAWS. UPON DISSOLUTION OF SMG, THE NET ASSETS OF SMG WILL BE DISPOSED OF TO ATRIUS HEALTH, INC. PROVIDED IT IS THEN EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>ATRIUS HEALTH ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO REVIEW AND PREPARE THE FORM 990 FOR SMG. AN INTERNAL TEAM AT SMG INCLUDING STAFF FROM ACCOUNTING AND HUMAN RESOURCES DEPARTMENTS WORK CLOSELY WITH THE OUTSIDE FIRM TO PREPARE THE DOCUMENT. IN ADDITION, THE SMG BOARD OF TRUSTEES AND THE ATRIUS HEALTH AUDIT &amp; COMPLIANCE COMMITTEE JOINTLY OVERSEE THE PREPARATION OF SMG'S 990. THE SMG BOARD RECEIVES A FINAL DRAFT OF THE 990 AND FORMALLY REVIEWS AND APPROVES THE ENTIRE DOCUMENT BEFORE FILING. IN ADDITION, MATERIAL ISSUES (IF ANY) WITH THE SMG 990 WOULD BE HIGHLIGHTED IN THE OUTSIDE FIRM'S PRESENTATION TO THE ATRIUS HEALTH AUDIT &amp; COMPLIANCE COMMITTEE BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>SMG HAS A COMPREHENSIVE COMPLIANCE PROGRAM WHICH IS MONITORED BY SMG'S AUDIT AND COMPLIANCE COMMITTEE AND COMPLIANCE OFFICER. THE NATURE OF THE POTENTIAL OR ACTUAL CONFLICT DETERMINES THE LEVEL(S) AT WHICH A DETERMINATION OF POTENTIAL CONFLICT MAY EXIST. AN INDIVIDUAL INVOLVED WITH A POTENTIAL CONFLICT IS PROHIBITED FROM BEING IN ATTENDANCE AT ANY MEETINGS AT WHICH THE MATTER IS DISCUSSED AND IS NOT ALLOWED TO VOTE ON THE MATTER. ALL MEMBERS OF SMG'S BOARD, OFFICERS AND SENIOR MANAGERS ARE REQUIRED TO ANNUALLY REVIEW, COMPLETE AND CERTIFY COMPLIANCE WITH SMG'S CONFLICT OF INTEREST POLICY. IN ADDITION ALL NEW HIRES (IN THE CATEGORIES DESCRIBED) ARE REQUIRED TO READ AND ACKNOWLEDGE RECEIPT OF SMG'S CODE OF CONDUCT. THE CONFLICT OF INTEREST POLICY STATES "AS A GENERAL RULE, CONFLICTS OF INTEREST ARE NOT PERMITTED". SMG'S POLICY PROVIDES FOR EXCEPTIONS IF DISCLOSED PROMPTLY AND APPROVED BY THE APPROPRIATE LEVEL OF MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION: SMG'S PRESIDENT, ALL OF ITS STATUTORY OFFICERS AND ITS PHYSICIAN MEMBERS ARE EMPLOYED BY SMG AS PRACTICING PHYSICIANS. FOR THE PHYSICIANS, THE KEY CRITERIA IS THE PHYSICIAN'S PRODUCTIVITY. THE COMPENSATION RANGES FOR THE PHYSICIANS ARE REVIEWED BY THE COMPENSATION PERSONNEL EMPLOYED BY THE CORPORATE MEMBER. THE COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SMG AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE. STIPENDS ARE AWARDED TO THE OFFICERS OF SMG'S BOARD TO COMPENSATE FOR THE TIME REQUIRED TO ACCOMPLISH THOSE ADMINISTRATIVE DUTIES. ALL MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY SMG'S CORPORATE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS ARE ATTACHED TO THE MA FORM PC FILED WITH THE ATTORNEY GENERAL'S OFFICE, WHICH IS OPEN TO PUBLIC INSPECTION. THE ARTICLES OF ORGANIZATION ARE AVAILABLE AT THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE, INCLUDING ON-LINE. OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE UTILIZATION CHARGES (CAPITATION CONTRACTS): PROGRAM SERVICE EXPENSES 46,950,093. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,950,093. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,105,215. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,105,215. OTHER SERVICES: PROGRAM SERVICE EXPENSES 433. MANAGEMENT AND GENERAL EXPENSES 103,535. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,968.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ATRIUS HEALTH, INC. ("ATRIUS HEALTH"). ATRIUS HEALTH'S AUDIT AND COMPLIANCE COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT. THERE WERE NO CHANGES IN THE OVERSIGHT PROCESS DURING THE TAX YEAR.</ExplanationTxt>
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          <BusinessNameLine1>HARVARD VANGUARD MEDICAL ASSOCIATES INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>275 GROVE STREET SUITE 3-300</AddressLine1>
          <City>NEWTON</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
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        <EIN>043397450</EIN>
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          <City>NEWTON</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
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        <EIN>010803117</EIN>
        <PrimaryActivitiesTxt>ORGANIZE AND INTEGRATE HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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          <BusinessNameLine1>DEDHAM MEDICAL ASSOCIATES INC</BusinessNameLine1>
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          <AddressLine1>ONE LYONS STREET</AddressLine1>
          <City>DEDHAM</City>
          <State>MA</State>
          <ZIPCode>02026</ZIPCode>
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        <EIN>043136240</EIN>
        <PrimaryActivitiesTxt>MULTI-SPECIALTY MEDICAL GROUP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>SOUTH SHORE MEDICAL CENTER</BusinessNameLine1>
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          <AddressLine1>75 WASHINGTON STREET</AddressLine1>
          <City>NORWELL</City>
          <State>MA</State>
          <ZIPCode>02061</ZIPCode>
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        <EIN>042297845</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1>ATRIUS HEALTH INC</BusinessNameLine1>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>GRANITE MEDICAL GROUP INC</BusinessNameLine1>
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          <AddressLine1>500 CONGRESS STREET</AddressLine1>
          <City>QUINCY</City>
          <State>MA</State>
          <ZIPCode>02169</ZIPCode>
        </USAddress>
        <EIN>043341331</EIN>
        <PrimaryActivitiesTxt>MULTI-SPECIALTY MEDICAL GROUP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12</PublicCharityStatusTxt>
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          <BusinessNameLine1>ATRIUS HEALTH INC</BusinessNameLine1>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>ATRIUS HEALTH FOUNDATION INC</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>275 GROVE STREET SUITE 3-300</AddressLine1>
          <City>NEWTON</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>264517944</EIN>
        <PrimaryActivitiesTxt>SUPPORTS ATRIUS HEALTH AND ITS PARTICIPATING ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1>ATRIUS HEALTH INC</BusinessNameLine1>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>RELIANT MEDICAL GROUP INC (FORMERLY FALLON CLINIC INC)</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>630 PLANTATION STREET</AddressLine1>
          <City>WORCESTER</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
        </USAddress>
        <EIN>042472266</EIN>
        <PrimaryActivitiesTxt>PROVIDE MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
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          <BusinessNameLine1>ATRIUS HEALTH INC</BusinessNameLine1>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1>RELIANT MEDICAL GROUP FOUNDATION INC (FORMERLY FALLON CLINIC FOUNDATION)</BusinessNameLine1>
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          <AddressLine1>630 PLANTATION STREET</AddressLine1>
          <City>WORCESTER</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
        </USAddress>
        <EIN>222912515</EIN>
        <PrimaryActivitiesTxt>PROMOTE COMMUNITY HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>RELIANT MEDICAL GROUP INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>LAKEVIEW MEDICAL INC</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>44 SOUTHBRIDGE STREET</AddressLine1>
          <City>AUBURN</City>
          <State>MA</State>
          <ZIPCode>01501</ZIPCode>
        </USAddress>
        <EIN>043106404</EIN>
        <PrimaryActivitiesTxt>MEDICAL EQUIPMENT SUPPLIER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>RELIANT MEDICAL GROUP INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF BOSTON INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>500 RUTHERFORD AVENUE</AddressLine1>
          <City>CHARLESTOWN</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
        </USAddress>
        <EIN>042105800</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>VISITING NURSE ASSN OF BOSTON FOUNDATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>500 RUTHERFORD AVENUE</AddressLine1>
          <City>CHARLESTOWN</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
        </USAddress>
        <EIN>042880614</EIN>
        <PrimaryActivitiesTxt>FUND RAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VNA HOSPICE CARE INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>100 TRADE CENTER SUITE G-500</AddressLine1>
          <City>WOBURN</City>
          <State>MA</State>
          <ZIPCode>01801</ZIPCode>
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        <EIN>042658051</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1>ATRIUS HEALTH INC</BusinessNameLine1>
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          <AddressLine1>120 THOMAS STREET</AddressLine1>
          <City>WORCESTER</City>
          <State>MA</State>
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        </USAddress>
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        <PrimaryActivitiesTxt>DAY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VENTURE 2-BRN LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>275 GROVE STREET SUITE 3-300</AddressLine1>
          <City>NEWTON</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>205842227</EIN>
        <PrimaryActivitiesTxt>MRI SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>HARVARD VANGUARD MEDICAL ASSOCIATES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>210410</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>353826</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.06000</OwnershipPct>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VENTURE 3-WW LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>275 GROVE STREET SUITE 3-300</AddressLine1>
          <City>NEWTON</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>208676840</EIN>
        <PrimaryActivitiesTxt>RADIATION, ONCOLOGY AND CAT SCAN SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VENTURE 4-WW2 LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>275 GROVE STREET SUITE 3-300</AddressLine1>
          <City>NEWTON</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>262783850</EIN>
        <PrimaryActivitiesTxt>DIGITAL MAMMOGRAPHY, ULTRASOUND AND BONE DENSITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VENTURE V-90 LIBBEY LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>275 GROVE STREET SUITE 3-300</AddressLine1>
          <City>NEWTON</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>274351500</EIN>
        <PrimaryActivitiesTxt>GASTROINTES- TINAL ENDOSCOPIC SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>HOME STAFF LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>40 MILLBROOK STREET</AddressLine1>
          <City>WORCESTER</City>
          <State>MA</State>
          <ZIPCode>01606</ZIPCode>
        </USAddress>
        <EIN>421757904</EIN>
        <PrimaryActivitiesTxt>HOME CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>MASSACHUSETTS ASSURANCE COMPANY LTD</BusinessNameLine1>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1>FIRST CARIBBEAN HOUSE GEORGE TOWN</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </ForeignAddress>
        <EIN>980469895</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>ASPECTUS INC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>630 PLANTATION STREET</AddressLine1>
          <City>WORCESTER</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
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        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VNA PRIVATE CARE INC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>350 GRANITE STREET UNIT 1104</AddressLine1>
          <City>BRAINTREE</City>
          <State>MA</State>
          <ZIPCode>02184</ZIPCode>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>VISITING NURSE ASSN OF BOSTON FOUNDATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>ATRIUS HEALTH INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>21766</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE STATEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>HARVARD VANGUARD MEDICAL ASSOCIATES INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>114815</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>ATRIUS HEALTH INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>3265244</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE STATEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>DEDHAM MEDICAL ASSOCIATES INC</BusinessNameLine1>
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        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>63697</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH R, PART V, ITEM 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ATRIUS HEALTH'S GENERAL AND ACO CORPORATE COSTS ARE ALLOCATED TO ATRIUS HEALTH'S PARTICIPATING ORGANIZATIONS, OTHER THAN RELIANT MEDICAL GROUP, INC., USING THE AVERAGE OF FOUR METHODOLOGIES - REVENUE; PATIENT VISITS; PHYSICIAN FULL-TIME EQUIVALENTS; AND PATIENTS. SMG'S CHARGE WAS $1,266,982 FOR 2013. IN ADDITION, SMG IS CHARGED FOR ITS SHARE OF THE COSTS OF THE MEDICAL RECORDS AND PRACTICE MANAGEMENT SYSTEM. FOR 2013, SMG WAS CHARGED $1,998,262 FOR ITS UTILIZATION. ATRIUS HEALTH RECEIVED FUNDING TO ASSIST IN THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS WHICH IT DISTRIBUTED TO CERTAIN PARTICIPATING ORGANIZATIONS. SMG RECEIVED $21,766 IN 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>