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        <ProgramServices>42163</ProgramServices>
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        <Depreciation>858666</Depreciation>
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        <Description>Due From VHA</Description>
        <BookValue>16929</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Split Dollar Life Insurance</Description>
        <BookValue>1380191</BookValue>
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      <TotalExpenses>24693571</TotalExpenses>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Provision for Bad Debts</Identifier>
        <ReturnReference>Form 990, Part I, Lines 9 and 17</ReturnReference>
        <Explanation>During the tax year, the Organization adopted Accounting Standards Codification (ASC) 954 which reclassified the provision for bad debts from an operating expense to a deduction from patient service revenue. The prior year numbers on page 1 have been adjusted to reflect this change in presentation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 3</ReturnReference>
        <Explanation>Charles Gigante, president and CEO, is employed by VHA of New England, an unrelated management company.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Each hospital that the Organization provides services for owns an equity share in New England Life Care, Inc. There is a single class of membership in the Corporation. Any nonprofit hospital located in Maine, New Hampshire, Massachusetts, or Vermont for which a cooperative hospital service organization is authorized to provide services under Internal Revenue Code section 501(e) is qualified for membership and may be elected to membership at any annual or special meeting of the members by a two-thirds majority vote of the entire membership of the Corporation. No member may hold more than one membership in the Corporation. The Corporation shall have no capital stock; however, membership certificates of the Corporation shall be required. No later than the 15th day of the ninth month after the end of each fiscal year, the Corporation shall allocate or pay all of its net earnings to its members on the basis of patronage of the Corporation's services performed for each member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The general NELC membership hospitals each determine if they would want or need representation on the NELC board. Each member organization is allowed one director on the NELC board. Once a slate is selected the full membership votes on the board appointments.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>All board members are comprised of directors from member organizations. All board decisions require a majority vote of the existing board members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 8b</ReturnReference>
        <Explanation>The Organization has no formal board sub-committee to handle this function.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The Organization's CEO and CFO formally review the annual Form 990 with the board chairman and respond to questions from the board chairman and other board members once they have reviewed a copy of the draft document.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>All employees execute a formal disclosure document on an annual basis. Any apparent conflict is reported to the compliance officer, to legal counsel, and, if appropriate, to the full board. In March 2011 and 2010 the full NELC board executed formal conflict of interest disclosure forms for 2011 and 2010 respectively.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>CEO compensation is reviewed and approved by the officers of the NELC board and VHA of New England. All other NELC officers, and key employee compensation matters are administered internally with board oversight within the budget process and via board review of the employee compensation disclosed on the annual Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Member Equity Contributions 100. Total to Form 990, Part XI, Line 5: 100.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Oversight of Audit Process</Identifier>
        <ReturnReference>Form 990, Part XI, Line 2c:</ReturnReference>
        <Explanation>The audit process has not changed from the prior year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Explanation of Public Charity Status</Identifier>
        <ReturnReference>Schedule A, Part 1, Line 3:</ReturnReference>
        <Explanation>New England Life Care is a cooperative hospital service organization described in IRC section 170(b)(1)(A)(iii), and is comprised of a number of member hospitals. However, the Organization is not licensed in the State of Maine as a hospital. Accordingly, Schedule H is not being attached, as the Organization does not meet the definition of a hospital for purposes of Schedule H.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Net Patient Service Revenue Explanation</Identifier>
        <ReturnReference>Form 990, Part VIII, Line 2a:</ReturnReference>
        <Explanation>Inception to date, NELC has provided $11,954,246 of uncompensated free care (Charity Care) to patients. Charity care services provided in 2011 amounted to $990,164.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>