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        <CurrentTaxYearMinus1Year>5330064</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5630003</CurrentTaxYear>
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      <Total509>
        <CurrentTaxYearMinus4Years>3450063</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3392876</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4212616</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5330064</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5630003</CurrentTaxYear>
        <Total>22015622</Total>
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      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>22015622</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>26192</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13220</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10525</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8726</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9493</CurrentTaxYear>
        <Total>68156</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>26192</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13220</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10525</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8726</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9493</CurrentTaxYear>
        <Total>68156</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>3476255</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3406096</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4223141</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5338790</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5639496</CurrentTaxYear>
        <Total>22083778</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99690</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99510</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00310</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00490</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
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        <Depreciation>73444</Depreciation>
        <BookValue>52697</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>52697</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>240216</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>240216</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>46990</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>46990</TotalOfAmounts>
      <TotalRevenue>5639496</TotalRevenue>
      <TotalExpenses>5159478</TotalExpenses>
      <ExcessOrDeficitForYear>480018</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>480018</ExcessOrDeficitPerFS>
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      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>5639496</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>5639496</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>5159478</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>5159478</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>5159478</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>GAAP REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN MHR'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD, ALONG WITH ACCRUED INTEREST AND PENALTIES THEREON, WOULD BE RECORDED AS AN EXPENSE IN THE CURRENT YEAR FINANCIAL STATEMENTS. MHR HAS EVALUATED THE TAX POSITIONS TAKEN IN ITS PREVIOUSLY FILED RETURNS AND THOSE EXPECTED TO BE TAKEN IN ITS 2011 RETURNS AND BELIEVE THEY ARE MORE-LIKELY-THAN-NOT OF BEING SUSTAINED IF EXAMINED BY FEDERAL OR COMMONWEALTH TAX AUTHORITIES. MHR'S 2008 THROUGH 2010 TAX YEARS REMAIN SUBJECT TO TAX EXAMINATION BY FEDERAL AND COMMONWEALTH TAX AUTHORITIES.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA S CORNELL</NamePerson>
        <BaseCompensationFilingOrg>147592</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8298</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>155890</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS MEETS AT A REGULARLY SCHEDULED BOARD MEETING AND WILL REVIEW THE 990 FOLLOWED BY A VOTE TO APPROVE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL DIRECTORS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST. THE TRANSACTIONS AND ACTIVITIES OF THE ORGANIZATION ARE MONITORED ON AN ONGOING BASIS BY MANAGEMEMNT, THE BOARD OF DIRECTORS AND BOARD APPOINTED COMMITTEES. ANY CONFLICTS THAT ARISE ARE DEALT WITH ACCORDING TO THE ORGANIZATION'S DETAILED CONFLICT OF INTEREST POLICIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD CHAIRMAN DESIGNATES A PERSONNEL COMMITTEE AT LEAST ANNUALLY TO PERFORM THIS EVALUATION FOR THE FOLLOWING POSITIONS: CHIEF EXECUTIVE OFFICER/PRESIDENT, KEY EMPLOYEE'S AND OFFICER'S</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES IT'S FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>259 LOWELL STREET</AddressLine1>
          <City>SOMERVILLE</City>
          <State>MA</State>
          <ZIPCode>02144</ZIPCode>
        </AddressUS>
        <EIN>222587073</EIN>
        <PrimaryActivities>PROVIDE MANAGEMENT OF LONG TERM ASSETS AND FUNDRAISING SERVICES TO AFFILIATE</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF EASTERN MASSACHUSETTS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>259 LOWELL STREET</AddressLine1>
          <City>SOMERVILLE</City>
          <State>MA</State>
          <ZIPCode>02144</ZIPCode>
        </AddressUS>
        <EIN>042104935</EIN>
        <PrimaryActivities>PROVIDES MEDICALLY NECESSARY SERVICES TO THE ELDERLY AUTHORIZED BY PHYSICIAN</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MYSTIC-CHARLES CONTINUECARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>259 LOWELL STREET</AddressLine1>
          <City>SOMERVILLE</City>
          <State>MA</State>
          <ZIPCode>02144</ZIPCode>
        </AddressUS>
        <EIN>222583378</EIN>
        <PrimaryActivities>TO PROVIDE CERTAIN DIVERSIFIED COMMUNITY AND HOME HEALTH RELATED SERVICES.</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>VNA LOWELL STREET LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>259 LOWELL STREET</AddressLine1>
          <City>SOMERVILLE</City>
          <State>MA</State>
          <ZIPCode>02144</ZIPCode>
        </AddressUS>
        <EIN>043417930</EIN>
        <PrimaryActivity>TO PROVIDE ASSISTED LIVING TO THE ELDERLY</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CONWELL CAPEN LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>259 LOWELL STREET</AddressLine1>
          <City>SOMERVILLE</City>
          <State>MA</State>
          <ZIPCode>02144</ZIPCode>
        </AddressUS>
        <EIN>209032454</EIN>
        <PrimaryActivity>TO CREATE AND OPERATE HOUSING WITH SERVICES FOR THE ELDERLY</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LOWELL STREET DEVELOPMENT CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>259 LOWELL STREET</AddressLine1>
          <City>SOMERVILLE</City>
          <State>MA</State>
          <ZIPCode>02144</ZIPCode>
        </AddressUS>
        <EIN>043417949</EIN>
        <PrimaryActivity>AFFORDABLE HOUSING DEVELOPMENT</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>VISITING NURSE ASSISTED LIVING INC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <City>SOMERVILLE</City>
          <State>MA</State>
          <ZIPCode>02144</ZIPCode>
        </AddressUS>
        <EIN>043385242</EIN>
        <PrimaryActivity>TO PROMOTE THE ACTIVITIES ASSOCIATED WITH CURRENT AND FUTURE ASSISTED LIVING</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF EASTERN MASSACHUSETTS</BusinessNameLine1>
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        <AmountInvolved>86226</AmountInvolved>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA LOWELL STREET LP</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONWELL CAPEN LP</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>VISITING NURSE FOUNDATION INC</BusinessNameLine1>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF EASTERN MASSACHUSETTS</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>VNA LOWELL STREET LP</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CONWELL CAPEN LP</BusinessNameLine1>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>