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        <ReturnReference>Part I, Line 4a:</ReturnReference>
        <Explanation>See Schedule J-2 for all severence payments. All of the compensation for the employees marked as former is severence.</Explanation>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The organization prepares the Form 990 and the related disclosures with assistance and guidance from its individual tax advisors (CPA firm).The Form 990 is reviewed by the individual entities' and the parent organizations' management teams prior to submission to the board of directors and the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>The organization requires that all key employees, members and officers of the board of directors and any member of any committee disclose in writing (and update annually) all business and other relationships which might potentially create a conflict of interest as defined by the policy. The written disclosure shall include an itemization of any substantive conflict of interest for such individual by virtue of his or her activities. The conflict of interest policy is reviewed and communicated to ensure individuals with outside relationships do not inappropriately participate in business decisions of the Organization in which they are not independent. The conflict of interest policy and procedures are currently under review and revision.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>All compensation for the CEO and senior executives throughout the system are governed and overseen by the Board of Director's of Caritas Christi, their sole member. The Board established a Compensation Committee, made up of disinterested trustees, who are given the authority to establish compensation for all senior executives. The Compensation Committee performs annual reviews and approves executive compensation. In order to assist the Committee in its responsibilities, the Compensation Committee hires independent, outside compensation consultants to advice the committee on the reasonableness of the overall executive compensation. The Committee works with these consultants to ensure that all compensation is reasonable, meets all regulatory requirements, and is competitive within the relevant market.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Additionally, the organization's financial statements are available on the public charities website maintained by the Commonwealth of Massachusetts Attorney General.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 2, Page 11</Identifier>
        <ReturnReference>Audited Financial Statements</ReturnReference>
        <Explanation>The Organization's financial statements were audited by an independent accounting firm. The organization has an audit committee responsible for oversight of the audit of its financial statements as well as the selection of an independent accounting firm.</Explanation>
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        <ReturnReference>Prior Year Compensation</ReturnReference>
        <Explanation>Prior Year Compensation for former Officers and key emloyees are deferred severance payments that were paid out in Calendar Year 2009.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII, Section A</Identifier>
        <ReturnReference>Former Employees</ReturnReference>
        <Explanation>All employees marked off as former are former employees of the organization and the compensation that they were paid during calendar year 2009 was all severence payments.</Explanation>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>77 Warren St</AddressLine1>
          <City>Brighton</City>
          <State>MA</State>
          <ZIPCode>02135</ZIPCode>
        </AddressUS>
        <EIN>043027096</EIN>
        <LegalDomicileState>MA</LegalDomicileState>
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          <AddressLine1>736 Cambridge Street</AddressLine1>
          <City>Brighton</City>
          <State>MA</State>
          <ZIPCode>021352997</ZIPCode>
        </AddressUS>
        <EIN>042103622</EIN>
        <PrimaryActivities>Tertiary care hospital and institute of teaching</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Hospital</PublicCharityStatus>
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</Return>