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      <Desc>MEDICAL SERVICES - MEDICAL SERVICES ARE PROVIDED TO THE RESIDENTS OF THE NORTH SHORE AND CAPE ANN, BUT WE WILL CARE FOR ANYONE WHO PRESENTS TO US REGARDLESS OF WHERE THEY LIVE. MEDICAL SERVICES ARE PROVIDED TO BOTH ADULTS AND CHILDREN, AND INCLUDE:-PRIMARY CARE-MAT (MEDICATION ASSISTED TREATMENT): SERVICES OFFERED INCLUDE EDUCATION FOR DISEASE AND OVERDOSE PREVENTION, NARCAN (NALOXONE) TRAINING AND COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. THERE WERE 40,274 MEDICAL VISITS DURING THE TAX YEAR.</Desc>
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        <Desc>DENTAL SERVICES - DENTAL SERVICES PROVIDED PRIMARILY TO THE RESIDENTS OF THE NORTH SHORE AND CAPE ANN, BUT WE WILL CARE FOR ANYONE WHO PRESENTS TO US REGARDLESS OF WHERE THEY LIVE. THERE WERE 14,225 DENTAL VISITS DURING THE TAX YEAR.</Desc>
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        <Desc>SCHOOL BASED HEALTH CENTERS - PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO STUDENTS AT THE FOLLOWING SCHOOLS:-SALEM HIGH SCHOOL-PEABODY VETERANS MEMORIAL HIGH SCHOOLADDITIONALLY, BEHAVIORAL HEALTH SERVICES ONLY ARE PROVIDED AT THE FOLLOWING SCHOOLS:-COLLINS MIDDLE SCHOOL-BENTLEY ELEMENTARY SCHOOL-BATES ELEMENTARY SCHOOL-NATHANIEL BOWDITCH SCHOOLTHERE WERE 3,953 SCHOOL BASED HEALTH CENTER VISITS DURING THE TAX YEAR.</Desc>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA HOLLAND</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN DARDEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AZRA ALI</PersonNm>
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      <Form990PartVIISectionAGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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        <ProgramServicesAmt>72795</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>194220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39780</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>96344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19733</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>586692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120166</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>892518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182805</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>667334</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158691</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25379</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>38663</TotalAmt>
        <ProgramServicesAmt>32090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6573</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>474317</ProgramServicesAmt>
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        <ProgramServicesAmt>76215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15610</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY AND RELATED FE</Desc>
        <TotalAmt>1484608</TotalAmt>
        <ProgramServicesAmt>1484608</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLINICAL SERVICES AND S</Desc>
        <TotalAmt>1024610</TotalAmt>
        <ProgramServicesAmt>1024610</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>INVESTMENT SOUTH RIVER</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>157987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62768</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>230961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46696</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>20104533</ProgramServicesAmt>
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        <EOYAmt>4549673</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>2529863</EOYAmt>
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        <EOYAmt>446916</EOYAmt>
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        <EOYAmt>419801</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>8035333</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5631581</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2809759</BOYAmt>
        <EOYAmt>2403752</EOYAmt>
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        <EOYAmt>3533576</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>12631987</BOYAmt>
        <EOYAmt>17980550</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2609296</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>146161</EOYAmt>
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        <EOYAmt>6568690</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>9324147</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>7035838</BOYAmt>
        <EOYAmt>7900968</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>544246</BOYAmt>
        <EOYAmt>755435</EOYAmt>
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        <BOYAmt>7580084</BOYAmt>
        <EOYAmt>8656403</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12631987</BOYAmt>
        <EOYAmt>17980550</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1076319</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>6001519</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12847062</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10450366</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12299043</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8827647</CurrentTaxYearAmt>
        <TotalAmt>50425637</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>12847062</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10450366</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12299043</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8827647</CurrentTaxYearAmt>
        <TotalAmt>50425637</TotalAmt>
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      <PublicSupportTotal170Amt>50425637</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4540</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3465</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3259</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3597</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57407</CurrentTaxYearAmt>
        <TotalAmt>72268</TotalAmt>
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      <TotalSupportAmt>50497905</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>72551678</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99860</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99960</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>469837</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>177694</DepreciationAmt>
        <BookValueAmt>292143</BookValueAmt>
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        <BookValueAmt>1301636</BookValueAmt>
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        <DepreciationAmt>1811501</DepreciationAmt>
        <BookValueAmt>766224</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>41764</DepreciationAmt>
        <BookValueAmt>43749</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2403752</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RELATED PARTY RECEIVABLES</Desc>
        <BookValueAmt>1173984</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSET - OPERATING LEASES</Desc>
        <BookValueAmt>2359592</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>3533576</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>2379538</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONDITIONAL GRANT ADVANCE</Desc>
        <Amt>4189152</Amt>
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      <TotalLiabilityAmt>6568690</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <DonatedServicesAndUseFcltsAmt>26400</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-592953</OtherRevenueAmt>
      <RevenueNotReportedAmt>-566553</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>26923123</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>26923123</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25280251</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>26400</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>26400</ExpensesNotReportedAmt>
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      <OtherExpensesNotIncludedAmt>592953</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>592953</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>25846804</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2024. THE CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT IN SOUTH RIVER -592,953.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT IN SOUTH RIVER 592,953.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AZRA ALI</PersonNm>
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        <PersonNm>ALLISON KILCOYNE</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 INITIAL COMPLETION IS DONE BY OUR AUDITORS. THE FORM 990 IS THEN SENT TO THE NORTH SHORE COMMUNITY HEALTH MANAGEMENT TEAM AND THEN FORWARDED TO THE MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE ABLE TO SUBMIT ANY QUESTIONS, COMMENTS, OR OBSERVATIONS THAT THEY HAVE. THEN MANAGEMENT DISCUSSES ANY CHANGES THEY ARE GOING TO MAKE TO THE 990 FORM. IF CHANGES ARE DEEMED NECESSARY, THEY ARE MADE IMMEDIATELY. THE FORM 990 IS THEN APPROVED FOR SUBMISSION BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH EMPLOYEE, VOLUNTEER, AND BOARD MEMBER WILL ACKNOWLEDGE THAT THEY HAVE READ AND UNDERSTAND NORTH SHORE COMMUNITY HEALTH'S CONFLICT OF INTEREST POLICY UPON BEGINNING THEIR EMPLOYMENT OR TENURE WITH NORTH SHORE COMMUNITY HEALTH BY SIGNING AN ACKNOWLEDGEMENT FORM. THIS IS UPDATED ON A YEARLY BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE HEALTH CENTER'S OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE BOARD OF DIRECTORS UTILIZING A SALARY SURVEY. THE EXECUTIVE DIRECTOR SETS THE OTHER EMPLOYEES' SALARIES BASED ON A SALARY SURVEY IN ACCORDANCE WITH THE HEALTH CENTER'S BUDGET PARAMETERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH SHORE COMMUNITY HEALTH, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS AVAILABLE TO THE GENERAL PUBIC THROUGH WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>SOUTH RIVER PARTNERSHIP LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>96 LAFAYETTE STREET</AddressLine1Txt>
          <CityNm>SALEM</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01970</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>ACQUIRE AND OPERATE REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>