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      <Desc>Provision of funding for professional, general, and other liability losses for organizations controlled, directly or indirectly, by Exeter Health Resources, Inc.Based on the actuarial review of Exeter Health Resources, Inc.'s medical professional and general liability exposure, it was determined that additional funding of the self-insured trust was not needed during the fiscal year ending 9/30/2023.(Continued on Schedule O)In addition to Exeter Health Resources, Inc. Self-Insurance Trust's program service accomplishments described above, and as noted further below, the Beth Israel Lahey Health (BILH) network engaged in significant activities focused on expanding access to care and services, including underserved patient populations in order to reduce health inequities. There was also a strong focus on continuing to provide high quality care at a lower cost, when appropriate. BILH continues to focus on the behavioral health care needs of its communities as well. BILH Network Accomplishments and Activities - Fiscal Year Ended September 30, 2023Throughout the period covered by this filing, Beth Israel Lahey Health ("BILH") and its affiliates focused on expanding access and services, including to underserved patient populations in order to reduce health inequities. In addition, there was a strong focus on continuing to provide high quality care at a lower cost, when appropriate, as demonstrated by BILH's efforts to leverage community settings, keep care within the BILH Performance Network ("BILHPN"), and allow patients to receive care in their homes. The following highlights specific efforts during the period covered by this filing:Access &amp; Expansion to Pharmacy Services - BILH Pharmacy has continued to expand its contractual relationships, allowing more patients to utilize its pharmacy for their prescriptions. In FY 2023, BILH Pharmacy successfully negotiated access to the Point32Health specialty pharmacy network as well as the WellSense Medicaid Accountable Care Organization ("ACO") plan. Examples of BILH Pharmacy's other efforts to expand patient access to medications include: - Enhanced medication authorization and access services to help patients obtain necessary insurance authorizations and find co-pay assistance, - Expanded the medication refill center to assist patients and providers in expediting medication renewals and ensuring prescribed medication and dosage are still appropriate, - Extended patient co-pay assistance programs to the Joslin Adult Diabetes clinic and Northeast Hospital Corporation patients, and - Expanded clinical pharmacy services in ambulatory clinics to help manage and optimize patients' complex medication therapies. - BILH Pharmacy also expanded its clinical pharmacy presence in clinics to reduce the health equity gap in the use of highly impactful medications to treat patients with diabetes and atherosclerotic cardiovascular diseases by improving their blood pressure and hemoglobin A1C. Interventions centered around prescribing evidence-based medications, educating patients about their conditions, and ensuring access to medication. Initial results have demonstrated an increase in the use of GLP-1 agonists and SGLT-2 inhibitors by 32% in Black and Hispanic populations, an average reduction in hemoglobin A1c of 0.8, and a decrease of systolic and diastolic blood pressures of 7mmHg and 2mmHg respectively.Improvement in Lab Services - BILH optimized the transportation routes of collected laboratory specimens to testing laboratories, ensuring high standards for turnaround times and maximum efficiency. This is foundational to the system's ability to consolidate testing, expand access to in-network laboratory services which in turn generally reduces cost, and support the provision of high-quality care and the clinician and patient experience. - Focus remained strong in developing physician practice delivery models and re-opening patient service centers. These efforts enhance community providers' ability to use BILH labs and increase patient access to BILH labs.Leveraging In-Network Care - BILH operates a Transfer Center that facilitates patient access to the appropriate placement of patient transfers. With the creation of the Transfer Center, BILH has been able to retain patients who might otherwise have gone outside of the system. By expanding its focus to community hospitals, BILH has enhanced its ability to place patients, including at locations potentially closer to the patients' homes. - BILHPN operates a centralized referral management program that focuses on patients seeking out-of-network specialty care and redirecting them to in-network specialty care, when clinically appropriate. Throughout FY 2023, BILHPN redirected well over one thousand patient visits. In most cases, care retained within BILH resulted in enhanced care coordination at a lower cost of care.Enabling Patients to Receive Care at Home - BILH launched its Hospital at Home program in FY 2023, starting with Lahey Clinic Hospital d/b/a Lahey Hospital &amp; Medical Center. This has allowed eligible patients to be offered care in the setting most comfortable for them - their homes - while also customizing care plans and improving patients' mobility even while they are acutely ill. - In FY 2023, BILHPN put programs in place to manage length of stay at skilled nursing facilities ("SNFs"), reduce readmissions, and discharge medically appropriate patients directly to their homes with homecare services instead of to a SNF, provided patients are medically stable to return home after an acute care stay and will likely have better outcomes and lower cost of care.Behavioral Health - In FY 2023, BILH Behavioral Services launched its Community Behavioral Health Center ("CBHC") in Lawrence, Massachusetts, consolidating outpatient, mobile crisis intervention, and adult community crisis stabilization services. The establishment of the CBHC is a part of the Commonwealth's Executive Office of Health and Human Services Roadmap for Behavioral Health Reform. - In addition, as part of the Roadmap for Behavioral Health Reform, BILH launched an Emergency Services Redesign that shifts emergency evaluations out of the Emergency Department ("ED"). BILH Behavioral Services also expanded its ED integration efforts to a total of six EDs, including Addison Gilbert Hospital, Anna Jaques Hospital, Beverly Hospital, Lahey Medical Center-Peabody, Beth Israel Deaconess Hospital-Milton, and Winchester Hospital.Health Equity - BILH and Lawyers for Civil Rights launched a medical-legal partnership to provide free legal support to low-income patients, beginning at Beth Israel Deaconess Medical Center. The collaboration will expand BILH's ability to address health equity and expand access to health care for patients living in under-resourced communities. - BILHPN focused on reducing health equity disparities in diabetes and hypertension management by stratifying health outcomes by race, ethnicity and language; sharing performance data with primary care groups; and implementing clinical initiatives such as off-hour clinics, home blood pressure monitor distribution, continuous glucose monitoring, and outreach to patients with higher needs.Ongoing Intiatives:Enhanced Access for MassHealth Patients - To mitigate barriers in access to care and increase the number of MassHealth patients that BILH serves, the system committed to universal network-wide provider participation in MassHealth. All BILH hospitals and providers employed by BILH or on whose behalf BILH jointly contracts participate in and/or have applied to participate in some form of MassHealth. In FY 2022, BILH signed a new MassHealth ACO contract with BMC HealthNet Plan / WellSense Health Plan that went into effect in April 2023. As part of this contract, BILHPN extended participation to all eligible primary care providers ("PCPs") who were not otherwise participating in a MassHealth ACO. Prior to that time, while all eligible BILHPN PCPs were participants in a form of MassHealth, some PCPs were not previously participating in a MassHealth ACO. - BILH has developed, refined and implemented a multicultural marketing, advertising, and outreach plan with the purpose of expanding access for underserved populations, including MassHealth patients, in targeted BILH service areas.</Desc>
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        <FormAndLineReferenceDesc>Part IV, Section B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Grantor and controlling entity of Exeter Health Resources Self-Insurance Trust, Inc. is Exeter Health Resources, Inc., a 509(a)(3) supporting organization. All three of Exeter Health Resources Self-Insurance Trust, Inc.'s supported organizations are also supported and controlled by Exeter Health Resources, Inc. As the sole member of all four entities, Exeter Health Resources, Inc. has the power to appoint or elect the majority of Trustees for Exeter Health Resources Self-Insurance Trust, Inc. and all of its supported organizations. As Grantor of Exeter Health Resources Self-Insurance Trust, Exeter Health Resources, Inc. has the power to retain and remove the Trust's institutional Trustee. By virtue of this relationship, the Trust is effectively controlled by its supporting organizations.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Resources, the Hospital, RVNA&amp;H, and Core are not-for-profit organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Med Real is a not-for-profit organization as described in Section 501(c)(25) of the Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the tax positions of these entities and has concluded that they have maintained their tax-exempt status, do not have any significant unrelated business income, and have taken no uncertain tax positions that require adjustment to the consolidated financial statements.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Exeter Health Resources, Inc. Self-Insurance Trust (the "Trust") is a not-for-profit trust which holds funds to cover losses of supported organizations. The Trust is controlled through Exeter Health Resources, Inc. (Resources), a not-for-profit corporation which functions as the Parent Company to the Trust. Resources and Beth Israel Lahey Health signed a definitive agreement that established the terms under which Resources joined the Beth Israel Lahey Health system. Together, the organizations seek to enhance and expand local access to high-quality care in New Hampshire. This transaction was finalized and became effective July 1, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a (continued):</FormAndLineReferenceDesc>
        <ExplanationTxt>Investments in Underserved Communities - BILH hospitals have created and maintain strong connections to a network of affiliated hospitals and health centers that provide community-based care to historically underserved populations. In the regions that they serve, the Safety Net Affiliates ("SNAs") and Community Care Alliance ("CCA") Community Health Centers ("CHCs") are the cornerstone of BILH's delivery system regarding community-based care for MassHealth and historically underserved patients. - CCA CHCs include Bowdoin Street Health Center, Charles River Community Health, The Dimock Center, Fenway Health, and South Cove Community Health Center. - SNAs include Cambridge Health Alliance and Signature Healthcare Brockton Hospital. - BILH continues to invest in the CCA CHCs and SNAs, enabling them to expand their capabilities and care for more historically underserved patients. In FY 2022, BILH invested over $8 million in its CHCs and SNAs, in addition to engaging in regional planning and collaborative program development. These investments represent only a portion of a much larger community benefits investment portfolio that is described in greater detail in this and other BILH network tax filings. - BILH continues to explore additional opportunities with CHCs in Essex and Middlesex Counties. For example, BILH has established a telehealth pilot program between physicians at Addison Gilbert and Beverly Hospitals and patients at North Shore Community Health Center. BILH Behavioral Health Services The Beth Israel Lahey Health Network (BILH) is committed to the behavioral health needs of the patients and communities serviced. Below are some of activities that BILH Behavioral Services (BILHBS) has provided to the patients and communities served by BILH and its affiliated entities. BILHBS (which includes the activities of BILH's tax-exempt affiliate Northeast Behavioral Health Corp) is the largest network of mental health and substance use disorder services in eastern Massachusetts. BILHBS' network of behavioral health care includes services for children and adults ranging from inpatient treatment to community-based programs. Services include: - Inpatient psychiatric and detoxification treatment; - Emergency psychiatric and mobile emergency services teams; - Outpatient mental health and addiction treatment; - Individual/couple/family therapy; - Medication assisted treatment programs; and - School-based and home-based counseling for youth and their families. BILHBS serves approximately 35,000 unduplicated individuals annually, offering a full continuum of care for children and adults. Services range from inpatient to home and community-based services. BILHBS operates over 250 beds in 9 facilities for clients requiring acute psychiatric care, detoxification and residential step-down services. During the period covered by this filing, community-based services included mobile emergency services teams in three catchment areas and home-based counseling for adults, youth and their families. BILHBS also provided services in 63 middle and high schools, as well as 9 police departments. Since its creation in March 2019, BILH has continued to invest significantly in improving access to behavioral health care through a system-wide approach to care delivery. As one of several ongoing initiatives, BILH has made a multi-year commitment to provide behavioral health support to its employed primary care practices using an evidence-based approach known as the IMPACT model. More than 75% of BILH employed primary care practices participated in this Collaborative Care Program implementation. BILHBS has a Centralized Bed Finding team that is responsible for conducting bed searches for patients seen through the Emergency Services Program and who are awaiting an inpatient psychiatric placement. This team directly increases the availability of clinicians to continue to see patients in the Emergency Department (ED) and the community who are experiencing a behavioral health and/or co-occurring substance use disorder crisis while other team members search for available inpatient placements. This initiative supports decreased response time to responding to new patients in crisis and reduces ED boarding time for patients who can be safely managed in the community. During the period covered by this filing, and in the area of addiction services, BILHBS serves approximately 17,000 individuals annually, providing over 380,000 units of service, in a vast array of settings based on their needs. BILH BS' ambulatory division serves nearly 4,300 patients every year, delivering more than 108,000 units of services in various settings. More than 43,000 were delivered by telehealth Ambulatory programs and services offered under the children's behavioral health initiative (CBHI) including a broad range of counseling and therapy as well as more intensive treatment modalities. All therapy programs are supported by medication clinics if that is determined to be an appropriate adjunct to treatment. In FY23, NBHC delivered 99,419 units of ambulatory services, supported by 8,432 psychopharmacology visits. BILH BS' emergency psychiatric and mobile response teams in Lawrence, Salem and Lowell are available around the clock, providing psychiatric assessments and supportive services in various settings. NBHC provides these services in conjunction with a large number of area hospitals, including facilities outside of the BILH umbrella. Mobile crisis clinicians also respond to schools, homes and outpatient clinics, and NBHC also provides walk-in services at the three team locations. In addition to emergency evaluation, team members provide ongoing crisis counseling until the patient is stable and relationships are established with longer-term care providers. The Lawrence and Salem locations also house 8-bed community crisis stabilization units, which offer short-term (3-5 day) crisis beds in lieu of hospitalization for MassHealth, Medicare, and uninsured clients. During the fiscal period covered by this filing, emergency service programs had 13,502 encounters, 1,895 of which were done remotely, and the CCS programs recorded 2,546 bed days.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Lines 12a and 12b:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition, as noted throughout this filing, as of July 1, 2023, Beth Israel Lahey Health became the sole Member of Exeter Health Resources, Inc. (EHRI). The Boston, MA office of KPMG issued an unqualified opinion on the consolidated audited financial statements of the Beth Israel Lahey Health, Inc. And affiliates for fiscal period ended September 30, 2023. These statements were prepared in accordance with generally accepted accounting principles (GAAP) and included the accounts of the Beth Israel Lahey Health, Inc. (BILH), and the entities for which Beth Israel Lahey Health, Inc. (BILH) served as sole member during the fiscal period covered by this filing, (Anna Jaques Hospital (AJH), Beth Israel Deaconess Medical Center, Inc. (BIDMC), Mount Auburn Hospital (MAH), New England Baptist Hospital (NEBH), Beth Israel Deaconess Hospital -- Milton, Inc. (Milton), Beth Israel Deaconess Hospital -- Needham, Inc. (Needham), Beth Israel Deaconess Hospital -- Plymouth, Inc. (Plymouth), Lahey Health Shared Services (LHSS), Lahey Clinic Foundation (LCF), Winchester Hospital (Winchester), Northeast Hospital Corporation (NHC) which includes Beverly, Addison Gilbert and Bayridge Hospitals, Northeast Behavioral Corporation (NBHC), the Beth Israel Lahey Health Performance Network (BILHPN), the Joslin Diabetes Center and the Beth Israel Lahey Health Pharmacy. The Lahey Clinic Foundation in turn served as the sole Member of Lahey Clinic Inc, and Lahey Clinic Hospital d/b/a Lahey Hospital and Medical Center (LHMC).) Each of these affiliates may in turn serve as member of additional entities within the network of affiliates, and whose accounts are included in the BILH audited financial statements. In addition, the BILH financial statements also include the accounts of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc. (HMFP), the dedicated physician practice of Beth Israel Deaconess Medical Center and an entity integrally related to helping BIDMC and other affiliates in the BILH network accomplish their charitable purposes. The accounts of the entities for which HMFP serves as Member are also included in the HMFP and BILH audited financial statements. As of July 1, 2023, Beth Israel Lahey Health became the sole Member of Exeter Health Resources, Inc. (EHRI) which in turns serves as the sole Member of Exeter Hospital and other affiliates of EHRI. The BILH audited financial statements also include the accounts of these entities for the last three months of the fiscal period covered by this filing. The Audit and Compliance Committee of BILH's Board of Trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Exeter Health Resources, Inc. is the grantor of the trust. The grantor, by resolution of its board of directors may remove the trustee at any time and appoint a successor.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>As grantor, Exeter Health Resources, Inc. sets the funding policy and methods of the trust. The trustee invests in such property and for such duration as the trustee determines to be consistent with the policies set forth by the grantor.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>As noted in various disclosures throughout this filing, Exeter Health Resources, Inc. (EHRI) is the grantor of the Exeter Health Resources, Inc. Self-Insurance Trust (the "Trust"). In addition, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH) is the sole Member of EHRI. This Form 990 is prepared by the EHRI finance team in conjunction with the BILH tax department and Baker Newman Noyes (BNN). As part of this process, the EHRI finance and BILH tax teams work with other disciplines and functions within BILH and EHRI to ensure that all financial and non-financial disclosures are complete and accurate. Examples of such departments include but are not limited to: Finance and Accounting, Human Resources and Payroll, Treasury, Compliance, Legal, Community Benefits, Financial Assistance and Reimbursement, Governance, Development, Graduate Medical Education, Government Relations, Research and/or Research Finance. The Trust's Form 990 is reviewed internally by the EHRI Vice President of Accounting, the EHRI Chief Financial Officer, the BILH Assistant Vice President, Taxation and externally by BNN. The Trust's Form 990, along with the Forms 990 of all entities in the BILH network, are discussed with the BILH Audit and Compliance Committee. BNN signs the final returns. A copy of the complete return is then provided to management of BILH and EHRI, the Trust's grantor, prior to submission to the Internal Revenue Service.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>As noted throughout this filing, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH) became the sole Member of Exeter Health Resources, Inc (EHRI) and the indirect Member of Exeter Health Resources, Inc. Self-Insurance Trust (the "Trust"). The Trust's governing documents, Conflict of Interest Policy and Financial Statements are available to the general public upon request at the following location: Exeter Health Resources and Affiliates 5 Alumni Drive Exeter, NH 03833 And Beth Israel Lahey Health Tax Department Schrafft's City Center, 4th Floor, 529 Main Street Charlestown, MA 02129</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Lines 13 and 14:</FormAndLineReferenceDesc>
        <ExplanationTxt>As noted throughout this filing, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH) became the sole Member of Exeter Health Resources, Inc (EHRI) and the indirect Member of Exeter Health Resources, Inc. Self-Insurance Trust (the "Trust"). Although the Trust has not formally adopted a written whistleblower policy or document retention and destruction policy, because of the close connection and affiliation between the Trust and BILH, the Trust follows the formal written policy which was adopted by the BILH Board.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is part of the consolidated operations of Exeter Health Resources, Inc. The Exeter Health Resources, Inc. ("Resources") Executive Committee is responsible for the oversight of the audit and the selection of an independent accountant. Furthermore, pursuant to an affiliation agreement between Resources and Beth Israel Lahey Health, key members of the various Beth Israel executive teams and audit and finance committees may also provide review and oversight over the Resources audit procedures. During the year ending September 30, 2023, Resources and Beth Israel Lahey Health have signed a definitive agreement that establishes the terms under which Resources joins the Beth Israel Lahey Health system. For financial reporting of the Organization, the affiliation was accounted for as an acquisition and "push down" accounting was required to be applied, with the result that acquisition accounting adjustments have been reflected in the Organization's financial statements. The application of "push down" accounting resulted in a new basis of accounting for property, plant and equipment based on the assets' fair value at the date of affiliation. Accordingly, the Organization's audited financial statements refer to the Trust in the period prior to the affiliation as "Predecessor and in the period subsequent to the affiliation as "Successor." The 2023 Predecessor period represents the nine-month period ending June 30, 2023 prior to push-down accounting adjustments, and the 2023 Successor period represents the three-month period ending September 30, 2023 subsequent to push-down accounting adjustments. As of July 1, 2023, Beth Israel Lahey Health (BILH) became the sole Member of Exeter Health Resources, Inc. (EHRI) which in turns serves as the grantor of the Exeter Health Resources Self-Insurance Trust and other affiliates of EHRI. The BILH audited financial statements also include the accounts of these entities for the last three months of the fiscal period covered by this filing. The Boston office of KPMG performs an annual audit and signs a consolidated financial statement audit of Beth Israel Lahey Health (BILH) and its affiliates. The Audit and Compliance Committee of BILH's Board of Trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Beth Israel Deaconess Department of Orthopaedic Surgery Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>330 Brookline Ave</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Beth Israel Deaconess Department of Radiation Oncology Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>330 Brookline Ave</AddressLine1Txt>
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          <AddressLine1Txt>110 Francis St</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
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          <BusinessNameLine1Txt>Beth Israel Deaconess Hospital Milton Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>199 Reedsdale Rd</AddressLine1Txt>
          <CityNm>Milton</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02186</ZIPCd>
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          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>148 Chestnut St</AddressLine1Txt>
          <CityNm>Needham</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02492</ZIPCd>
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          <BusinessNameLine1Txt>Beth Israel Deaconess Hospital Plymouth Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>275 Sandwich St</AddressLine1Txt>
          <CityNm>Plymouth</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02360</ZIPCd>
        </USAddress>
        <EIN>222667354</EIN>
        <PrimaryActivitiesTxt>Hospital for the treatment, care and relief of sick and suffering persons</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>The operation of a world class academic medical center in Boston, MA</PrimaryActivitiesTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beth Israel Dermatology Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>330 Brookline Ave</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
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          <BusinessNameLine1Txt>Harvard Medical Physicians Beth Israel Medical Center</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Pharmacy Inc</BusinessNameLine1Txt>
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          <CityNm>Westwood</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02090</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>To operate a specialty pharmacy and 340B program for BIDMC</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Beth Israel Deaconess Medical Center</BusinessNameLine1Txt>
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          <ZIPCd>02215</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>Beverly</CityNm>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northeast Senior Health Corporation</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>5 Alumni Drive</AddressLine1Txt>
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          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        </USAddress>
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        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        <EIN>222674014</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>5 Alumni Drive</AddressLine1Txt>
          <CityNm>Exeter</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03833</ZIPCd>
        </USAddress>
        <EIN>020418718</EIN>
        <PrimaryActivitiesTxt>Real Estate Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Harvard Medical Faculty Physicians at BIDMC Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>375 Longwood Ave</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <EIN>222768204</EIN>
        <PrimaryActivitiesTxt>General and specialized medical services to the patients of BIDMC and others</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Deaconess Medical Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Health and Education Housing Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>199 Rosewood Drive</AddressLine1Txt>
          <CityNm>Danvers</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01923</ZIPCd>
        </USAddress>
        <EIN>223232914</EIN>
        <PrimaryActivitiesTxt>HUD Housing - Inactive</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northeast Behavioral Health Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Jordan Physician Associates Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>275 Sandwich St</AddressLine1Txt>
          <CityNm>Plymouth</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02360</ZIPCd>
        </USAddress>
        <EIN>043228556</EIN>
        <PrimaryActivitiesTxt>Outpatient and Primary Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Deaconess Hospital - Plymouth Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Joslin Clinic Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>One Joslin Place</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <EIN>222984590</EIN>
        <PrimaryActivitiesTxt>Prevention, treatment, and cure of diabetes</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Joslin Diabetes Center Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Joslin Diabetes Center Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>One Joslin Place</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <EIN>042203836</EIN>
        <PrimaryActivitiesTxt>Prevention, treatment, and cure of diabetes</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lahey Clinic Canadian Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>130 King St West</AddressLine1Txt>
          <CityNm>Toronto</CityNm>
          <ProvinceOrStateNm>Ontario</ProvinceOrStateNm>
          <CountryCd>CA</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Fundraising org</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CA</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lahey Clinic Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>529 Main St 4th Fl</AddressLine1Txt>
          <CityNm>Charlestown</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>042323457</EIN>
        <PrimaryActivitiesTxt>Financial &amp; operational support to LCI and LCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lahey Clinic Hospital Inc dba Lahey Hospital &amp; Medical Center and LMC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>529 Main St 4th Fl</AddressLine1Txt>
          <CityNm>Charlestown</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>042704686</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lahey Clinic Foundation Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lahey Clinic Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>529 Main St 4th Fl</AddressLine1Txt>
          <CityNm>Charlestown</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>042704683</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lahey Clinic Foundation Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lahey Health Shared Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>529 Main St 4th Fl</AddressLine1Txt>
          <CityNm>Charlestown</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>043178972</EIN>
        <PrimaryActivitiesTxt>Admin</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Longwood Medical Energy Collaborative Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>375 Longwood Ave</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <EIN>043476764</EIN>
        <PrimaryActivitiesTxt>Coordinate and provide strategic planning opp for HMS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Longwood Medical International Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>375 Longwood Ave</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <EIN>043208878</EIN>
        <PrimaryActivitiesTxt>Inactive Corporation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Harvard Medical Physicians Beth Israel Medical Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Med Care of Boston Mgmt Corp dba BILH Primary Care</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>464 Hillside Ave</AddressLine1Txt>
          <CityNm>Needham</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02494</ZIPCd>
        </USAddress>
        <EIN>042810972</EIN>
        <PrimaryActivitiesTxt>Outpatient, Primary Care and Specialty Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Primary Care</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mount Auburn Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>330 Mount Auburn St</AddressLine1Txt>
          <CityNm>Cambridge</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02138</ZIPCd>
        </USAddress>
        <EIN>042103606</EIN>
        <PrimaryActivitiesTxt>Hospital for the treatment, care and relief of sick and suffering persons</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mount Auburn Professional Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>330 Mount Auburn St</AddressLine1Txt>
          <CityNm>Cambridge</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02138</ZIPCd>
        </USAddress>
        <EIN>043026897</EIN>
        <PrimaryActivitiesTxt>Offering medical care in general and specialized practices</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Mount Auburn Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>New England Baptist Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>125 Parker Hill Ave</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02120</ZIPCd>
        </USAddress>
        <EIN>042103612</EIN>
        <PrimaryActivitiesTxt>Orthopedic specialty hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>New England Baptist Medical Associates Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>125 Parker Hill Ave</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02120</ZIPCd>
        </USAddress>
        <EIN>043235796</EIN>
        <PrimaryActivitiesTxt>Outpatient medical services to the various communities serviced by NEBH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>New England Baptist Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northeast Behavioral Health Corporation dba BILH Behavioral Health Service</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>199 Rosewood Drive</AddressLine1Txt>
          <CityNm>Danvers</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01923</ZIPCd>
        </USAddress>
        <EIN>042777145</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northeast Health Systems Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>85 Herrick St</AddressLine1Txt>
          <CityNm>Beverly</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
        </USAddress>
        <EIN>043240453</EIN>
        <PrimaryActivitiesTxt>Financial &amp; operational support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12b, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lahey Health Shared Services Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northeast Hospital Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>85 Herrick St</AddressLine1Txt>
          <CityNm>Beverly</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
        </USAddress>
        <EIN>042121317</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beth Israel Lahey Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northeast Medical Practice Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>85 Herrick St</AddressLine1Txt>
          <CityNm>Beverly</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
        </USAddress>
        <EIN>043201853</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northeast Hospital Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northeast Professional Registry of Nurses Inc dba BILH at Home</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Cummings Center</AddressLine1Txt>
          <CityNm>Beverly</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
        </USAddress>
        <EIN>201287349</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northeast Senior Health Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northeast Senior Health Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>85 Herrick St</AddressLine1Txt>
          <CityNm>Beverly</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
        </USAddress>
        <EIN>042731137</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lahey Health Shared Services Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rockingham Visiting Nurse Association and Hospice</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Alumni Drive</AddressLine1Txt>
          <CityNm>Exeter</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03833</ZIPCd>
        </USAddress>
        <EIN>020274905</EIN>
        <PrimaryActivitiesTxt>Home Care &amp; Hospice</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Exeter Health Resources Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Seacoast Affiliated Group Practice Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>25 Highland Ave</AddressLine1Txt>
          <CityNm>Newburyport</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
        </USAddress>
        <EIN>043485648</EIN>
        <PrimaryActivitiesTxt>Physician Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Anna Jaques Hospital Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Seacoast Nursing and Rehabilitation Center Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 Washington St</AddressLine1Txt>
          <CityNm>Gloucester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01930</ZIPCd>
        </USAddress>
        <EIN>041305001</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lahey Health Shared Services Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Jordan Health Systems Inc</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
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      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        <OtherOrganizationName>
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</Return>