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        <ManagementAndGeneralAmt>47500</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2252</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>538774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>67336</TotalAmt>
        <ProgramServicesAmt>32923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34413</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>610340</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>314347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50076</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1881823</TotalAmt>
        <ProgramServicesAmt>1878986</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>748939</TotalAmt>
        <ProgramServicesAmt>748939</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>195825</TotalAmt>
        <ProgramServicesAmt>131156</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL &amp; MAIN</Desc>
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        <ProgramServicesAmt>147141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28337</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>76899</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>23619889</ProgramServicesAmt>
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        <EOYAmt>6036217</EOYAmt>
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        <EOYAmt>188476</EOYAmt>
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        <EOYAmt>3283577</EOYAmt>
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        <EOYAmt>21306963</EOYAmt>
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        <EOYAmt>929568</EOYAmt>
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        <EOYAmt>3429686</EOYAmt>
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        <EOYAmt>4359254</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>150695</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>15912266</BOYAmt>
        <EOYAmt>16947709</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>21306963</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1035443</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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        <CurrentTaxYearMinus1YearAmt>11399498</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10766434</CurrentTaxYearAmt>
        <TotalAmt>53291049</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>23374</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4417</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>87984</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>270722</CurrentTaxYearAmt>
        <TotalAmt>393092</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>64560191</GrossReceiptsRltdActivitiesAmt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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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        <EndYearBalanceAmt>150695</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <EndYearBalanceAmt>150695</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>150695</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>150695</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>150695</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>150695</EndYearBalanceAmt>
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        <EndYearBalanceAmt>150695</EndYearBalanceAmt>
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      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>54500</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1220293</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>957839</DepreciationAmt>
        <BookValueAmt>262454</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>5505043</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>43862</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSET - OPERATING</Desc>
        <BookValueAmt>3119654</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM MGH/PHS</Desc>
        <BookValueAmt>120061</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CONDITIONAL GRANT LIABILITY</Desc>
        <Amt>310032</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>3119654</Amt>
      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>27903857</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>716104</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>716104</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>27187753</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>27187753</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>26868414</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>716104</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>716104</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>26152310</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>26152310</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY 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 AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT SEPTEMBER 30, 2024. THE AGENCY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY USES THE EARNINGS ON ITS ENDOWMENT TO SUPPORT PEDIATRIC CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VINCENZO SCIBELLI</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN FOSTER MD</PersonNm>
        <TitleTxt>CMO (UNTIL 1/2024)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL LEONARD</PersonNm>
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        <PersonNm>KRISTEN SIMONELLI</PersonNm>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WAS CIRCULATED TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE WILL APPROVE ON BEHALF OF THE BOARD BEFORE FILING AND PRESENT THE RETURN TO THE FULL BOARD AT THE AUGUST BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, SENIOR MANAGERS, AS WELL AS PHYSICIANS, ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY UPON BEING HIRED AND ANNUALLY. THE CONFLICT OF INTEREST POLICY IS MANAGED, TRACKED, AND RECONCILED UNDER DIRECTION OF THE COO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINED THE SALARY FOR MANAGEMENT POSITIONS TO BE IN PARITY WITH COMPARABLE HEALTH CENTER SALARY RANGES. SALARIES ARE REVIEWED AND APPROVED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AGENCY'S TAX RETURNS ARE AVAILABLE THROUGH WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>