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        <ReportableCompFromOrgAmt>228288</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9246</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1676780</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>234972</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SYSTEM INCHEALTHCARE FINANCIAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>83 PINE STREET</AddressLine1Txt>
            <CityNm>PEABODY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01960</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INSURANCE &amp; PATIENT BILLING</ServicesDesc>
        <CompensationAmt>358522</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STANDARD PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>387 QUARRY STREET</AddressLine1Txt>
            <CityNm>FALL RIVER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02723</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B PHARMACY PROGRAM</ServicesDesc>
        <CompensationAmt>211111</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PACIFIC INTERPRETERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 204313</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERPRETING SERVICES</ServicesDesc>
        <CompensationAmt>121196</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7836399</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>808521</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2402652</NoncashContributionsAmt>
      <TotalContributionsAmt>8644920</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>10419839</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10419839</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1793265</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1793265</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD-PARTY PAYORS AND OTHER</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>810589</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>810589</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>401900</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>401900</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>264741</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>264741</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13690334</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>30540</TotalRevenueColumnAmt>
        <ExclusionAmt>30540</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>88479</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>165189</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-76710</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-76710</TotalRevenueColumnAmt>
        <ExclusionAmt>-76710</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>54265</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54265</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>54265</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>22343349</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13744599</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-46170</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>903330</TotalAmt>
        <ProgramServicesAmt>903330</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>2402652</TotalAmt>
        <ProgramServicesAmt>2402652</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>917475</TotalAmt>
        <ProgramServicesAmt>758303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159172</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9463268</TotalAmt>
        <ProgramServicesAmt>7904204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1559064</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>71228</TotalAmt>
        <ProgramServicesAmt>56247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14981</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1136289</TotalAmt>
        <ProgramServicesAmt>897304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238985</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>848091</TotalAmt>
        <ProgramServicesAmt>698506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149585</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>22011</TotalAmt>
        <ManagementAndGeneralAmt>22011</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>67025</TotalAmt>
        <ManagementAndGeneralAmt>67025</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>3612</TotalAmt>
        <ManagementAndGeneralAmt>3612</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>820852</TotalAmt>
        <ProgramServicesAmt>708214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112638</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>72090</TotalAmt>
        <ManagementAndGeneralAmt>72090</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>108925</TotalAmt>
        <ProgramServicesAmt>13982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94943</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>984855</TotalAmt>
        <ProgramServicesAmt>580458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>404397</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>382986</TotalAmt>
        <ProgramServicesAmt>73359</ProgramServicesAmt>
        <ManagementAndGeneralAmt>309627</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>3799</TotalAmt>
        <ProgramServicesAmt>2966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>833</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>103303</TotalAmt>
        <ProgramServicesAmt>27303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76000</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>43204</TotalAmt>
        <ManagementAndGeneralAmt>43204</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>640637</TotalAmt>
        <ProgramServicesAmt>334103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306534</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>101893</TotalAmt>
        <ProgramServicesAmt>38451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63442</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES &amp; MATE</Desc>
        <TotalAmt>2117170</TotalAmt>
        <ProgramServicesAmt>2117170</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>340B FEES</Desc>
        <TotalAmt>231780</TotalAmt>
        <ProgramServicesAmt>231780</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>124901</TotalAmt>
        <ProgramServicesAmt>36039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88862</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STAFF RECRUITING</Desc>
        <TotalAmt>90050</TotalAmt>
        <ProgramServicesAmt>90050</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>349988</TotalAmt>
        <ProgramServicesAmt>116269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222016</ManagementAndGeneralAmt>
        <FundraisingAmt>11703</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>22011414</TotalAmt>
        <ProgramServicesAmt>17990690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4009021</ManagementAndGeneralAmt>
        <FundraisingAmt>11703</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>254607</BOYAmt>
        <EOYAmt>376753</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4267143</BOYAmt>
        <EOYAmt>2713698</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>316740</BOYAmt>
        <EOYAmt>717188</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1588839</BOYAmt>
        <EOYAmt>2272072</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>37987</BOYAmt>
        <EOYAmt>48149</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>154523</BOYAmt>
        <EOYAmt>93879</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>17711498</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6854420</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10634917</BOYAmt>
        <EOYAmt>10857078</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>943335</BOYAmt>
        <EOYAmt>1064508</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>18198091</BOYAmt>
        <EOYAmt>18143325</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1531273</BOYAmt>
        <EOYAmt>1543161</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1130574</BOYAmt>
        <EOYAmt>828499</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>833353</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>182045</BOYAmt>
        <EOYAmt>172066</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>3377079</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>14380120</BOYAmt>
        <EOYAmt>14766246</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14380120</BOYAmt>
        <EOYAmt>14766246</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18198091</BOYAmt>
        <EOYAmt>18143325</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>331935</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>54191</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>6179943</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9992363</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9164755</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10476905</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8644920</CurrentTaxYearAmt>
        <TotalAmt>44458886</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>8696654</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9067265</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10732094</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11384246</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13690334</CurrentTaxYearAmt>
        <TotalAmt>53570593</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>14876597</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19059628</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19896849</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21861151</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22335254</CurrentTaxYearAmt>
        <TotalAmt>98029479</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>98029479</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>107856</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>111936</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>121947</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>143883</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>119019</CurrentTaxYearAmt>
        <TotalAmt>604641</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>107856</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>111936</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>121947</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>143883</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>119019</CurrentTaxYearAmt>
        <TotalAmt>604641</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>41791</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>105375</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>233540</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>49584</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>54265</CurrentTaxYearAmt>
        <TotalAmt>484555</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>15026244</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19276939</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20252336</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22054618</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22508538</CurrentTaxYearAmt>
        <TotalAmt>99118675</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98900</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98850</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00610</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00650</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2019 AMOUNT: $ 41,791. 2020 AMOUNT: $ 62,875. 2021 AMOUNT: $ 191,040. 2022 AMOUNT: $ 49,584. 2023 AMOUNT: $ 54,265. EHS INCENTIVE - 2020 AMOUNT: $ 42,500. 2021 AMOUNT: $ 42,500.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>311609</OtherCostOrOtherBasisAmt>
        <BookValueAmt>311609</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13286475</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3779591</DepreciationAmt>
        <BookValueAmt>9506884</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4113414</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3074829</DepreciationAmt>
        <BookValueAmt>1038585</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>10857078</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FEDERAL FUNDS PAYABLE TO SUBRECIPIENTS</Desc>
        <Amt>172066</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>172066</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>22559117</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>54191</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>54191</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>22504926</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>3612</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-165189</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-161577</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>22343349</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22172991</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>165189</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>165189</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>22007802</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>3612</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>3612</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>22011414</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF JUNE 30, 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2021 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -165,189.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 165,189.</ExplanationTxt>
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          <CityNm>FALL RIVER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>TO SUPPORT THE ORGANIZATION'S MISSION.</PurposeOfGrantTxt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FOOD VOUCHERS</NonCashAssistanceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, GRANT TO ORGANIZATIONS: THE ORGANIZATION RECEIVE PASS-THROUGH GRANT FOR FAMILY CARE CENTER AT SSTAR FROM HRSA. THE ORGANIZATION USES HRSA GUIDELINES TO MONITOR THE USE OF FUNDING. PART III, WIC VOUCHERS: THE ORGANIZATION USES MONTHLY INCOME VERIFICATIONS REPORT TO CONDUCT QUALITY ASSURANCE ON INCOME CAPTURED AT (RE)CERTIFICATION, BY IDENTIFYING WIC PARTICIPANTS WHO HAD A (RE)CERTIFICATION IN THE PREVIOUS MONTH TO ENSURE INCOME VERIFICATIONS ARE COMPLIANT.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>309559</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <PersonNm>JULIA ALMOND</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237534</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235834</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>204768</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <ExplanationTxt>THE COMPLETE FORM 990 IS PROVIDED TO THE MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH EMPLOYEE SUPERVISION. THE BOARD OF DIRECTORS ARE REQUIRED ANNUALLY TO SIGN THE COI POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING BOARD DETERMINES AND APPROVES THE COMPENSATION OF THE CEO AND OTHER OFFICERS THROUGH USE OF THE ANNUAL NATIONAL TRADE ASSOCIATION SALARY SURVEY BY REGIONAL COST AS A GUIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>