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        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHISH COWLAGI</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER BARTHOLOMEW</PersonNm>
        <TitleTxt>FINANCIAL SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>644622</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1925990</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>155725</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLAY AND ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>560 FOX HILL RD</AddressLine1Txt>
            <CityNm>CHATHAM</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02633</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>264030</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LYDIAS ANGELS AT HOME</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>499 MECHANIC STREET</AddressLine1Txt>
            <CityNm>LEOMINSTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01453</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>262847</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>18108686</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18108686</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18108686</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>66157</TotalRevenueColumnAmt>
        <ExclusionAmt>66157</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>416853</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>390387</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>26466</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PURCHASE DISCOUNTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16054</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16054</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TELEPHONE &amp; TV</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14496</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14496</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>447403</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18622246</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18529623</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>92623</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8919490</TotalAmt>
        <ProgramServicesAmt>7446658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1472832</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>50419</TotalAmt>
        <ProgramServicesAmt>42093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8326</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>507616</TotalAmt>
        <ProgramServicesAmt>423796</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83820</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>710558</TotalAmt>
        <ProgramServicesAmt>593227</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117331</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>1002843</TotalAmt>
        <ProgramServicesAmt>597744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>405099</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>68435</TotalAmt>
        <ManagementAndGeneralAmt>68435</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>32428</TotalAmt>
        <ManagementAndGeneralAmt>32428</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>184501</TotalAmt>
        <ProgramServicesAmt>150904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33597</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>56026</TotalAmt>
        <ProgramServicesAmt>52305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3721</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>75654</TotalAmt>
        <ProgramServicesAmt>70464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5190</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>397536</TotalAmt>
        <ProgramServicesAmt>370265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27271</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>1656</TotalAmt>
        <ProgramServicesAmt>1656</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>6303</TotalAmt>
        <ProgramServicesAmt>6303</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1040823</TotalAmt>
        <ProgramServicesAmt>969471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71352</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>961200</TotalAmt>
        <ProgramServicesAmt>865290</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95910</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>302937</TotalAmt>
        <ProgramServicesAmt>282200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20737</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAID USER FEES</Desc>
        <TotalAmt>892058</TotalAmt>
        <ProgramServicesAmt>892058</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>665847</TotalAmt>
        <ProgramServicesAmt>665847</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ANCILLARY EXPENSES</Desc>
        <TotalAmt>475033</TotalAmt>
        <ProgramServicesAmt>475033</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RAW FOOD EXPENSES</Desc>
        <TotalAmt>382757</TotalAmt>
        <ProgramServicesAmt>382757</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>579783</TotalAmt>
        <ProgramServicesAmt>516600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63183</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>17313903</TotalAmt>
        <ProgramServicesAmt>14804671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2509232</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1687303</BOYAmt>
        <EOYAmt>933864</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2253136</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>144778</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>29585491</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2641504</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>27681426</BOYAmt>
        <EOYAmt>26943987</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>193356</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>1629982</BOYAmt>
        <EOYAmt>2369263</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>32838384</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1805463</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>23441465</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1642566</BOYAmt>
        <EOYAmt>35795</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>27425557</BOYAmt>
        <EOYAmt>25282723</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6247318</BOYAmt>
        <EOYAmt>7555661</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6247318</BOYAmt>
        <EOYAmt>7555661</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>33672875</BOYAmt>
        <EOYAmt>32838384</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1308343</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>706367</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>272497</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1055063</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>2033927</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus3YearsAmt>13057052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14505385</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16194786</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18108686</CurrentTaxYearAmt>
        <TotalAmt>61865909</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus3YearsAmt>13763419</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14777882</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17249849</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18108686</CurrentTaxYearAmt>
        <TotalAmt>63899836</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>63899836</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>2205</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>72626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>71231</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>66157</CurrentTaxYearAmt>
        <TotalAmt>212219</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus3YearsAmt>2205</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>72626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>71231</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>66157</CurrentTaxYearAmt>
        <TotalAmt>212219</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>611143</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>424543</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>447403</CurrentTaxYearAmt>
        <TotalAmt>1886526</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>15461651</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17745623</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18622246</CurrentTaxYearAmt>
        <TotalAmt>65998581</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.96820</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.96650</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00320</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00310</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2021 AMOUNT: $ 364,602. 2022 AMOUNT: $ 571,588. 2023 AMOUNT: $ 382,418. 2024 AMOUNT: $ 416,853. PURCHASE DISCOUNTS - 2021 AMOUNT: $ 23,437. 2022 AMOUNT: $ 23,014. 2023 AMOUNT: $ 17,537. 2024 AMOUNT: $ 16,054. TELEPHONE TV - 2021 AMOUNT: $ 15,398. 2022 AMOUNT: $ 16,541. 2023 AMOUNT: $ 17,475. 2024 AMOUNT: $ 14,496. BAD DEBT RECOVERY - 2023 AMOUNT: $ 7,113.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>4503936</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4503936</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>21494416</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>512037</DepreciationAmt>
        <BookValueAmt>932200</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>634</DepreciationAmt>
        <BookValueAmt>13435</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>26943987</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BOND ESCROW FUNDS</Desc>
        <BookValueAmt>2279864</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>58780</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>30619</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2369263</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>81</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTIES</Desc>
        <Amt>35714</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>35795</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL THE MEMBERS OF THE ORGANIZATION ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND APPLICABLE STATE CODES. ACCORDINGLY, NO PROVISIONS FOR FEDERAL OR STATE INCOME TAXES HAVE BEEN MADE. ADDITIONALLY, THE ORGANIZATION QUALIFIES FOR CHARITABLE CONTRIBUTION DEDUCTIONS UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA BOVILL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>511486</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>190500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8441</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>31000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11601</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>753028</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTINE HANSCOM</PersonNm>
        <TitleTxt>EXECUTIVE VP/CFO/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>288620</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>30000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4588</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>CHRISTINE TAPPAN</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>245850</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>BRENNA SCHNEIDER</PersonNm>
        <TitleTxt>CHIEF OR SOCIAL INNOVATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3756</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>17539</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>200183</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL HALSTEAD</PersonNm>
        <TitleTxt>CHIEF TECHNOLOGY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>173320</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>RUTH MAENZANISE</PersonNm>
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        <TotalCompensationFilingOrgAmt>161446</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ASCENTRIA CARE ALLIANCE, INC. (ACA) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED AND PAID BY ACA. THE CEO OF ACA IS THE PRINCIPAL REPRESENTATIVE OF ASCENTRIA CARE ALLIANCE, INCLUDING ITS AFFILIATES AND SUBSIDIARIES, AND IS THE PERSON RESPONSIBLE FOR THE EFFICIENT OPERATION OF THE ACA, ITS AFFILIATES, AND ITS SUBSIDIARIES. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF ACA ANNUALLY EVALUATES THE CEO ON HIS/HER PERFORMANCE. THE CHAIR OF ACA'S BOARD OF DIRECTORS, AN UNCOMPENSATED VOLUNTEER, IS THE CHAIR OF THE EXECUTIVE COMMITTEE AND IS INDEPENDENT WITHOUT UNDUE INFLUENCE FROM THE CEO. THE EXECUTIVE COMMITTEE WILL OBTAIN RESEARCH TO MAKE A RECOMMENDATION FOR THE COMPENSATION OF THE CEO. A REVIEW OF COMPARABILITY DATA MAY INCLUDE THE FOLLOWING: COMPENSATION STUDIES BY INDEPENDENT SOURCES, WRITTEN JOB OFFERS FOR POSITIONS AT SIMILAR ORGANIZATIONS, DOCUMENTED PHONE CALLS ABOUT SIMILAR CEO POSITIONS, AND INFORMATION OBTAINED FROM THE IRS FORM 990 FILINGS OF SIMILAR ORGANIZATIONS. THE EXECUTIVE COMMITTEE WILL DOCUMENT ITS DECISIONS IN THE MINUTES OF THE MEETING. THE DOCUMENTATION OF THE CEO'S COMPENSATION INCLUDES: A DISCUSSION OF THE CEO'S RESPONSIBILITIES; ANNUAL PERFORMANCE REVIEW; DESCRIPTION OF THE COMPENSATION, BENEFITS, AND APPROVAL DATE; LIST OF COMMITTEE MEMBERS PRESENT DURING THE DISCUSSION; ACTIONS TAKEN WITH RESPECT TO ANY CONFLICTS OF INTEREST BY ANY MEMBER WITH RESPECT TO THE DECISION ON THE COMPENSATION; AND A RECORD OF THE RESULT OF THE COMPENSATION VOTE.</ExplanationTxt>
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          <BusinessNameLine1Txt>MASSACHUSETTS DEVELOPMENT FINANCE AGENCY</BusinessNameLine1Txt>
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        <BondIssuerEIN>043431814</BondIssuerEIN>
        <CUSIPNum>57584YQ51</CUSIPNum>
        <BondIssuedDt>2021-07-15</BondIssuedDt>
        <IssuePriceAmt>62091558</IssuePriceAmt>
        <PurposeDesc>BUILDING CONSTRUCTION AND REFUNDING SERIES 2015 BONDS</PurposeDesc>
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        <BondReferenceCd>A</BondReferenceCd>
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        <TotalProceedsAmt>24836623</TotalProceedsAmt>
        <InReserveFundAmt>1407200</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>494860</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>12616194</CapitalExpendituresAmt>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <BondReferenceCd>A</BondReferenceCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF SIX PERSONS, INCLUDING THE CHAIRPERSON, VICE CHAIRPERSON, FINANCIAL SECRETARY AND SECRETARY OF THE BOARD OF DIRECTORS, AND THE PRESIDENT/CEO OF LSSNE (OR THAT DIRECTOR WHO IS HIS OR HER DESIGNEE). THE EXECUTIVE COMMITTEE SHALL BE EMPOWERED TO ACT ON BEHALF OF THE ENTIRE BOARD OF DIRECTORS ON MATTERS THAT REQUIRE ATTENTION AT TIMES WHEN A REGULAR OR SPECIAL MEETING CANNOT BE CALLED. HOWEVER, THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO CHANGE THE LOCATION OF THE CORPORATION, AMEND THE BY-LAWS, ELECT OFFICERS OR DIRECTORS TO FILL VACANCIES, REMOVE OFFICERS OR DIRECTORS, OR AUTHORIZE A MERGER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS ANGELA BOVILL, KRISTINE HANSCOM, NICHOLAS RUSSO, TARA BROWNE, NICHOLAS SOUSA, BRENNA SCHNEIDER, CHRISTINE TAPPAN, AND PAUL HALSTEAD HAVE A BUSINESS RELATIONSHIP WITH ALL OF THE BOARD MEMBERS BECAUSE THESE OFFICERS ARE EMPLOYED BY A RELATED ORGANIZATION OF WHICH THE DIRECTORS ARE ALSO BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS ASCENTRIA CARE ALLIANCE, INC. (FKA LUTHERAN SOCIAL SERVICES OF NEW ENGLAND, INC.).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF ASCENTRIA CARE ALLIANCE, INC.'S GOVERNING BOARD ELECT ALL THE MEMBERS OF THIS ORGANIZATION'S GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRANSACTIONS SUBJECT TO MEMBER APPROVAL ARE ACQUISITIONS OF DEBT, SALE OF ASSETS, ANNUAL BUDGET, MERGERS AND BYLAW REVISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL MANAGEMENT WILL REVIEW THE FORM 990 WHEN IT IS COMPLETED. ASCENTRIA CARE ALLIANCE, INC.'S (ACA) AUDIT COMMITTEE PROVIDES SECONDARY REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS. THE COMPLETE FORM 990 IS POSTED TO THE BOARD INTRANET FOR REVIEW BY THE ACA FINANCE COMMITTEE AS WELL AS ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL THE MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY TO DISCLOSE ANY CONFLICTS. CONFLICTS ARE REVIEWED BY THE CEO AND THE GOVERNANCE COMMITTEE. BOARD MEMBERS WITH CONFLICTS ARE RESTRICTED ON VOTING ON ANY ACTIONS RELATED TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RELATED ORGANIZATIONS FILE UNDER GROUP EXEMPTION 6011 - DISCLOSURE NOT REQ</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
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</Return>