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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER D CABRAL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE DUNN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRIMO AJ FONTANA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT GOEBEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW DREW R KNOWLAND JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE MARTIGNETTI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC TJONAHEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA BASS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTINE BIAGIOTTI-BRIDGES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER MCDONOUGH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JILL MCNAMARA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELE NORMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT FRANKS</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>517512</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41182</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD VOCCIO</PersonNm>
        <TitleTxt>VP OF FINANCE (UNTIL 6/16/2023)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>188645</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12967</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER TICE</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>113923</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8894</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL CHERON</PersonNm>
        <TitleTxt>VP OF CLINICAL PROGRAMS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>161039</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30979</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA MINASSIAN</PersonNm>
        <TitleTxt>VP OF ADMIN &amp; OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>157845</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32465</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY LYON</PersonNm>
        <TitleTxt>VP OF INNOVATION AND EXTERNAL AFFAIRS/SENIOR DIVER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>160349</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>133</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON POLASEK</PersonNm>
        <TitleTxt>VP OF ADVANCEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>152820</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6458</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCIA RAVECH</PersonNm>
        <TitleTxt>SENIOR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>145043</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24694</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1597176</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>157772</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>35</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARTIGNETTI CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>304 CAMBRIDGE ROAD 420</AddressLine1Txt>
            <CityNm>WOBURN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>953178</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GO LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2074 PARK ST SUITE 307</AddressLine1Txt>
            <CityNm>HARTFORD</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>WEBSITE/MEDIA SUPPORT</ServicesDesc>
        <CompensationAmt>191475</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TAMAR AXELRAD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10 OCEAN AVE 309</AddressLine1Txt>
            <CityNm>REVERE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02151</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECRUITER SERVICES</ServicesDesc>
        <CompensationAmt>185710</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RSM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>331 WEST 3RD ST SUITE 200</AddressLine1Txt>
            <CityNm>DAVENPORT</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT/IT SERVICES</ServicesDesc>
        <CompensationAmt>154156</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASSOCIATED INDUSTRIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE BEACON STREET 16TH FLOOR</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02108</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HR SUPPORT</ServicesDesc>
        <CompensationAmt>137231</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>267919</FundraisingAmt>
      <GovernmentGrantsAmt>24194031</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>736693</AllOtherContributionsAmt>
      <NoncashContributionsAmt>83755</NoncashContributionsAmt>
      <TotalContributionsAmt>25198643</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624190</BusinessCd>
        <TotalRevenueColumnAmt>1260478</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1260478</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1260478</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>199805</TotalRevenueColumnAmt>
        <ExclusionAmt>199805</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1813549</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1806548</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>7001</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>7001</TotalRevenueColumnAmt>
        <ExclusionAmt>7001</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>27000</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>267919</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>172667</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-145667</TotalRevenueColumnAmt>
        <ExclusionAmt>-145667</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>195744</TotalRevenueColumnAmt>
        <ExclusionAmt>195744</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TRAC INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15586</TotalRevenueColumnAmt>
        <ExclusionAmt>15586</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>211330</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26731590</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1260478</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>272469</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>906199</TotalAmt>
        <ProgramServicesAmt>32562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>873637</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>17136974</TotalAmt>
        <ProgramServicesAmt>15632181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1135450</ManagementAndGeneralAmt>
        <FundraisingAmt>369343</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>678766</TotalAmt>
        <ProgramServicesAmt>662890</ProgramServicesAmt>
        <FundraisingAmt>15876</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1729368</TotalAmt>
        <ProgramServicesAmt>1645409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44935</ManagementAndGeneralAmt>
        <FundraisingAmt>39024</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1353391</TotalAmt>
        <ProgramServicesAmt>1265103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58300</ManagementAndGeneralAmt>
        <FundraisingAmt>29988</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>104837</TotalAmt>
        <ProgramServicesAmt>18785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80239</ManagementAndGeneralAmt>
        <FundraisingAmt>5813</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>105056</TotalAmt>
        <ManagementAndGeneralAmt>105056</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>99375</TotalAmt>
        <FundraisingAmt>99375</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>49078</TotalAmt>
        <ManagementAndGeneralAmt>49078</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2399439</TotalAmt>
        <ProgramServicesAmt>1651852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>589341</ManagementAndGeneralAmt>
        <FundraisingAmt>158246</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1101179</TotalAmt>
        <ProgramServicesAmt>978930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113186</ManagementAndGeneralAmt>
        <FundraisingAmt>9063</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>1984137</TotalAmt>
        <ProgramServicesAmt>1814565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147283</ManagementAndGeneralAmt>
        <FundraisingAmt>22289</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>319484</TotalAmt>
        <ProgramServicesAmt>293431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22692</ManagementAndGeneralAmt>
        <FundraisingAmt>3361</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>181682</TotalAmt>
        <ProgramServicesAmt>151910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29772</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1079951</TotalAmt>
        <ProgramServicesAmt>928234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139396</ManagementAndGeneralAmt>
        <FundraisingAmt>12321</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>272573</TotalAmt>
        <ProgramServicesAmt>98269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173144</ManagementAndGeneralAmt>
        <FundraisingAmt>1160</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>372730</TotalAmt>
        <ProgramServicesAmt>235783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119887</ManagementAndGeneralAmt>
        <FundraisingAmt>17060</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT PURCHASES AND</Desc>
        <TotalAmt>163137</TotalAmt>
        <ProgramServicesAmt>153764</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8936</ManagementAndGeneralAmt>
        <FundraisingAmt>437</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>30037356</TotalAmt>
        <ProgramServicesAmt>25563668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3690332</ManagementAndGeneralAmt>
        <FundraisingAmt>783356</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1067818</BOYAmt>
        <EOYAmt>1866924</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>92006</BOYAmt>
        <EOYAmt>93160</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>197782</BOYAmt>
        <EOYAmt>104562</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6483351</BOYAmt>
        <EOYAmt>5815369</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>160537</BOYAmt>
        <EOYAmt>119109</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>32529469</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13950007</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>17026317</BOYAmt>
        <EOYAmt>18579462</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7478621</BOYAmt>
        <EOYAmt>6778027</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>92110</BOYAmt>
        <EOYAmt>592747</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>13412358</BOYAmt>
        <EOYAmt>12103066</EOYAmt>
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      <SupplementalInformationDetail>
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        <TotalCompensationFilingOrgAmt>169737</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY LYON</PersonNm>
        <TitleTxt>VP OF INNOVATION AND EXTERNAL AFFAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>155349</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>133</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160482</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON POLASEK</PersonNm>
        <TitleTxt>VP OF ADVANCEMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>148820</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6458</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159278</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT AND CEO RECEIVED TWO BONUS PAYMENTS IN CALENDAR YEAR 2022. THE FIRST BONUS PAYMENT TOTALING $30,993 WAS PERFORMANCE BASED AND DETERMINED BASED ON HIS PEFORMANCE AND UNDER THE DESCRETION OF THE BOARD MEMBERS OF THE EXECUTIVE COMMITTEE. IT WAS PAID IN SEPTEMBER 2022. THE SECOND BONUS TOTALING $144,007 WAS RETENTION BASED. ROBERT P. FRANKS PH. D., PRESIDENT AND CEO PARTICIPATES IN A BONUS RETENTION PROGRAM ESTABLISHED BY JBCC WHERE JBCC SHALL PAY THE CEO BEGINNING AUGUST 1, 2020 AND ANNUALLY EACH AUGUST 1ST ENDING SEPTEMBER 30, 2024. THIS BONUS PAYMENT IS CONDITIONED ON THE CEO'S CONTINUED EMPLOYMENT. A GROSSED UP BONUS PAYMENT AMOUNT OF $44,560 WAS PAID IN SEPTEMBER 2022 AND IT IS REPORTED IN SCHEDULE J, PART II, COLUMN B(II).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ROBERT FRANKS, CEO, PARTICIPATES IN A BONUS RETENTION PROGRAM ESTABLISHED BY JBCC WHERE JBCC SHALL PAY THE CEO BEGINNING AUGUST 1, 2020 AND ANNUALLY EACH AUGUST 1 ENDING SEPTEMBER 30, 2024, A GROSS UP AMOUNT OF AROUND $32,100. BONUS PAYMENT IS CONDITIONED ON THE CEO'S CONTINUED EMPLOYMENT. A BONUS OF $44,560 WAS PAID IN SEPTEMBER 2022 AND IT IS REPORTED IN SCH. J, PART II, COLUMN B(II).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S EMPLOYMENT AGREEMENT ENTITLES HIM TO AN INCENTIVE BONUS OF 5% OF NON-BUDGETED ANNUAL REVENUE FROM GRANTS OR CONTRACTS RECEIVED BY JBCC. THE AMOUNT IS INCLUDED IN PART II, B(II).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BONUS FOR THE CEO WAS DETERMINED BASED ON HIS PERFORMANCE AND UNDER THE DISCRETION OF THE BOARD MEMBERS OF THE EXECUTIVE COMMITTEE. THE BONUS FOR THE VP OF POLICY &amp; PRACTICE &amp; CMO, VP OF CLINICAL PROGRAMS, VP FINANCE, PRINCIPAL OF THE MANVILLE SCHOOL, AND DIRECTOR OF THE EMERGENCY LINE WERE BASED ON THE INDIVIDUALS REACHING AGREED UPON PROGRAM GOALS FOR FISCAL YEAR 2023 UNDER THE DISCRETION OF MANAGEMENT OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MARTIGNETTI CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>A CURRENT BOARD MEMBER IS THE MANAGER OF MARTIGNETTI CONSTRUCTION</RelationshipDescriptionTxt>
        <TransactionAmt>953178</TransactionAmt>
        <TransactionDesc>JOE MARTIGNETTI IS A CURRENT BOARD MEMBER AND IS ALSO THE MANAGER OF MARTIGNETTI CONSTRUCTION, LLC WHO THE BAKER CENTER CONTRACTED FOR AN OFFICE LOCATION BUILDOUT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>18</ContributionCnt>
        <NoncashContributionsRptF990Amt>2792</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PRIZES AND GIFTS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>80963</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>RETAIL VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT WORKS WITH AN OUTSIDE ACCOUNTING FIRM TO PREPARE AND FILE THE FORM 990. THE VICE PRESIDENT OF FINANCE REVIEWS THE ENTIRE DRAFT RETURN IN DETAIL AND PROVIDES COMMENTARY FOR ANY EDITS. THE FINAL DRAFT IS THEN REVIEWED BY THE VICE PRESIDENT OF FINANCE WITH THE FINANCE COMMITTEE. ONCE THE RETURN IS ENDORSED AND APPROVED BY THE FINANCE COMMITTEE, AN ELECTRONIC COPY OF THE FORM 990 IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNANCE &amp; NOMINATING COMMITTEE IS RESPONSIBLE FOR REGULARLY AND CONSISTENTLY MONITORING THE POLICY. EACH TRUSTEE, OFFICER, AND SENIOR EMPLOYEE (SENIOR EMPLOYEE DEFINED AS AN EMPLOYEE WITH SIGNING AUTHORITY) FILLS OUT A DETAILED ANNUAL DISCLOSURE FORM WHICH IS REVIEWED BY THE GOVERNANCE &amp; NOMINATING COMMITTEE. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE COMMITTEE AND BOARD CHAIR AND BROUGHT BEFORE THE FULL BOARD OF TRUSTEES, IF IT IS DETERMINED THAT A CONFLICT EXISTS. AT BOARD OF TRUSTEES MEETINGS, IF A TRUSTEE IS IDENTIFIED AS HAVING A CONFLICT ON A PARTICULAR TRANSACTION AND/OR VOTE, THE PERSON WITH A CONFLICT RECUSES HIMSELF OR HERSELF FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION AND/OR VOTE IN QUESTION. THE CONFLICT REVIEW COMMITTEE REVIEWS, AND WILL MAKE A DETERMINATION REGARDING, ANY POTENTIAL CONFLICTS OF EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FUNCTIONS AS THE COMPENSATION COMMITTEE, AND IS CHARGED WITH SETTING THE COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THE SAFE HARBOR PROVISIONS OF TREASURY REGULATION 53.4958-6. THE COMMITTEE MAKES USE OF MULTIPLE PUBLISHED COMPARABILITY DATA SOURCES. COMPENSATION FOR OTHER POSITIONS WITHIN THE ORGANIZATION IS ESTABLISHED BY THE HIRING MANAGER. IN CONSULTATION WITH THE DIRECTOR OF HUMAN RESOURCES AND THE VICE PRESIDENT OF FINANCE/CFO, USING MULTIPLE PUBLISHED COMPARABILITY DATA SOURCES AS WELL AS CURRENT INFORMATION FROM COMPARABLE COMMUNITY SOURCES. SENIOR LEADERSHIP SALARIES ARE DETERMINED AND APPROVED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER USING MULTIPLE PUBLISHED COMPARABILITY DATA SOURCES AS WELL AS CURRENT INFORMATION FROM COMPARABLE COMMUNITY SOURCES. THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTS AND KEEPS RECORDS OF ALL THE COMPENSATION DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE SET FORTH IN SECTION 6104(D). IN ADDITION, THE FORM 990 WITHOUT SCHEDULE B IS MADE AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
