﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-10-30T10:07:08-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>043118719</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DONOVAN SULLIVAN &amp; RYAN CPA</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>ONE UNIVERSITY SUITE 2 A</AddressLine1Txt>
        <CityNm>WESTWOOD</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>020902179</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>042539723</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>LOWN CARDIOVASCULAR GROUP INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>LOWN</BusinessNameControlTxt>
      <PhoneNum>6177321318</PhoneNum>
      <USAddress>
        <AddressLine1Txt>830 BOYLSTON STREET SUITE 205</AddressLine1Txt>
        <CityNm>CHESTNUT HILL</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>02467</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>BRIAN Z BILCHIK MD</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; TREAS.</PersonTitleTxt>
      <PhoneNum>6177321318</PhoneNum>
      <SignatureDt>2024-05-07</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOHN F MARINO CPA</PreparerPersonNm>
      <PTIN>P00628063</PTIN>
      <PhoneNum>7813291690</PhoneNum>
      <PreparationDt>2024-10-30</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>BRIAN Z BILCHIK MD</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>830 BOYLSTON STREET</AddressLine1Txt>
        <AddressLine2Txt>SUITE 205</AddressLine2Txt>
        <CityNm>CHESTNUT HILL</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>02467</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2964070</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.LOWNGROUP.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2013</FormationYr>
      <LegalDomicileStateCd>MA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE ORGANIZATION'S PRIMARY MISSION IS THE UNDERSTANDING AND TREATMENT OF CARDIOVASCULAR DISEASE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>2</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>22</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>189000</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>32739</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2744194</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2931331</CYProgramServiceRevenueAmt>
      <CYInvestmentIncomeAmt>0</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2933194</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2964070</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>2060886</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2229922</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>2340</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1011973</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>920565</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3072859</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>3150487</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-139665</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-186417</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>2943219</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>2492873</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>974212</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>710283</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1969007</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1782590</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>THE ORGANIZATION'S PRIMARY MISSION IS THE UNDERSTANDING AND TREATMENT OF CARDIOVASCULAR DISEASE.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>2701820</ExpenseAmt>
      <RevenueAmt>2931331</RevenueAmt>
      <Desc>PATIENT CARE: THE ORGANIZATION PROVIDED WORLD CLASS PATIENT CARE SERVICES IN THE FORM OF OVER 5,500 PATIENT ENCOUNTERS/TREATMENTS TO MORE THAN 1,500 PATIENTS DURING 2023.</Desc>
      <ProgSrvcAccomActy2Grp>
        <Desc>EDUCATION: THE ORGANIZATION'S PHYSICIANS PROVIDED OVER 200 HOURS OF DIRECT TRAINING TO MEDICAL STUDENTS FROM THE HARVARD MEDICAL SCHOOL DURING 2023. THIS TRAINING OCCURRED AT THE ORGANIZATION'S FACILITY AND INVOLVED THE TREATMENT OF PATIENTS, ALL FOLLOW UP AND DOCUMENTATION OF PATIENT RELATED PERTINENT INFORMATION. THE ORGANIZATION IS NOT COMPENSATED FOR THESE SERVICES/ACTIVITIES. NONE OF THE PHYSICIAN COSTS (COMPENSATION, ETC.) HAVE BEEN ALLOCATED TO THIS PROGRAM SERVICE DURING 2023. ADDITIONALLY, THE PHYSICIANS PROVIDED MORE THAN 200 HOURS AT THE BRIGHAM &amp; WOMENS HOSPITAL IN DIRECT TRAINING OF STAFF RESIDENTS DURING 2023.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <Desc>RESEARCH: THE MAJOR RESEARCH INITIATIVES DURING 2023 CONSISTED OF 1) THE CONTINUED DEVELOPMENT OF THE SPORTS AND FITNESS CARDIOLOGY PROGRAM AND 2) THE CONTINUATION OF A NEW RESEARCH INITIATIVE FOCUSING ON WOMENS CARDIOLGY ISSUES AND HEALTH.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>2701820</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc7">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc7">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc7">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc7">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <InfoInScheduleOPartVInd>X</InfoInScheduleOPartVInd>
      <IRPDocumentCnt>5</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>22</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>2</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>BRIAN Z BILCHIK MD</PersonNm>
        <PhoneNum>6177321318</PhoneNum>
        <USAddress>
          <AddressLine1Txt>830 BOYLSTON STREET</AddressLine1Txt>
          <AddressLine2Txt>SUITE 205</AddressLine2Txt>
          <CityNm>CHESTNUT HILL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02467</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN Z BILCHIK MD</PersonNm>
        <TitleTxt>PRESIDENT &amp;</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>232438</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>519187</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES BLATT MD</PersonNm>
        <TitleTxt>CLERK</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>182322</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>412809</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHMUEL RAVID MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>180165</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>313649</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARA LEE LEWIS MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>150450</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>346811</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALYSON KELLEY-HEDGEPETH MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>214668</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>280120</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA J WRIGHT</PersonNm>
        <TitleTxt>PRACTICE MAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>129369</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON WARD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES BAIRD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1089412</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1872576</TotReportableCompRltdOrgAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <AllOtherContributionsAmt>32739</AllOtherContributionsAmt>
      <TotalContributionsAmt>32739</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1635839</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1635839</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONSULTING &amp; OTHER</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1295492</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1295492</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2931331</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2964070</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2931331</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>960043</TotalAmt>
        <ProgramServicesAmt>864038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96005</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>875577</TotalAmt>
        <ProgramServicesAmt>758649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116928</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>244245</TotalAmt>
        <ProgramServicesAmt>215913</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28332</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>150057</TotalAmt>
        <ProgramServicesAmt>132650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17407</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>6850</TotalAmt>
        <ManagementAndGeneralAmt>6850</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>48614</TotalAmt>
        <ManagementAndGeneralAmt>48614</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>2340</TotalAmt>
        <FundraisingAmt>2340</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>61037</TotalAmt>
        <ProgramServicesAmt>12932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48105</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>308668</TotalAmt>
        <ProgramServicesAmt>290148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18520</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>8510</TotalAmt>
        <ManagementAndGeneralAmt>8510</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>6168</TotalAmt>
        <ProgramServicesAmt>6063</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>46428</TotalAmt>
        <ProgramServicesAmt>33199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13229</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>65745</TotalAmt>
        <ProgramServicesAmt>50685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15060</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BILLING SERVICES</Desc>
        <TotalAmt>88833</TotalAmt>
        <ProgramServicesAmt>88833</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOLTER SCANNING</Desc>
        <TotalAmt>62275</TotalAmt>
        <ProgramServicesAmt>62275</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>56427</TotalAmt>
        <ProgramServicesAmt>56366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>AMORTIZATION OF GOODWILL</Desc>
        <TotalAmt>43935</TotalAmt>
        <ProgramServicesAmt>43935</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>114735</TotalAmt>
        <ProgramServicesAmt>86134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28601</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3150487</TotalAmt>
        <ProgramServicesAmt>2701820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>446327</ManagementAndGeneralAmt>
        <FundraisingAmt>2340</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1669101</BOYAmt>
        <EOYAmt>1416675</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>155059</BOYAmt>
        <EOYAmt>144169</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>11584</BOYAmt>
        <EOYAmt>65483</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>700025</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>478647</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>267806</BOYAmt>
        <EOYAmt>221378</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>263614</BOYAmt>
        <EOYAmt>219679</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>576055</BOYAmt>
        <EOYAmt>425489</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>2943219</BOYAmt>
        <EOYAmt>2492873</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>106734</BOYAmt>
        <EOYAmt>129355</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>149359</BOYAmt>
        <EOYAmt>56940</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>718119</BOYAmt>
        <EOYAmt>523988</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>974212</BOYAmt>
        <EOYAmt>710283</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1749564</BOYAmt>
        <EOYAmt>1607466</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>219443</BOYAmt>
        <EOYAmt>175124</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1969007</BOYAmt>
        <EOYAmt>1782590</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2943219</BOYAmt>
        <EOYAmt>2492873</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-186417</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>316726</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>316327</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>188725</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>189000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32739</CurrentTaxYearAmt>
        <TotalAmt>1043517</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>3302849</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2729381</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3528754</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2744194</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2931331</CurrentTaxYearAmt>
        <TotalAmt>15236509</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>3619575</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3045708</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3717479</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2933194</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2964070</CurrentTaxYearAmt>
        <TotalAmt>16280026</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>16280026</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3619575</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3045708</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3717479</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2933194</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2964070</CurrentTaxYearAmt>
        <TotalAmt>16280026</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc4">
      <OtherAssetsOrgGrp>
        <Desc>LEASE RIGHT-OF-USE ASSET, NET</Desc>
        <BookValueAmt>380169</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>LEASE SECURITY DEPOSIT</Desc>
        <BookValueAmt>45320</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>425489</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>456995</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE OBLIGATIONS</Desc>
        <Amt>66993</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>523988</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2964070</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>2964070</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2964070</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3150487</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3150487</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3150487</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN Z BILCHIK MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; TREAS.</TitleTxt>
        <BaseCompensationFilingOrgAmt>194000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>519187</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>38438</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8985</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232438</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>519187</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES BLATT MD</PersonNm>
        <TitleTxt>CLERK</TitleTxt>
        <BaseCompensationFilingOrgAmt>144000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>412809</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>38322</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15698</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>182322</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>412809</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHMUEL RAVID MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>144000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>313649</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>36165</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16244</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>180165</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>313649</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARA LEE LEWIS MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>144000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>346811</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>6450</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34225</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150450</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>346811</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALYSON KELLEY-HEDGEPETH MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>184000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>280120</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationFilingOrgAmt>30668</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6628</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>214668</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>280120</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PHYSICIAN-EMPLOYEES OF THE CORPORATION ARE ELIGIBLE TO RECEIVE NON- FIXED PAYMENTS IN THE FORM OF DISCRETIONARY BONUSES. ANY SUCH BONUSES ARE DETERMINED BY THE CORPORATION'S COMPENSATION COMMITTEE COMPRISED OF TWO NON-PHYSICIAN COMMUNITY TRUSTEES NOT OTHERWISE AFFILIATED WITH THE CORPORATION. THE COMPENSATION COMMITTEE WILL ENGAGE A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT TOTAL COMPENSATION PAID TO THE PHYSICIAN-EMPLOYEES, INCLUSIVE OF SALARY AND NON-FIXED PAYMENTS, IS CONSISTENT WITH FAIR MARKET VALUE. NO BONUSES WERE PAID OR ACCRUED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 5, PART V, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990-T HAS NOT BEEN FILED/COMPLETED BECAUSE THE ORGANIZATION HAS NO UNRELATED BUSINESS INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY PHYSICIAN WHO IS ADMITTED TO MEMBERSHIP IN ACCORDANCE WITH THE POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF TRUSTEES FROM TIME TO TIME SHALL BE A MEMBER OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES CONSISTS OF ALL MEMBERS OF THE CORPORATION, PLUS TWO COMMUNITY TRUSTEES WHO ARE ELECTED BY THE BOARD OF TRUSTEES (IN ACCORDANCE WITH ARTICLES 3.1 AND 3.2 OF THE CORPORATION'S ARTICLES OF ORGANIZATION).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNANCE DECISIONS ARE MADE/APPROVED BY THE MEMBERS/BOARD OF TRUSTEES. NONE ARE DELEGATED TO OUTSIDE AGENCIES OR INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE PRESIDENT, TREASURER AND CLERK OF THE CORPORATION. THESE INDIVIDUALS ARE ALSO TRUSTEES OF THE CORPORATION. ANY QUESTIONS ARE ADDRESSED WITH THE PREPARER OF THE FORM 990 (DONOVAN, SULLIVAN &amp; RYAN, CPA'S) OR WITH THE CORPORATION'S OUTSIDE COUNSEL, AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH TRUSTEE IS REQUIRED TO SIGN A STATEMENT ANNUALLY THAT HE OR SHE: (I) HAS RECEIVED A COPY OF THE CORPORATION'S CONFLICT OF INTEREST POLICY; (II) HAS READ AND UNDERSTANDS THE POLICY; (III) AGREES TO COMPLY WITH THE POLICY; (IV) UNDERSTANDS THAT THE POLICY APPLIES TO ALL FIDUCUARIES OF THE CORPORATION; AND (V) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND MUST ENGAGE IN ONE OR MORE ACTIVITIES THAT FURTHER ITS CHARITABLE PURPOSE. SUCH STATEMENTS ARE REVIEWED AND NECESSARY STEPS, IF ANY REQUIRED, ARE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE CEO IS DETERMINED BY A COMPENSATION COMMITTEE COMPRISED OF TWO NON-PHYSICIAN COMMUNITY TRUSTEES, NOT OTHERWISE AFFILIATED WITH THE CORPORATION. THE COMPENSATION COMMITTEE CONSULTS WITH A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT, WHO IS CHARGED WITH DETERMINING THAT THE COMPENSATION OF THE CEO IS REASONABLE ON A COMPARATIVE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF ALL PHYSICIAN EMPLOYEES AND NON-PHYSICIAN KEY EMPLOYEES IS DETERMINED BY A COMPENSATION COMMITTEE COMPRISED OF TWO NON- PHYSICIAN COMMUNITY TRUSTEES, NOT OTHERWISE AFFILIATED WITH THE CORPORATION. THE COMPENSATION COMMITTEE CONSULTS WITH A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT, WHO IS CHARGED WITH DETERMINING THAT THE COMPENSATION OF THESE EMPLOYEES IS REASONABLE ON A COMPARATIVE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC, AS REQUIRED, UPON REQUEST MADE TO THE COMPANY. ADDITIONALLY, MASSACHUSETTS FORM PC IS FILED WITH THE MASSACHUSETTS ATTORNEY GENERAL - DEPT. OF PUBLIC CHARITIES. THE FORM PC INCLUDES AUDITED FINANCIAL STATEMENTS AND OTHER REQUIRED DISCLOSURES. THE FORM PC IS AVAILABLE TO THE PUBLIC VIA THE STATE'S WEBSITE (WWW.CHARITIES.AGO.STATE.MA.US/CHARITIES).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BOSTON HEART LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>830 BOYLSTON STREET</AddressLine1Txt>
          <AddressLine2Txt>SUITE 205</AddressLine2Txt>
          <CityNm>CHESTNUT HILL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02467</ZIPCd>
        </USAddress>
        <EIN>454411109</EIN>
        <PrimaryActivitiesTxt>MEDICINE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BOSTON HEART LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1260000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>