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        <PersonNm>CHRISTINA JIMENEZ</PersonNm>
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        <PersonNm>PETER CATALANO</PersonNm>
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        <PersonNm>RANDAL WHITE</PersonNm>
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        <PersonNm>DHEERENDRA KOMMALA</PersonNm>
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        <PersonNm>STUART MORRIS HIPKINS</PersonNm>
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        <PersonNm>SCOTT FRASER</PersonNm>
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        <PersonNm>BEVIN O'NEIL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA TAVERNIER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEA RUBINI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES ROBERTSON</PersonNm>
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        <PersonNm>ANDREW FURMAN</PersonNm>
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        <PersonNm>MICHAEL ARGENTIERI</PersonNm>
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        <PersonNm>JOSEPH MUIR</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY MONTAGNOLO MS</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <BusinessName>
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        <EOYAmt>1248802</EOYAmt>
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        <EOYAmt>6014266</EOYAmt>
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        <EOYAmt>93846011</EOYAmt>
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        <EOYAmt>1349644</EOYAmt>
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        <EOYAmt>50128784</EOYAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDAL WHITE</PersonNm>
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        <PersonNm>DAVID SPELTA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL ARGENTIERI</PersonNm>
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        <TotalCompensationFilingOrgAmt>402651</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH MUIR</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEVIN O'NEIL</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>968</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>322668</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THERESA TAVERNIER</PersonNm>
        <TitleTxt>CHIEF HR OFFICER (THRU 3/25/22)</TitleTxt>
        <BaseCompensationFilingOrgAmt>82507</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>449</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10128</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>264033</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEA RUBINI</PersonNm>
        <TitleTxt>CHIEF HR OFFICER (AS OF 1/24/22)</TitleTxt>
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        <TotalCompensationFilingOrgAmt>229784</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY MONTAGNOLO MS</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANTHONY MONTAGNOLO, CHIEF OPERATING OFFICER, RECEIVED A SEVERANCE PAYMENT OF $115,777 IN 2022. EMPLOYEES WHO PARTICIPATED IN A 457(F) PLAN IN 2022 ARE: MARCUS SCHABACKER, DHEERENDRA KOMMALA, PETER CATALANO, SCOTT FRASER, ANDREA VANDEVEN, THERESA TAVERNIER, AND RANDAL WHITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO ACCOMPLISH ITS MISSION TO IMPROVE PUBLIC HEALTH AND SAFETY, IT IS NECESSARY TO HIRE, MOTIVATE AND RETAIN QUALIFIED EMPLOYEES PRIMARILY RESPONSIBLE FOR BUSINESS DEVELOPMENT. THESE POSITIONS REQUIRE EXTENSIVE KNOWLEDGE OF HEALTHCARE ISSUES AND INSTITUTE CAPABILITIES, THE ABILITY TO EFFECTIVELY COMMUNICATE WITH HEALTHCARE PROFESSIONALS AT ALL LEVELS, AND OTHER CRITICAL SKILLS. FOR THE POSITIONS, THE ORGANIZATION PROVIDES A BASE SALARY COMBINED WITH A PAY COMPONENT WHICH IS CONTINGENT ON REVENUES FOR SELECTED ACTIVITIES IN ORDER TO REWARD REVENUE GENERATION FOR BUSINESS DEVELOPMENT WHILE ENSURING THAT A PORTION OF COMPENSATION IS AT RISK.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>ECRI IS AN INDEPENDENT NONPROFIT ORGANIZATION WHOSE MISSION IS TO ADVANCE EFFECTIVE, EVIDENCE-BASED HEALTHCARE GLOBALLY. OUR GOAL IS TO BE THE WORLD'S MOST TRUSTED, INDEPENDENT ORGANIZATION PROVIDING HEALTHCARE STAKEHOLDERS CRITICAL RESEARCH, SCIENTIFIC-BASED INSIGHTS, ACTIONABLE RECOMMENDATIONS, EDUCATION AND CONSULTATION TO ENSURE HEALTHCARE PRACTITIONERS ARE ADMINISTERING SAFE, COST-EFFECTIVE CARE IN ALL HEALTHCARE DELIVERY SETTINGS. ECRI'S STRATEGY FOR ACHIEVING OUR MISSION AND GOALS INCLUDES: 1. CONDUCTING INVESTIGATIONS AND STUDIES THAT IDENTIFY, DEVELOP, ASSESS, AND VERIFY EVIDENCE ABOUT THE QUALITY, SAFETY, AND COST EFFECTIVENESS OF HEALTHCARE TECHNOLOGIES, PRACTICES, AND FACILITIES. 2. DISSEMINATING INFORMATION, JUDGMENT, GUIDANCE, AND RESEARCH CONCLUSIONS THROUGH MEMBERSHIP PROGRAMS, PUBLICATIONS, EDUCATIONAL PROGRAMS, AND CONSULTATION. 3. DEVELOPING INFORMATION TOOLS FOR BUYERS AND USERS OF HEALTHCARE TECHNOLOGY AND SERVICES THAT MAKE INFORMED DECISION-MAKING POSSIBLE. 4. ESTABLISHING POLICIES TO ENSURE AN INTERNAL CULTURE OF SAFETY, OBJECTIVITY AND INTEGRITY. 5. COLLECTING, ORGANIZING, AND DISSEMINATING OBJECTIVE, TECHNICALLY ACCURATE INFORMATION THAT PREVENTS INJURY AND ILLNESS AND BENEFITS PATIENT CARE. 6. REMAINING INDEPENDENT AND UNBIASED REGARDING HEALTHCARE PRODUCTS AND PRACTICES ENABLING HEALTHCARE ORGANIZATIONS TO IMPROVE QUALITY, REDUCE COST AND ACHIEVE THE BEST PATIENT OUTCOMES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE CONTROLLER WITH INPUT FROM OTHERS AS NEEDED, INCLUDING AN INDEPENDENT ACCOUNTING FIRMS REVIEW. A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY THE VICE PRESIDENT OF FINANCE. THEREAFTER, THE PRELIMINARY FORM 990 IS SENT TO EACH OFFICER AND TRUSTEE FOR THEIR REVIEW AND COMMENTS, AND ALL QUESTIONS AND COMMENTS ARE RESPONDED TO. IN ADDITION, THE FORM 990 IS REVIEWED AND DISCUSSED WITH THE GOVERNING BOARD'S AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER WITH THE TRUSTEES. AFTER THE ABOVE-DESCRIBED REVIEWS AND DISCUSSIONS, THE FINAL FORM 990 IS SIGNED AND FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STAFF RECEIVE A CODE OF CONDUCT AND BUSINESS ETHICS MANUAL THAT SETS FORTH ECRI'S PRINCIPLES, MISSION, GOALS, CONFLICT OF INTEREST RULES, AND OTHER MATTERS RELATED TO QUALITY AND ACCOUNTABILITY. THE BOARD OF TRUSTEES HAS ESTABLISHED THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND REQUIRES THAT EACH EMPLOYEE ANNUALLY RESPONDS TO A QUESTIONNAIRE WITH A CERTIFICATION THAT THERE IS NO CONFLICT OF INTEREST THAT HAS NOT BEEN DISCLOSED AND APPROPRIATELY ADJUDICATED. THE BOARD OF TRUSTEES HAS DIRECTED THE CONFLICT OF INTEREST COMMITTEE TO REVIEW EACH CERTIFICATION AND TO ENSURE ADHERENCE WITH THIS POLICY. THE ORGANIZATION ALSO MAINTAINS A HOTLINE NUMBER FOR STAFF TO REPORT POSSIBLE ETHICAL VIOLATIONS OR FRAUDULENT CONDUCT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT INSTANCES THAT MIGHT OCCUR DURING THE YEAR AND WOULD REQUIRE DISCLOSURE UNDER THE POLICY BE PROMPTLY REPORTED TO THE CONFLICT OF INTEREST COMMITTEE FOR THEIR REVIEW AND ADJUDICATION. THE BOARD OF TRUSTEES TAKES APPROPRIATE ACTION IF THERE IS ANY NON-COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS SUBJECT TO THE REVIEW AND APPROVAL OF THE BOARD OF TRUSTEES, MEETING IN EXECUTIVE SESSION WITH NO INVOLVEMENT BY PERSONS HAVING A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENTS AT ISSUE. THE COMPENSATION COMMITTEE OF THE BOARD, WHICH IS SOLELY COMPRISED OF INDEPENDENT TRUSTEES, REVIEWS AND ANALYZES PERFORMANCE AND COMPARABILITY DATA AND MAKES A RECOMMENDATION TO THE FULL BOARD. THE PROCESS INCLUDES THE USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING SUCH COMPENSATION ARRANGEMENTS. THE ORGANIZATION'S PROCESS INVOLVES DATA FROM COMPENSATION SURVEYS, THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT, AND OTHER SOURCES OF COMPARABILITY DATA. COMPENSATION FOR OTHER "DISQUALIFIED PERSONS" IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE PROCESS INCLUDES THE USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. PERTINENT INFORMATION AND OTHER SUBSTANTIATION OF THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED. THE ORGANIZATION'S PROCESS INVOLVES DATA FROM COMPENSATION SURVEYS, THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT, AND OTHER SOURCES OF COMPARABILITY DATA. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND OTHER TOP MANAGERS REVIEW THE COMPENSATION FOR KEY EMPLOYEES WHO ARE NOT "DISQUALIFIED PERSONS". THE ORGANIZATION ALSO USES ITS HUMAN RESOURCES DEPARTMENT TO REVIEW COMPENSATION AND SALARY INCREASES BASED ON SALARY SURVEY DATA AND COMPENSATION DATA FOR COMPARABLE ORGANIZATIONS AND JOB FUNCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH THE CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER ARE RESPONSIBLE FOR MAKING ECRI'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND OTHER DOCUMENTS (ECRI INSTITUTE'S "PUBLIC FILE") AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). THIS IS ACCOMPLISHED BY ANNOUNCING THE AVAILABILITY OF THE PUBLIC FILE AND THE PROCESS BY WHICH IT MAY BE INSPECTED OR COPIES OBTAINED, SUCH ANNOUNCEMENT BEING POSTED ON ECRI'S WEBSITE AND BEING POSTED IN A PUBLIC AREA OF ITS FACILITIES. THE ORGANIZATION'S FORM 990 IS ALSO PUBLICLY AVAILABLE AT WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON INVESTMENT IN ISMP -414,985. CHANGE IN VALUE OF INTEREST RATE SWAP 1,027,220.</ExplanationTxt>
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          <AddressLine1Txt>200 LAKESIDE DRIVE SUITE 200</AddressLine1Txt>
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        <ExplanationTxt>ECRI INSTITUTE INCURS COSTS FOR DEVELOPING, PRINTING AND DISTRIBUTING PUBLICATIONS AND OTHER INFORMATION FOR THE BENEFIT OF ECRI BHD, AN AFFILIATE INCORPORATED IN MALAYSIA. ECRI INSTITUTE ALSO INCURS COSTS FOR TECHNICAL ASSISTANCE AND ADMINISTRATIVE SUPPORT PROVIDED TO ECRI BHD. THE FAIR VALUE OF SUCH COSTS IS DETERMINED AT AN ARMS-LENGTH BASIS, AND IS REIMBURSED TO ECRI INSTITUTE BY ECRI BHD. IN 2022, THE PAYMENT RECEIVED BY ECRI INSTITUTE FOR SUCH CHARGES WAS $615,370, APPROXIMATELY 0.78% OF ECRI INSTITUTE'S TOTAL EXPENSES. 100% OF THIS AMOUNT IS RELATED TO THE SAME EXEMPT PURPOSE AS THAT FOR THE CONTROLLING ENTITY, ECRI INSTITUTE, AND IS NOT UNRELATED BUSINESS INCOME. SINCE PAYMENT IS REIMBURSEMENT OF ACTUAL COSTS INCURRED BY THE CONTROLLING ENTITY, ECRI INSTITUTE, THERE IS NO NET INCOME FROM THIS TRANSACTION.</ExplanationTxt>
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