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        <PersonNm>David Roe</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shelby D Klein</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lourival Baptista Neto MD</PersonNm>
        <TitleTxt>trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dawn Kozlowski</PersonNm>
        <TitleTxt>trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Barbara Palmer</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah Visconi</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah Dente as of 4918</PersonNm>
        <TitleTxt>Exec. SVP/CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas McClosky</PersonNm>
        <TitleTxt>Exec. VP/CFO thru 4/4/18</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Aaron Hajart as of 41618</PersonNm>
        <TitleTxt>COO/SVP STRAT,INNOV,POP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Roy Park</PersonNm>
        <TitleTxt>SR VP, HR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer D'Angelo</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ehud Fried thru 32318</PersonNm>
        <TitleTxt>SR VP/Chief Legal Counsel</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Vandana Kethini</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mohammad Ramay</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Karine Airapetian</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Srikanth Reddy</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Amitrano</PersonNm>
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          <PersonNm>MORRISON MANAGEMENT SPECIALISTS</PersonNm>
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          <USAddress>
            <AddressLine1Txt>PO Box 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Clean Tex Services Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>LINDEN</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Tender Touch Rehab Services LLC</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <PersonNm>EmCare Physician Services Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>CHICAGO</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Mid-State Anesthesia Consultants L</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>50 Mt Prospect Ave Suite 209</AddressLine1Txt>
            <CityNm>CLIFTON</CityNm>
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            <ZIPCd>07013</ZIPCd>
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        <BusinessCd>621300</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>PSYCH COST SHARING REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
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        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>-29567846</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-29567846</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CHARITY CARE TRUST FUND</Desc>
        <BusinessCd>621300</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>15822325</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>DSRIP</Desc>
        <BusinessCd>621300</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>14632848</RelatedOrExemptFuncIncomeAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>163925</TotalRevenueColumnAmt>
        <ExclusionAmt>163925</ExclusionAmt>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA/COFFEE SHOP REVENUE</Desc>
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      <OtherRevenueMiscGrp>
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        <ProgramServicesAmt>618503</ProgramServicesAmt>
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        <ProgramServicesAmt>12682853</ProgramServicesAmt>
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        <ProgramServicesAmt>7860991</ProgramServicesAmt>
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        <ProgramServicesAmt>2700937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2979382</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>765344</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>305790</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <TotalAmt>12676671</TotalAmt>
        <ProgramServicesAmt>12220426</ProgramServicesAmt>
        <ManagementAndGeneralAmt>456245</ManagementAndGeneralAmt>
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        <TotalAmt>196367</TotalAmt>
        <ManagementAndGeneralAmt>196367</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>3722448</TotalAmt>
        <ProgramServicesAmt>2507009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1215439</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>4629169</TotalAmt>
        <ProgramServicesAmt>4629169</ProgramServicesAmt>
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        <ProgramServicesAmt>11454784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1182915</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>25529</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31258</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>73219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19190</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>410213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57000</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <TotalAmt>7433</TotalAmt>
        <ProgramServicesAmt>7433</ProgramServicesAmt>
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        <ProgramServicesAmt>750586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>678212</ManagementAndGeneralAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
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      <FSAuditedInd>true</FSAuditedInd>
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      <CYMinus4YrEndwmtFundGrp />
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      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
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        <ExplanationTxt>the organization is incorporated in the state of new jersey and is exempt from federal, state and local income taxes under section 501(c)(3) of the code, and therefore has made no provision for income taxes in the accompanying financial statements. In addition, the organization has been determined by the internal revenue service to not be a "private foundation" within the meaning of section 509(a)of the code. Unrelated business income for the year ended December 31, 2018 approximated $64,000. the organization has not taken an unsubstantiated tax position that would require provision of a liability under accounting standards codification ("asc") 740. Under ASC 740, an organization must recognize the tax liabilities associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained upon examination. the organization does not believe there are any material uncertain tax positions and, accordingly, has not recognized any liability for unrecognized tax benefits. The organization has filed IRS form 990 tax returns, as required, and all other applicable returns in jurisdictions where it is required. For the years ended december 31, 2018 and 2017, there were no interest or penalties recorded or included in the financial statements.</ExplanationTxt>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vandana Kethini</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
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        <TotalCompensationFilingOrgAmt>410114</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mohammad Ramay</PersonNm>
        <TitleTxt>Chief Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>212696</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsFilingOrgAmt>19495</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>427632</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karine Airapetian</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>197658</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>405407</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Srikanth Reddy</PersonNm>
        <TitleTxt>Chief Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>203834</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>102182</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26755</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>351271</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Amitrano</PersonNm>
        <TitleTxt>VP Patient Care/CNE</TitleTxt>
        <BaseCompensationFilingOrgAmt>273724</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33654</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10177</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>342055</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2018, Ehud Fried, Senior VP and Chief Legal Counsel, received severance of $133,124.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Bonus eligibility is discretionary and must be approved by the executive committee of the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 7B AND PART V, LINE 3A:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990-T WAS FILED EXCLUSIVELY TO REPORT QUALIFIED TRANSPORTATION AND PARKING FRINGE BENEFITS UNDER SECTION 512(A)(7) FOR THE PERIOD BEGINNING JANUARY 1, 2018 THRU DECEMBER 31, 2018. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 IS REVIEWED BY THE CFO, THEN A COPY IS reviewed by the audit committee in detail and then provided TO THE full GOVERNING BODY with the opportunity for discussion BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: The organization has a written conflict of interest policy. Each designated personnel, director, officer and member of a committee with board delegated power shall annually sign a statement and disclose interests that could give rise to conflicts. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts to the directors and members of committees with board delegated powers considering the proposed transaction or arrangement. all directors will be advised of any potential conflicts of interest for any director and/ or committee member. An interested person may make a presentation at the board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether the Corporation can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the Corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the Corporation and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. FORM 990, PART VI, SECTION B, LINE 15A AND 15B: THE President &amp; ceo's COMPENSATION IS REVIEWED BY THE BOARD'S COMPENSATION COMMITTEe WHICH CONSISTS OF ONLY INDEPENDENT BOARD MEMBERS. THE COMMITTEE UTILIZES TWO EXTERNAL ORGANIZATIONS FOR COMPARABLE EXECUTIVE COMPENSATION. THESE ORGANIZATIONS CONDUCT STUDIES SHOWING COMPENSATiON AT COMPARABLE INSTITUTIONS AND ADVISES THE COMMITTEE ACCORDINGLY. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19: UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bergen County Improvement Authority</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Bergen County Plaza 333</AddressLine1Txt>
          <CityNm>Hackensack</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07601</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Improv Auth</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>See pt VII</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>See pt VII</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE FOUNDATION AT BERGEN REG MED CTR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>230 EAST RIDGEWOOD AVENUE</AddressLine1Txt>
          <CityNm>PARAMUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>076524142</ZIPCd>
        </USAddress>
        <EIN>223135663</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <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>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Bergen County Improvement Authority is a public body corporate and politic created by the governing body of bergen county, New Jersey.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>