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      <Form990PartVIISectionAGrp>
        <PersonNm>Mara Lugassy</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Russell Portenoy</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Terese Acampora</PersonNm>
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        <OtherCompensationAmt>40983</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Mencias</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53228</OtherCompensationAmt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
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      <ContractorCompensationGrp>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19178</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>legal</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BESTCARE INC AGENCY</PersonNm>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>725551</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CAMBRIDGE SECURITY SERVICES</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Transportation Svcs</ServicesDesc>
        <CompensationAmt>641169</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ISABELLA VISITING CARE INC</PersonNm>
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          <USAddress>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Home Health Aides</ServicesDesc>
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      <TotalContributionsAmt>1362921</TotalContributionsAmt>
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        <BusinessCd>621610</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>80699461</RelatedOrExemptFuncIncomeAmt>
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      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>82567</ExclusionAmt>
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      <BenefitsToMembersGrp>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <GrassrootsNontaxableGrp />
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      <OtherActivitiesAmt>362</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>362</TotalLobbyingExpendituresAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line I, Lobbying activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>MJHS Hospice and Palliative Care, Inc. pays dues to Healthcare Association of New York State (HANYS) and continuing care leadership coalition (cclc). In accordance with code section 6033(e) of the internal revenue code, and as reported by HANYS and CCLC, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2018 HANYS AND CCLC annual dues were $254 and $108, respectively.</ExplanationTxt>
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        <EndYearBalanceAmt>1395748</EndYearBalanceAmt>
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        <EndYearBalanceAmt>1157262</EndYearBalanceAmt>
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        <EndYearBalanceAmt>1157262</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>0.92760</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.07240</TermEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>12173708</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3336320</DepreciationAmt>
        <BookValueAmt>8837388</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2880547</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2232703</DepreciationAmt>
        <BookValueAmt>647844</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>9485232</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM MJHS FOUNDATION</Desc>
        <BookValueAmt>618728</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM PARTICIPATING AGENCIE</Desc>
        <BookValueAmt>883168</BookValueAmt>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
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        <Desc>DUE TO PARTICIPATING AGENCIES</Desc>
        <Amt>2056892</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTIES</Desc>
        <Amt>92939</Amt>
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      <TotalLiabilityAmt>2149831</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>82037890</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-258220</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-258220</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>82296110</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>82296110</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>85656231</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>85656231</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>85656231</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Agudath Israel of America</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>42 Broadway Suite 1400</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10004</ZIPCd>
        </USAddress>
        <RecipientEIN>135604164</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <PurposeOfGrantTxt>Education</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Chayim Aruchim Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4006 18th Ave</AddressLine1Txt>
          <CityNm>brooklyn</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11218</ZIPCd>
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        <RecipientEIN>454549986</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>26250</CashGrantAmt>
        <PurposeOfGrantTxt>education</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant funds are approved by the board of directors at least annually. Grants are reviewed by finance and senior management at least quarterly to ensure grants are distributed in accordance with approved amounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART II, LINE (1) &amp; (2):</FormAndLineReferenceDesc>
        <ExplanationTxt>MJHS HOSPICE AND PALLIATIVE CARE PROVIDED A GRANT TO AGUDATH ISRAEL OF AMERICA, AN AFFILIATED NOT-FOR-PROFIT OF CHAYIM ARUCHIM, in the amount of $200,000 ending in MARCH 2019. this grant was to provide education advocacy for culturally sensitive end-of life care and decision making through chayim aruchim. shmuel lefkowitz, chair of mjhs hospice and palliative care, is also an employee of agudath israel of america and president of chayim aruchim.</ExplanationTxt>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Alexander Balko</PersonNm>
        <TitleTxt>CeO, President</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>1010627</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>200244</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>76504</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1401690</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eli Feldman</PersonNm>
        <TitleTxt>director</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>247799</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>286610</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Davis</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>537267</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>53550</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>37920</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38500</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>53312</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>720549</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Leamer</PersonNm>
        <TitleTxt>assistant secretary</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>47438</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>61545</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>725100</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy Higgins</PersonNm>
        <TitleTxt>COO of Provider Services</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>506606</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bernard Lee</PersonNm>
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        <PersonNm>Mara Lugassy</PersonNm>
        <TitleTxt>VP OF MEDICAL AFFAIRS/HOSPICE</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Russell Portenoy</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Terese Acampora</PersonNm>
        <TitleTxt>SVP OF HOSPICE&amp;Palliative Care</TitleTxt>
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        <BonusFilingOrganizationAmount>29000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15258</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Mencias</PersonNm>
        <TitleTxt>Senior Hospice Medical Dir.</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARIES FOR THE EXECUTIVES ARE DETERMINED BY METROPOLITAN JEWISH HEALTH SYSTEM, INC., A RELATED ORGANIZATION. THE METHODS UTILIZED INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, REVIEW OF THE FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS ELIGIBILITY IS BASED ON THE EXTENT THAT EACH EXECUTIVE AND EMPLOYEE HAS ACHIEVED HIS/HER GOAL AND IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD.</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 III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: MJHS HOSPICE AND PALLIATIVE CARE IS A NOT-FOR-PROFIT ORGANIZATION COMMITTED TO PROVIDING PROGRAMS AND SERVICES FOR ADULTS AND CHILDREN WHO ARE FACING A LIFE-LIMITING OR ADVANCED ILLNESS WHEN AND WHERE THEY NEED IT MOST - FROM THE COMFORT OF HOME TO NURSING HOMES, ASSISTED LIVING COMMUNITIES, HOSITALS, IPU'S AND HOSPICE RESIDENCES. ONE OF THE MOST RESPECTED AND INNOVATIVE PROGRAMS IN THE REGION, MJHS IS ONE OF THE FEW HOSPICES IN NY THAT CARES FOR CHILDREN WHO ARE STILL ACTIVELY SEEKING CURATIVE TREATMENT, AND OPERATES THE ONLY HOSPICE INPATIENT RESIDENCE IN NYC THAT CARES FOR CHILDREN AS WELL AS ADULTS. CONTINUING A TRADITION OF COMPASSION, DIGNITY AND RESPECT FIRST ESTABLISHED BY THE FOUR BROOKLYN LADIES IN 1907, MJHS HOSPICE AND PALLIATIVE CARE IS COMMITTED TO OFFERING COMPASSIONATE, HIGH QUALITY, CULTURALLY-SENSITIVE CARE FOR PATIENTS OF ALL RELIGIOUS, CULTURAL AND ECONOMIC BACKGROUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENT:</FormAndLineReferenceDesc>
        <ExplanationTxt>MJHS PROVIDES HOSPICE AND PALLLIATIVE CARE PROGRAMS AND SERVICES FOR ADULTS AND CHILDREN FACING AN ADVANCED OR LIFE-LIMITING ILLNESS. A LEADER IN THE FIELD, MJHS IS ONE OF THE FEW HOSPICE PROGRAMS IN NY THAT CARES FOR CHILDREN WHO ARE STILL ACTIVELY SEEKING CURATIVE TREATMENT. IN ADDITION TO OFFERING OUR PATIENTS MEDICAL SUPPORT FROM PHYSICIANS AND NURSES WHO ARE BOARD-CERTFIED IN HOSPICE OR PALLIATIVE CARE, WE PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES THROUGH SOCIALS WORKERS, PASTORAL STAFF, MUSIC AND ART THERAPISTS AND BEREAVEMENT COUNSELORS. MJHS HOSPICE AND PALLIATIVE CARE ALSO OFFERS SPECIALIZED PROGRAMS FOR THE JEWISH AND ASIAN COMMUNITIES, VETERANS AND THE LGBTQ COMMUNITY. COMMITTED TO SERVING PATIENTS WHEN AND WHERE THEY NEED IT, MJHS HOSPICE AND PALLIATIVE CARE PROVIDES SERVICES IN THE COMFORT OF THE PATIENTS OWN HOME, AT HOSPITALS, NURSING HOMES AND ASSISTED LIVING COMMUNITIES ACROSS GREATER NY. CONTINUING A TRADITION OF COMPASSION, DIGNITY AND RESPECT, FIRST ESTABLISHED BY THE FOUR BROOKLYN LADIES IN 1907, MJHS HOSPICE AND PALLIATIVE CARE IS COMMITTED TO OFFERING COMPASSIONATE, HIGH QUALITY, CULTURALLY-SENSITIVE CARE FOR PATIENTS OF ALL RELIGIOUS, CULTURAL AND ECONOMIC BACKGROUNDS AS WELL AS SEXUAL ORIENTATION. IN 2018, MJHS PROVIDED A TOTAL OF 292,077 HOSPICE DAYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>METROPOLITAN JEWISH HEALTH SYSTEM INC. IS THE SOLE MEMBER OF HOSPICE AND PALLIATIVE CARE INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>METROPOLITAN JEWISH HEALTH SYSTEM, INC. MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>DRAFT OF THE COMPLETED RETURN IS REVIEWED BY THE PRESIDENT, CFO, AND SENIOR VP,GENERAL COUNSEL AND THEIR STAFF. ANY COMMENTS ARISING FROM THEIR REVIEW ARE DISCUSSED AND, IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THAT DRAFT WILL BE SUBMITTED TO THE MJHS FINANCE COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE COMMITTEE HAS COMPLETED ITS REVIEW A COPY OF THE RETURN IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST FILE AND MAINTAIN CURRENT THE ORGANIZATION'S DIRECTORS BIOGRAPHICAL INFORMATION FORM AND, ON AN ANNUAL BASIS, COMPLETE THE ORGANIZATION'S DIRECTORS CONFLICT OF INTEREST STATEMENT AND ACKNOWLEDGEMENT WHICH ACKNOWLEDGES THAT EACH INDIVIDUAL HAS DISCLOSED ANY POTENTIAL CONFLICT OF INTEREST; RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; READ AND UNDERSTANDS THE CONFLICTS OF INTEREST POLICY; AND AGREED TO COMPLY WITH THE CONFLICTS OF INTEREST POLICY. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL SUPERVISES THE DISTRIBUTION, COLLECTION AND REVIEW OF THE ANNUAL DIRECTORS CONFLICT OF INTEREST STATEMENT AND ACKNOWLEDGEMENT. FROM TIME TO TIME, DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES AND/OR COMMITTEE MEMBERS ARE REMINDED OF THEIR OBLIGATION TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS OF INTEREST WHEN AND IF THEY ARISE. PROCEDURES FOR MANAGING IDENTIFIED CONFLICTS: EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE AND MEMBER OF A BOARD COMMITTEE IS REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE INDIVIDUAL CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IN THE EVENT OF SUCH A DISCLOSURE, THE INTERESTED PARTY IS EXCUSED FROM THE MEETING AND THE BOARD/COMMITTEE DETERMINES WHETHER A CONFLICT EXISTS. IF THE BOARD/COMMITTEE DETERMINES THAT A CONFLICT EXISTS, THE CHAIRPERSON OF THE BOARD OR DESIGNEE (IF APPROPRIATE) WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE AND REPORT TO THE BOARD OF DIRECTORS ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. BASED ON THE INFORMATION FURNISHED BY THE DISINTERESTED PERSON OR COMMITTEE, THE BOARD OF DIRECTORS WILL MAKE A DETERMINATION OF WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR MORE REASONABLE ARRANGEMENTS FROM AN ENTITY OR PERSON THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES, THE BOARD OF DIRECTORS WILL DETERMINE, BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. ALL OF THE ACTIONS STATED ABOVE SHALL BE REFLECTED IN THE BOARD/COMMITTEE MINUTES. IN THE EVENT THAT A DIRECTOR, PRICIPAL OFFICER, KEY EMPLOYEE OR MEMBER OF A BOARD COMMITTEE FAILS TO DISCLOSE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST, THE BOARD/COMMITTEE, AFTER AFFORDING THE INDIVIDUAL DUE PROCESS, SHALL DETERMINE WHETHER THE INDIVIDUAL VIOLATED THE CONFLICT OF INTEREST POLICY BY FAILING TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND, IN THE EVENT OF A DETERMINATION THAT A VIOLATION OCCURRED, TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A:</FormAndLineReferenceDesc>
        <ExplanationTxt>MJHS HOSPICE AND PALLIATIVE CARE, INC. does not compensate its CEO &amp; President reported on part VII of the Form 990. The CEO &amp; President is paid by a related 501(c)(3) organization, Metropolitan Jewish Health System ("MJHS"). The processes used to determine the CEO &amp; Presidents compensation is disclosed on MJHS Annual Form 990. MJHS RETAINS THE SERVICES OF A MAJOR EXECUTIVE COMPENSATION FIRM TO REVIEW MARKET PAY PRACTICES AND AVERAGE SALARY MOVEMENT AMONG SIMILARLY SITUATED EXECUTIVES. THE EXECUTIVE COMPENSATION FIRM IS ASKED TO DEVELOP A COMPARATIVE BASE THAT IS AS CLOSE AS POSSIBLE TO OUR ORGANIZATION. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE COMPENSATION COMMITTEE IN DETERMINING SALARY ADJUSTMENTS FROM THE PERSPECTIVE OF MARKET COMPETITIVENESS AND PRIOR YEAR PERFORMANCE. PERFORMANCE IS BASED ON THE EXTENT THAT EACH EXECUTIVE HAS ACHIEVED HIS/HER GOALS. BONUS ELIGIBILITY IS DONE IN A SIMILAR MANNER. THE BASIS FOR ITS DETERMINATION AND ALL DECISIONS MADE ARE CONTEMPORANEOUSLY DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15b: MJHS HOSPICE AND PALLIATIVE CARE, INC. does not compensate its other officers or key employees who are paid by a related 501(c)(3) organization, Metropolitan Jewish Health System ("MJHS"). The processes used to determine the other officers and key employees compensation is disclosed on MJHS Annual Form 990. MJHS RETAINS THE SERVICES OF A MAJOR EXECUTIVE COMPENSATION FIRM TO REVIEW MARKET PAY PRACTICES AND AVERAGE SALARY MOVEMENT AMONG SIMILARLY SITUATED EXECUTIVES. THE EXECUTIVE COMPENSATION FIRM IS ASKED TO DEVELOP A COMPARATIVE BASE THAT IS AS CLOSE AS POSSIBLE TO OUR ORGANIZATION. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE HUMAN RESOURCES DEPARTMENT UNDER THE DIRECTION OF THE CHIEF HUMAN RESOURCES OFFICER IN CONJUNCTION WITH THE CEO, USING LOCAL SURVEYS TO ENSURE MARKET COMPETITIVENESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990. PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST, the organization will make available only those documents required to be disclosed under the public inspection laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>