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        <PersonNm>Thomas G Dykhouse</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Douglas Struyk</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Dumke</PersonNm>
        <TitleTxt>Executive Vice President/COO</TitleTxt>
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        <OtherCompensationAmt>15810</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin A Stagg</PersonNm>
        <TitleTxt>Executive Vice President/CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Peterson</PersonNm>
        <TitleTxt>VP LT Care &amp; Post-Acute Care</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>11574</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Zierold</PersonNm>
        <TitleTxt>Sr VP HR and PROFESSIONAL DEV.</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Howard Gilman</PersonNm>
        <TitleTxt>Medical Affairs/Medical Exec.</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Doss</PersonNm>
        <TitleTxt>SVP Facilities Mgt &amp; Business</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Browne</PersonNm>
        <TitleTxt>VP Residential Services</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Julie Lee</PersonNm>
        <TitleTxt>SVP Marketing and Foundation</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Aijaz Nanjiani</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Monica Dhingra</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Igor Gefter</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Hany Sourial</PersonNm>
        <TitleTxt>Medical Director of LT Care</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cynthia Jalando-On</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Denise Dunlap Ratcliffe</PersonNm>
        <TitleTxt>Strategic Advisor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cathleen Pilone</PersonNm>
        <TitleTxt>Director Service Excellence</TitleTxt>
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        <ReportableCompFromOrgAmt>120436</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8997</OtherCompensationAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <PersonNm>SELECT REHABILITATION</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 809056</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60680</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PHARMSCRIPTS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 Pierce Street</AddressLine1Txt>
            <CityNm>SOMERSET</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08873</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SBA INTEGRATED MARKETING</PersonNm>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LAN ASSOCIATES</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>445 GODWIN AVENUE</AddressLine1Txt>
            <CityNm>MIDLAND PARK</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07432</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Engineering Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EXECUTIVE CARE</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>270 STATE STREET</AddressLine1Txt>
            <CityNm>HACKENSACK</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07601</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>959770</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MENTAL HEALTH SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>22119139</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22119139</RelatedOrExemptFuncIncomeAmt>
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      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>77959686</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>109675</TotalRevenueColumnAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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        <TotalRevenueColumnAmt>396044</TotalRevenueColumnAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <Desc>BARBER &amp; BEAUTY</Desc>
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        <ExclusionAmt>192434</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>241660</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>GIFT SHOP</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>116665</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>828527</TotalRevenueColumnAmt>
        <ExclusionAmt>828527</ExclusionAmt>
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        <TotalRevenueColumnAmt>80804461</TotalRevenueColumnAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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        <ManagementAndGeneralAmt>722980</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30366932</ProgramServicesAmt>
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        <ProgramServicesAmt>577684</ProgramServicesAmt>
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        <ProgramServicesAmt>2462582</ProgramServicesAmt>
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        <ProgramServicesAmt>5345490</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>90665</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>185395</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>3933983</ProgramServicesAmt>
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        <ProgramServicesAmt>251056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99224</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4021307</ProgramServicesAmt>
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        <ProgramServicesAmt>1250081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>494064</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2605023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1029572</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>45029</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>59869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23662</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>753905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>297962</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3183763</ProgramServicesAmt>
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        <ProgramServicesAmt>710228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>280700</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL EXPENSE</Desc>
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        <ProgramServicesAmt>324600</ProgramServicesAmt>
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        <ProgramServicesAmt>57720815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21520630</ManagementAndGeneralAmt>
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        <EOYAmt>0</EOYAmt>
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        <BOYAmt>5775633</BOYAmt>
        <EOYAmt>4928249</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6975056</BOYAmt>
        <EOYAmt>8156914</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>447374</BOYAmt>
        <EOYAmt>1558597</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>133095362</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>61870486</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>71161313</BOYAmt>
        <EOYAmt>71224876</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2452344</BOYAmt>
        <EOYAmt>7085840</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>125071</BOYAmt>
        <EOYAmt>201691</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>2005515</BOYAmt>
        <EOYAmt>1955271</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>5506670</BOYAmt>
        <EOYAmt>6264843</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>94448976</BOYAmt>
        <EOYAmt>101376281</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5117190</BOYAmt>
        <EOYAmt>6865375</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>39664796</BOYAmt>
        <EOYAmt>37858962</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
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        <EOYAmt>1792637</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>11344913</BOYAmt>
        <EOYAmt>12065365</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>12106937</BOYAmt>
        <EOYAmt>11974655</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>70177260</BOYAmt>
        <EOYAmt>70556994</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>22828517</BOYAmt>
        <EOYAmt>29876088</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>715218</BOYAmt>
        <EOYAmt>215218</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>727981</BOYAmt>
        <EOYAmt>727981</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>24271716</BOYAmt>
        <EOYAmt>30819287</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>94448976</BOYAmt>
        <EOYAmt>101376281</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1563016</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>114583</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>4869972</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <AgentTrusteeEtcInd>true</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>1943424</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>1238838</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>1389625</DistributionsDuringYearAmt>
      <EndingBalanceAmt>1792637</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>true</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>727981</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1141</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1141</OtherExpendituresAmt>
        <EndYearBalanceAmt>727981</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>727981</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1389</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1389</OtherExpendituresAmt>
        <EndYearBalanceAmt>727981</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>1451</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1451</OtherExpendituresAmt>
        <EndYearBalanceAmt>727981</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>727981</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2571</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2571</OtherExpendituresAmt>
        <EndYearBalanceAmt>727981</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>4858</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4858</OtherExpendituresAmt>
        <EndYearBalanceAmt>727981</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp />
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>91723383</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>36518265</DepreciationAmt>
        <BookValueAmt>55205118</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2873375</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1509353</DepreciationAmt>
        <BookValueAmt>1364022</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>37676572</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23842868</DepreciationAmt>
        <BookValueAmt>13833704</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>822032</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>822032</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>71224876</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST IN FOUNDATION</Desc>
        <BookValueAmt>1805387</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS ESCROW</Desc>
        <BookValueAmt>1792637</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE CONTINGENCY</Desc>
        <BookValueAmt>303000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PNA CHECKING</Desc>
        <BookValueAmt>122456</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BED LICENSES</Desc>
        <BookValueAmt>9000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>EMPLOYEE COMPENSATION PLAN</Desc>
        <BookValueAmt>2232363</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6264843</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>MINIMUM PENSION LIABILITY</Desc>
        <Amt>8680746</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY LIABILITY</Desc>
        <Amt>303000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED EXPENSE SICK TIME</Desc>
        <Amt>625000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FUND BALANCE - PNA</Desc>
        <Amt>133546</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED EMPLOYEE COMPENSATION</Desc>
        <Amt>2232363</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11974655</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Security Payment for room and board.</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE D, PART IV One Monthly Security payment is required on admissions and payable after sixty days after discharge. it is held in a separate accounts at the Bank of America and Peapack Gladstone Bank, not directly by CHCC. SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S GENERAL OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>978458</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01240</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
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        <DirectOffsettingRevenueAmt>11794235</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8563245</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10810</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>11794235</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9541703</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12050</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>131</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>237</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>112345</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>14512</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>97833</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <TotalOtherBenefitsGrp>
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        <PersonsServedCnt>237</PersonsServedCnt>
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        <DirectOffsettingRevenueAmt>14512</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>97833</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
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        <PersonsServedCnt>237</PersonsServedCnt>
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        <DirectOffsettingRevenueAmt>11808747</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9639536</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12170</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>81</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>166</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>69412</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>69412</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00900</TotalExpensePct>
      </CommunitySupportGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>81</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>166</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>69412</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>69412</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00900</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>182341</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>181432</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>2198765</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>2256439</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-57674</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>CHRISTIAN HEALTH CARE CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>301 SICOMAC AVENUE</AddressLine1Txt>
          <CityNm>WYCKOFF</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07481</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.CHCCNJ.ORG</WebsiteAddressTxt>
        <StateLicenseNum>22391</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>PSY HOSP,SK NURS FAC</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>CHRISTIAN HEALTH CARE CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Section C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>\\christianhealthcare.org/community/community</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Section C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Section C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Section C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>false</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTIAN HEALTH CARE CENTER CONDUCTED INTERVIEWS WITH REPRESENTATIVES FROM LOCAL HEALTH AND SERVICE AGENCIES, ELECTED COUNTY OFFICIALS AND COMMUNITY RESIDENTS TO TAKE IN ACCOUNT THE NEEDS OF THE COMMUNITY AT LARGE AND HOW TO RESPOND TO THEIR HEALTH CARE NEEDS.Part V, Section B, Line 6A CHRISTIAN HEALTH CARE'S PARTNERS IN THE COMMUNITY ASSESSMENT ARE ENGLEWOOD HOSPITAL AND MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, HOLY NAME MEDICAL CENTER AND THE VALLEY HOSPITAL IN RIDGEWOOD. Part V, Section B, Line 7a https://christianhealthcare.org/community/community-health-needs-assessmen t/ Part V, Section B, Line 11 Christian Health Care Center is addressing the significant needs from the CHNA (Community Health Needs Assesment) in the following phases: 1) identify and clarify the health care needs and priorities of the residents of Bergen County; 2) engage stakeholders, including key service providers and residents throughout the County; and 3) develop a detailed Bergen County Community Health Improvement Plan. Each of the five partnering hospitals, in turn, is developing individual implementation plans that will draw from the countywide plan.These individual plans will leverage the hospitals strengths and resources and allow them to meet the needs of those who live and work in the communities they serve. The assessment process compiled and analyzed an array of quantitative and qualitative health related data through community interviews, household and community surveys, and focus groups. For the purpose of this assessment, the steering committee defined health broadly to include not just health status and the existence of disease but also social factors, access to care issues, and overall determinants of health. Data was collected at County-level and whenever possible at the city, town, and borough level. State and national data was also compiled to a County-level and whenever possible at the city, town, and borough level and was used to facilitate comparison and benchmarking of County and local data. Line 16a-c Link to Financial Assitance Policy (FAP) https:\\christianhealthcare.org/customer</ExplanationTxt>
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            <AddressLine1Txt>301 Sicomac Avenue</AddressLine1Txt>
            <CityNm>Wyckoff</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07481</ZIPCd>
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          <FacilityTxt>254 Long-Term Care Nursing and 44 Beds Behavioral Management Beds</FacilityTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Christian Health Care Center uses the cost to charge ratio to calculate the amount presented in Part 1 line 7. This cost to charge ratio methodology addresses all patient segments throughout the Christian Health Care Center community.Part II Christian Health Care Center provides health education classes to residents in the community and on-site education training to students which promote healthy living and lifestyle choices to community residents. PART III, LINE 2 Christian Health Care uses the amount of bad debt expense calculated in the cost report. The benefit to the community at large is their ability to obtain healthcare and treatment they might have not been able to receive due to their ability to pay.Part III, Line 3 Christian Health uses the patient ability to pay to the Medicare fee schedule to estimate the bad debt expense for patients under its financial assitance policy. PART III, LINE 4 Christian Health Care Center's bad debt expense footnote appears on pages 11-12 of the 2016 audited financial statements. PART III, LINE 8 Christian Health Center uses the cost to charge ratio to determine the amount that is included in line 6. Christian Health Care Center is treating a severely mentally ill population who otherwise would not be able to receive treatment if the Center did not provide this benefit to its inpatient and outpatient residents. The Medicare shortfalls should be considered a community benefit because Christian Health Care Center is providing care to these patients/residents with full knowledge that Medicare reimbursement will not cover the full cost of care to these residents. PART III, LINE 9B In connection with its Mission Statement and subject to the availability of resources, the Center provides outpatient, inpatient and partial hospitalization clients/patients free care or sliding fee scale to uninsured, under insured or otherwise ineligible insured patients/clients who are unable to pay for services due to their financial situation. Free Care or Sliding Fee Scale shall refer to the provision of health care services and supplies by employees of the Center. Free Care or a Sliding Fee Scale shall not include cash payment in any form, such as the payment of any individual's health insurance premiums, or free goods not otherwise furnished in the ordinary course of the Center's operations. Part VI, 2 NEEDS ASSESSMENT: Christian Health Care Center assess the health-care needs of the community through market research conducted by organizations specializing in senior markets. They also track and trend referrals and admissions from acute care facilities, other nursing facilities and directly from the community at large. Whereas, trending these numbers shows the organization which programs will require additional resources to operate at a high level. Part VI, 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: The Center informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. The Center posts its Charity Care Policy, or a summary thereof, and financial assistance contact information in the admissions areas, waiting rooms and by the reception areas, and other areas of the Organization's Facilities in which eligible patients are likely to be present or seek such information. The Center provides a copy of the policy, or a summary thereof, as well as financial assistance contact information to patients as part of the intake and discharge process. The above materials are also included, in patient bills; and/or discussed with patient with the availability of various government benefits, such as Medicaid or State programs, and this assists the patient with the qualifications for such programs where applicable. Part VI, 4 COMMUNITY INFORMATION DESCRIPTION: Christian Health Care Center serves two distinct communities; older adults and the mentally ill. The service area for Elder-Care programs includes Northwest Bergen County and Southern Passaic County. The service area for inpatient psychiatric services is much larger and includes most of Northern New Jersey. Also, the age of the psychiatric patients spans from eighteen years old to geriatric. The Center implements awareness and education in external based-settings to help the community. Part VI, 5 PROMOTION OF COMMUNITY HEALTH: The Center provides meals on wheels to services, social outreach to community members who are housebound as well as CPR classes to local residents.Part VI, Line 6 Christian Health Care Center is not part of an affiliated health care system. Part VI, Line 7 New Jersey</ExplanationTxt>
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        <IssuerName>
          <BusinessNameLine1Txt>New Jersey Economic Development Authority</BusinessNameLine1Txt>
        </IssuerName>
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        <BondIssuedDt>2015-12-04</BondIssuedDt>
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        <PurposeDesc>Purchase Senior Housing Facility</PurposeDesc>
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        <PoolFinancingInd>false</PoolFinancingInd>
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        <RefundingEscrowAmt>9879296</RefundingEscrowAmt>
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        <CreditEnhancementAmt>59064</CreditEnhancementAmt>
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        <CapitalExpendituresAmt>6473465</CapitalExpendituresAmt>
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        <BondDefeasedAmt>0</BondDefeasedAmt>
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        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
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        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
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        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>DATE REBATE COMPUTATION WAS PERFORMED: BOND A - The date of the first rebate calculation was January 22, 2014. BOND B - The date of the first rebate calculation was January 6, 2013. BOND C - The date of the last rebate computation was December 9, 2010. Bond D - No rebate calculation due</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, COL (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTIONS OF PURPOSE: NJHCFFA VARIABLE RATE COMPOSITE BOND PROGRAM (2005) THE PROCEEDS WERE USED FOR THE CONSTRUCTION AND EQUIPPING OF A TWO-STORY ADDITION AT THE INPATIENT MENTAL HEALTH FACILITY, THE CONSTRUCTION AND EQUIPPING OF RENOVATIONS, A NEW ACTIVITY FACILITY AND NURSES STATION, AND THE ACQUISITION OF PROPERTY SITUATED ADJACENT NEXT TO THE FACILITY. SERIES 2009 VARIABLE RATE REVENUE BONDS THE PROCEEDS WERE USED FOR THE REFUNDING OF SERIES A BONDS AND THE CONSTRUCTION OF A GREAT ROOM IN THE NURSING HOME, AS WELL AS ADDITIONAL RENOVATION PROJECTS. NJHCFFA TAX EXEMPT EQUIPMENT NOTE 2009 IN JANUARY 2008, THE CENTER FINANCED $3,500,000 THROUGH A NJHCFFA TAX EXEMPT EQUIPMENT NOTE. THE PROCEEDS WERE USED FOR WASHERS/DRYERS, FURNITURE, IT EQUIPMENT AND NEW ENERGY-RELATED EQUIPMENT SUCH AS A CHILLERS. PAYMENTS OF PRINCIPAL AND INTEREST ARE DUE THROUGH JANUARY 2018 AND ARE AT A FIXED INTEREST RATE OF 3.60%. IN DECEMBER OF 2015, CHCC OF WAYNE, LLC. FINANCED $16,000,000 THROUGH THE ECONOMIC DEVELOPMENT AUTHORITY THE PROCEEDS WHERE USED TO HELP PURCHASE A SENIOR RESIDENTAL HOUSING FACILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of Classes of Members or Stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Question 6 The majority of the Centers governing body is comprised of persons who reside in the Centers primary service area who are neither employees nor contractors of the Christian HealthCare Center. Form 990, Part VI, Question 7A The Chairman shall call and preside at all meetings, whether of the Corporation or of the Board of Trustees and shall be, ex offico a member of all committees. The Vice-Chairman shall act as Chairman in the absence of the Chairman and when so acting power and authority of the Chairman. In the event there occurs a vacancy in the office of the Chairman, the Vice-Chairman shall assume the Chairman's responsibilities for the unexpired portion of the Chairman's term of the office until a qualified successor is chosen at a regular or special meeting of the Board of Trustees. The Secretary shall act as a Secretary of both the Board of Trustees and the Corporation, shall act of custodians of all records and reports of the Corporation and shall be responsible for the keeping and reporting of adequate records of all transactions except financial, and of the minutes of all meetings of the Corporation and the Board of Trustees. The Treasurer shall have custody of all funds of the Corporation. Acting with the Finance Committee, the Treasurer shall see that a true and accurate accounting of the financial transactions of the Corporation is made, that reports of such transactions are presented to such representative as the Board of Trustees may designate for authorization of payment. Form 990, Part VI, Question 7b The Corporation shall hold at least one meeting annually. At this meeting Members shall: Elect Trustees to fill vacancies from nominations presented by the Board of Trustees. Take action on such matters brought before it by the Board of Trustees. A majority vote of the Regular Members of the Corporation at any legal meeting shall be required to: Approve financial transactions incurring debt in excess of $2,000,000. Approve of the sale or purchase of real estate in excess of $1,000,000 and approve any revision of the original Articles of Incorporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Describe the Process used by Management &amp;/Or Governing Body to Review 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Question 11B A draft copy of the Organization's Form 990 (including required schedules) is sent to the Board of Trustee's before filing with the IRS for their review and oversight. Any comments or changes recommended by the Board are reviewed by the Finance Department and if the changes are deemed proper, they are incorporated in the final 990 that is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of Process to Monitor Transactions for Conflicts of Interest</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Question 12c All Officers, Directors, Trustees and Key Employees are required to read and sign the organization's written conflict of interest policy annually. During the course of the year, annual in-services are given on the subject as well as annual education. Within their disclosure they are required to state their interests and those of their family members that could give rise to conflicts of interest. If a conflict of interest does arise, the matter is reviewed by the Corporate Compliance Committee and reported to the Board if necessary for further action. The Board Chair, the Board Committee, or the Board shall ask the interested person to leave the meeting, although they may make a statement or answer any questions on the matter at hand before leaving the room. The interested person will not vote on the matter that gave rise to the potential conflict and the Board or Board Committee must approve the transaction or arrangement by a Majority Vote of the Board Members present that has Quorum, not including the vote of the interested person.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Offices &amp; Positons for Which Process was used, &amp; Year Process was Begun</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Question 15a The Compensation determination for the CEO,Executive Director and Top Management Officials is based on area annual salary market rates and annual performance evaluations. The process is reviewed annually by the personnel committee and uses data of comparable compensation for similar qualified persons in functionally comparable positions at similarly situated organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Offices &amp; Positions for which Process was used, &amp; Year Process was Begun</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Question 15b Compensation determination for the CEO, Executive Director and Top Management Officials of Christian HealthCare Center is based on area Salary Market rates and annual performance evaluations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Question 19 Written requests for the Organization's Governing documents, conflict of interest policy, and financial statements are considered on a case by case basis. Other Changes in Net Assets or Fund Balances Form 990, Part XI, Line 9 Change in Pension Liability: $400,439 Change in Interest in Foundation: $678,646 Equity Transfer from CCRC: $590,658 Equity Transfer from Holland Mutual: $3,200,229 Total: $4,869,972</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENT CHRISTIAN HEALTH ASSOCIATES PC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>301 SICOMAC AVENUE</AddressLine1Txt>
          <CityNm>Wyckoff</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07481</ZIPCd>
        </USAddress>
        <EIN>223629467</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</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>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Christian Health Care Center Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>691079</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHCC CCRC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>590658</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>