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            <State>WV</State>
            <ZIPCode>25309</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consultant</DescriptionOfServices>
        <Compensation>146669</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Pathway Medical Staffing</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>180 Tamarack Circle</AddressLine1>
            <City>SKILLMAN</City>
            <State>NJ</State>
            <ZIPCode>08558</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Healthcare Staffing</DescriptionOfServices>
        <Compensation>123210</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <RelatedOrganizations>25000</RelatedOrganizations>
      <TotalContributions>25000</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE REVENUE</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>7581517</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7581517</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER CONTRACT REVENUE</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>834400</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>834400</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HOSPITAL REVENUE</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>541573</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>541573</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>8957490</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>471484</TotalRevenueColumn>
        <ExclusionAmount>471484</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>20835</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>20835</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>20835</TotalRevenueColumn>
        <ExclusionAmount>20835</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>10084824</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>9991638</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>93186</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>93186</TotalRevenueColumn>
        <ExclusionAmount>93186</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>COBRA INCOME</Description>
        <BusinessCode>524298</BusinessCode>
        <TotalRevenueColumn>141</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>141</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>475</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>475</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>616</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>9568611</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8958106</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>585505</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1028109</Total>
        <ManagementAndGeneral>1028109</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>4199156</Total>
        <ProgramServices>4018009</ProgramServices>
        <ManagementAndGeneral>181147</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>191322</Total>
        <ProgramServices>147730</ProgramServices>
        <ManagementAndGeneral>43592</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>956953</Total>
        <ProgramServices>738913</ProgramServices>
        <ManagementAndGeneral>218040</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>438100</Total>
        <ProgramServices>338280</ProgramServices>
        <ManagementAndGeneral>99820</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>157972</Total>
        <ProgramServices>85002</ProgramServices>
        <ManagementAndGeneral>72970</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>515837</Total>
        <ProgramServices>120000</ProgramServices>
        <ManagementAndGeneral>395837</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1218329</Total>
        <ProgramServices>961842</ProgramServices>
        <ManagementAndGeneral>256487</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>7704</Total>
        <ProgramServices>7471</ProgramServices>
        <ManagementAndGeneral>233</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>345333</Total>
        <ProgramServices>190625</ProgramServices>
        <ManagementAndGeneral>154708</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>516327</Total>
        <ProgramServices>1924</ProgramServices>
        <ManagementAndGeneral>514403</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>84297</Total>
        <ProgramServices>55881</ProgramServices>
        <ManagementAndGeneral>28416</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>59817</Total>
        <ProgramServices>44817</ProgramServices>
        <ManagementAndGeneral>15000</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>21105</Total>
        <ProgramServices>21105</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>128529</Total>
        <ManagementAndGeneral>128529</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SUBSCRIPTION &amp; DUES</Description>
        <Total>118794</Total>
        <ProgramServices>55598</ProgramServices>
        <ManagementAndGeneral>63196</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PAYROLL SERVICE</Description>
        <Total>24179</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>24179</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>VEHICLE COST</Description>
        <Total>7800</Total>
        <ProgramServices>7800</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECORD DESTRUCTION</Description>
        <Total>5452</Total>
        <ProgramServices>4369</ProgramServices>
        <ManagementAndGeneral>1083</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITMENT</Description>
        <Total>3699</Total>
        <ProgramServices>2974</ProgramServices>
        <ManagementAndGeneral>725</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>5862</Total>
        <ProgramServices>4305</ProgramServices>
        <ManagementAndGeneral>1557</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>10034676</Total>
        <ProgramServices>6806645</ProgramServices>
        <ManagementAndGeneral>3228031</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>1348042</BOY>
        <EOY>1445051</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>728412</BOY>
        <EOY>1447735</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>70415</BOY>
        <EOY>43839</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>199529</BOY>
        <EOY>142310</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>273615</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>258733</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>28546</BOY>
        <EOY>14882</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>12584716</BOY>
        <EOY>12107026</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>270369</BOY>
        <EOY>244374</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>15230029</BOY>
        <EOY>15445217</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>524504</BOY>
        <EOY>733863</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>524504</BOY>
        <EOY>733863</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>14705525</BOY>
        <EOY>14711354</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>14705525</BOY>
        <EOY>14711354</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>15230029</BOY>
        <EOY>15445217</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-466065</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>471894</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYear>25000</CurrentTaxYear>
        <Total>25000</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>8988336</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7253644</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6857483</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7575048</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8957490</CurrentTaxYear>
        <Total>39632001</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>8988336</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7253644</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6857483</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7575048</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8982490</CurrentTaxYear>
        <Total>39657001</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>39657001</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>964876</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1117744</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>499568</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>388052</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>585505</CurrentTaxYear>
        <Total>3555745</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>964876</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1117744</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>499568</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>388052</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>585505</CurrentTaxYear>
        <Total>3555745</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>1061</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>141</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>737</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>595</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>616</CurrentTaxYear>
        <Total>3150</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>9954273</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8371529</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7357788</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7963695</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9568611</CurrentTaxYear>
        <Total>43215896</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.91765</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.91377</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.08228</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.08616</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>14737</OtherCostOrOtherBasis>
        <Depreciation>14737</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>138307</OtherCostOrOtherBasis>
        <Depreciation>134566</Depreciation>
        <BookValue>3741</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>120569</OtherCostOrOtherBasis>
        <Depreciation>109428</Depreciation>
        <BookValue>11141</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>14882</TotalOfBookValueLandBuildings>
      <TotalRevenue>9568611</TotalRevenue>
      <TotalExpenses>10034676</TotalExpenses>
      <ExcessOrDeficitForYear>-466065</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>313259</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>313259</TotalAdjustments>
      <ExcessOrDeficitPerFS>-152806</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>9881870</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>313259</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>313259</RevenueNotRptdF990>
      <RevenueSubtotal>9568611</RevenueSubtotal>
      <TotalRevenuePerForm990>9568611</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>10034676</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>10034676</ExpensesSubtotal>
      <TotalExpensesPerForm990>10034676</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Martin P Margolies</NamePerson>
        <BaseCompensationFilingOrg>623039</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>67329</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13475</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12597</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>716440</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Jane Brubaker</NamePerson>
        <BaseCompensationFilingOrg>211438</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13475</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4997</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>259910</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Andrew Miller</NamePerson>
        <BaseCompensationFilingOrg>203107</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4274</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11786</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8979</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>228146</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>REVIEW PROCESS FOR THE FORM 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11B</ReturnReference>
        <Explanation>Prior to filing the final form 990 with the IRS, it is thoroughly reviewed by the Financial Consultant of the Organization. The respective form is provided to each member of the governing board for his/her review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. All members of the board of trustees, employees and vendors are required annually to disclose and sign conflict of interest agreements which are reviewed by the organization's compliance officer. THE DISCLOSURE STATEMENTS ARE REVIEWED AT THE BOARD LEVEL AND MEMBERS RECUSE THEMSELVES FROM AGENDA ITEMS THAT MAY BE DETERMINED TO BE A CONFLICT OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION APPROVAL PROCESS</Identifier>
        <ReturnReference>Form 990, Part VI, Questions 15a &amp; 15b</ReturnReference>
        <Explanation>The salaries of Officers of the organization are calculated annually and based on the contractual agreement in place which has been developed and reviewed by the Compensation Committee. Employee compensation is reviewed annually by the Executive Management Team, which determines the annual increase for the Organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ACCESS TO ORGANIZATIONAL DOCUMENTS</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>The governing documents, conflict of interest policy, and financial statements are made available to the public by providing copies upon request AND/OR APPOINTMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Average Hours Per Week Devoted to Related Organizations:</Identifier>
        <ReturnReference>Form 990, Part VII</ReturnReference>
        <Explanation>MARTIN MARGOLIES: 2 hrs/wk Area VII Physicians Review Organization 2 hrs/wk Physicians' Alliance of NJ VINCENT ACAMPORA: 1 hr/wk Physicians' Alliance of NJ ALVIN FRIED: 1 hr/wk Area VII Physicians Review Organization DANIEL GREENWALD: 1 hr/wk Area VII Physicians Review Organization EDWARD JOSELL: 1 hr/wk Area VII Physicians Review Organization BARNARD KAPLAN: 1 hr/wk Physicians' Alliance of NJ DAVID KINGSLEY: 1 hr/wk Area VII Physicians Review Organization JOHN LEWY: 1 hr/wk Area VII Physicians Review Organization VINCENT MCDERMOTT: 1 hr/wk Physicians' Alliance of NJ ROBERT MAURER: 1 hr/wk Area VII Physicians Review Organization STEVEN OXLER: 1 hr/wk Physicians' Alliance of NJ ALEXANDER RODI: 1 hr/wk Physicians' Alliance of NJ MICHAEL SPIVAK: 1 hr/wk Physicians' Alliance of NJ HOWARD ZEIDMAN: 1 hr/wk Physicians' Alliance of NJ</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>Unrealized Gain on Trading Securities: $313,259 Unrealized Gain on other than trading securities: $158,635 Total: $471,894</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Physicians Alliance of NJ Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>557 Cranbury Road Suite 21</AddressLine1>
          <City>East Brunswick</City>
          <State>NJ</State>
          <ZIPCode>08816</ZIPCode>
        </AddressUS>
        <EIN>222087985</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(6)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Area VII Physicians Review Organization</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>557 Cranbury Road Suite 21</AddressLine1>
          <City>East Brunswick</City>
          <State>NJ</State>
          <ZIPCode>08816</ZIPCode>
        </AddressUS>
        <EIN>222169496</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(6)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HQSI Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>557 Cranbury Road Suite 21</AddressLine1>
          <City>East Brunswick</City>
          <State>NJ</State>
          <ZIPCode>08816</ZIPCode>
        </AddressUS>
        <EIN>264588042</EIN>
        <PrimaryActivities>Med Care Impr</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(6)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HQ Solutions</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>557 Cranbury Road Suite 21</AddressLine1>
          <City>East Brunswick</City>
          <State>NJ</State>
          <ZIPCode>08816</ZIPCode>
        </AddressUS>
        <EIN>264587925</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(6)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>HQSI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>