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          <BusinessNameLine1Txt>KEVIN A STAGG</BusinessNameLine1Txt>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>ALEXIS TOTARO</BusinessNameLine1Txt>
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        <BusinessName>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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          <BusinessName>
            <BusinessNameLine1Txt>DEL-SANO CONTRACTING CORP</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VISBEEN CONSTRUCTION</BusinessNameLine1Txt>
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        <BusinessCd>623000</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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        <Desc>Other</Desc>
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      <OtherRevenueMiscGrp>
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        <ExplanationTxt>Facility , 1 - Christian Health Care Center. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH APPROXIMATELY 80 COMMUNITY STAKEHOLDERS FROM THROUGHOUT BERGEN COUNTY. THESE INTERVIEWS CONFIRMED AND/OR REFINED THE FINDINGS FROM QUANTITATIVE DATA SOURCES AND PROVIDED VALUABLE INSIGHT ON COMMUNITY NEED, COMMUNITY HEALTH PRIORITIES, SEGMENTS OF THE POPULATION MOST AT-RISK, AND COMMUNITY HEALTH ASSETS. INDIVIDUAL INTERVIEWS WERE CONDUCTED BY PHONE USING A STRUCTURED INTERVIEW GUIDE DEVELOPED BY JOHN SNOW, INC. (JSI), A PUBLIC HEALTH RESEARCH AND CONSULTING FIRM, AND THE STEERING COMMITTEE. AT THE OUTSET, JSI WORKED WITH THE STEERING COMMITTEE TO IDENTIFY A REPRESENTATIVE LIST OF KEY INFORMANTS THAT COULD PROVIDE A DEEP AND BROAD PERSPECTIVE ON THE HEALTH-RELATED NEEDS OF THE COUNTY. THIS LIST INCLUDED ADMINISTRATIVE AND CLINICAL REPRESENTATIVES FROM EACH OF THE HOSPITALS AND BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES (BCDHS), AS WELL AS REPRESENTATIVES FROM ACROSS MANY SECTORS, INCLUDING HEALTH, PUBLIC HEALTH, SOCIAL SERVICE, ACADEMIC, AND BUSINESS. DETAILED NOTES WERE TAKEN FOR EACH INTERVIEW. FOR A LIST OF INTERVIEWEES, THEIR ORGANIZATIONAL AFFILIATIONS, INTERVIEW DATES, AND THE INTERVIEW GUIDE, PLEASE SEE APPENDIX A OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. KEY THEMES AND FINDINGS FROM THESE INTERVIEWS ARE INCLUDED IN THE NARRATIVE SECTIONS OF THIS REPORT. DURING THIS PHASE, JSI STAFF WORKED WITH THE STEERING COMMITTEE TO DEVELOP A RESOURCE INVENTORY. THIS INVENTORY WAS MEANT TO INFORM WHAT SERVICES ARE AVAILABLE IN BERGEN COUNTY TO ADDRESS COMMUNITY NEEDS AS WELL AS TO DETERMINE THE EXTENT TO WHICH THERE ARE GAPS IN HEALTH-RELATED SERVICES. THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) OF BERGEN COUNTY AND BCDHS STAFF SUPPORTED THIS EFFORT BY PROVIDING A LIST OF COMMUNITY PARTNERS AND KNOWN RESOURCES FROM ACROSS THE BROAD CONTINUUM OF SERVICES, INCLUDING CLINICAL HEALTH CARE SERVICES, COMMUNITY HEALTH AND SOCIAL SERVICES, AND PUBLIC HEALTH RESOURCES. THIS WAS DONE PRIMARILY BY COMPILING INFORMATION FROM EXISTING RESOURCE INVENTORIES AND PARTNER LISTS FROM THE CHIP, BCDHS, HOSPITALS, AND OTHER SERVICE PROVIDERS. THE RESOURCE INVENTORY CAN BE FOUND IN APPENDIX C OF THE COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Christian Health Care Center. BERGEN NEW BRIDGE MEDICAL CENTER, ENGLEWOOD HEALTH, HACKENSACK MERIDIAN HEALTH HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL CENTER, HOLY NAME MEDICAL CENTER AND THE VALLEY HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Christian Health Care Center. RAMAPO RIDGE PSYCHIATRIC HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH STATUS AND WELL-BEING OF ALL RESIDENTS LIVING IN BERGEN COUNTY - CERTAINLY ALL GEOGRAPHIC, DEMOGRAPHIC, AND SOCIOECONOMIC SEGMENTS OF THE POPULATION FACE CHALLENGES THAT MAY IMPEDE THEIR ABILITY TO ACCESS CARE OR MAINTAIN GOOD HEALTH. REGARDLESS OF AGE, GENDER, RACE/ETHNICITY, INCOME, FAMILY HISTORY, OR OTHER CHARACTERISTICS, EVERYONE IS IMPACTED IN SOME WAY BY HEALTH-RELATED DISPARITIES. WITH THIS IN MIND, RRPH'S IMPLEMENTATION STRATEGY INCLUDES ACTIVITIES THAT WILL SUPPORT ALL RESIDENTS, ACROSS ALL SEGMENTS OF THE POPULATION. HOWEVER, BASED ON THE ASSESSMENT'S QUANTITATIVE AND QUALITATIVE FINDINGS, THERE WAS AGREEMENT THAT RRPH SHOULD PRIORITIZE CERTAIN DEMOGRAPHIC AND SOCIO-ECONOMIC SEGMENTS OF THE POPULATION THAT HAVE COMPLEX NEEDS OR FACE ESPECIALLY SIGNIFICANT BARRIERS TO CARE, SERVICE GAPS, OR ADVERSE SOCIAL DETERMINANTS OF HEALTH, WHICH PUT THEM AT GREATER RISK. RRPH'S COMMUNITY HEALTH PRIORITIES HAVE BEEN FRAMED BROADLY TO ENSURE THAT THE FULL BREADTH OF UNMET NEEDS AND COMMUNITY HEALTH ISSUES ARE RECOGNIZED. THE PRIORITIES HAVE BEEN IDENTIFIED TO MAXIMIZE IMPACT, REDUCE DISPARITIES, AND PROMOTE COLLABORATION AND CROSS-SECTOR PARTNERSHIP. BASED ON THE FINDINGS FROM CHNA ACTIVITIES, AND RRPH'S CLINICAL EXPERTISE, LEADERSHIP OPTED TO PRIORITIZE THE FOLLOWING COMMUNITY HEALTH ISSUES: BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE DISORDER), CHRONIC/COMPLEX CONDITIONS AND RISK FACTORS, SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITIES. IT IS IMPORTANT TO NOTE THAT THERE ARE COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WERE NOT PRIORITIZED FOR INCLUSION IN THE IMPLEMENTATION STRATEGY. REASONS FOR THIS INCLUDE: * FEASIBILITY OF RAMAPO RIDGE HAVING AN IMPACT ON THIS ISSUE IN THE SHORT OR LONG TERM * CLINICAL EXPERTISE OF THE ORGANIZATION * THE ISSUE IS CURRENTLY ADDRESSED BY COMMUNITY PARTNERS IN A WAY THAT DOES NOT WARRANT ADDITIONAL SUPPORT * POVERTY/EMPLOYMENT, HOUSING STABILITY, AND TRANSPORTATION WERE IDENTIFIED AS COMMUNITY NEEDS, BUT WERE DEEMED TO BE OUTSIDE OF RAMAPO RIDGE'S PRIMARY SPHERE OF INFLUENCE. RAMAPO RIDGE PSYCHIATRIC HOSPITAL REMAINS OPEN AND WILLING TO WORK WITH HOSPITALS AND OTHER PUBLIC AND PRIVATE PARTNERS TO ADDRESS THESE ISSUES SHOULD AN OPPORTUNITY ARISE.</ExplanationTxt>
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      <FacilityNum>1</FacilityNum>
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            <BusinessNameLine1Txt>Christian Health Care Center LTC</BusinessNameLine1Txt>
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          <USAddress>
            <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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        <ExplanationTxt>0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTIAN HEALTH 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTIAN HEALTH USES THE PATIENT ABILITY TO PAY TO THE MEDICARE FEE SCHEDULE TO ESTIMATE THE BAD DEBT EXPENSE FOR PATIENTS UNDER ITS FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>CHRISTIAN HEALTHS BAD DEBT EXPENSE IS RECORDED IN THE 2023 AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTIAN HEALTH 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Christian Health Care Center: Line 16a URL: https://www.christianhealthnj.org/programs/community-health-needs-assessment/;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Christian Health Care Center: Line 16b URL: https://www.christianhealthnj.org/programs/community-health-needs-assessment/;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Christian Health Care Center: Line 16c URL: https://www.christianhealthnj.org/programs/community-health-needs-assessment/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTIAN HEALTH CENTER ASSESSES 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTIAN HEALTH SERVES TWO DISTINCT COMMUNITIES; OLDER ADULTS (SENIORS) 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER PROVIDES MEALS ON WHEELS TO SERVICES, SOCIAL OUTREACH TO COMMUNITY MEMBERS WHO ARE HOUSEBOUND AS WELL AS CPR CLASSES TO LOCAL RESIDENTS IN THE COMMUNITY.</ExplanationTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23373</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5130</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>336</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>322520</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ALEXIS TOTARO</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VP MENTAL HEALTH SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>213356</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6388</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5316</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14523</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>239583</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>AIJAZ NANJIANI</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>478637</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22492</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>535179</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KALLIOPI NISSIRIOS</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>382905</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>150</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7655</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8250</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>398960</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SRIKANTH REDDY</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>241788</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>241788</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CYNTHIA JALANDO-ON</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>304136</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11307</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10320</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>344763</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MONICA DHINGRA</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>473365</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25905</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>508270</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The bonuses awarded are non-fixed amounts based on performance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="23017437" softwareVersionNum="2023v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NJ Health Care Facilities Financing Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>221987084</BondIssuerEIN>
        <CUSIPNum>64579FXR6</CUSIPNum>
        <BondIssuedDt>2009-02-19</BondIssuedDt>
        <IssuePriceAmt>14970000</IssuePriceAmt>
        <PurposeDesc>Improve Healthcare Facility</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NJ Health Care Facilities Financing Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>221987084</BondIssuerEIN>
        <CUSIPNum>6455579Fx</CUSIPNum>
        <BondIssuedDt>2020-12-15</BondIssuedDt>
        <IssuePriceAmt>6600000</IssuePriceAmt>
        <PurposeDesc>Ramapo Ridge Room renovations</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>New Jersey Economic Development Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>222045817</BondIssuerEIN>
        <BondIssuedDt>2015-12-04</BondIssuedDt>
        <IssuePriceAmt>16000000</IssuePriceAmt>
        <PurposeDesc>Purchase of Siena Village</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>National Finance Authority (New Hampshire)</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521304598</BondIssuerEIN>
        <BondIssuedDt>2020-12-15</BondIssuedDt>
        <IssuePriceAmt>29300000</IssuePriceAmt>
        <PurposeDesc>Construction proceeds</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>9170000</RetiredAmt>
        <TotalProceedsAmt>8315000</TotalProceedsAmt>
        <RefundingEscrowAmt>9879296</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>159880</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>59064</CreditEnhancementAmt>
        <CapitalExpendituresAmt>4871760</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>2670000</RetiredAmt>
        <TotalProceedsAmt>4400000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>95888</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>30647</CreditEnhancementAmt>
        <CapitalExpendituresAmt>6473465</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2006</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>16000000</RetiredAmt>
        <TotalProceedsAmt>2051155</TotalProceedsAmt>
        <CapitalExpendituresAmt>16000000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>29300000</RetiredAmt>
        <TotalProceedsAmt>29474481</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>443578</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>29030903</CapitalExpendituresAmt>
        <UnspentAmt>22837643</UnspentAmt>
        <SubstantialCompletionYr>2022</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <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 I, Column (f)</FormAndLineReferenceDesc>
        <ExplanationTxt>BOND A ON FEBRUARY 19, 2009, NJHCFFA ISSUED $14,970,000 OF SERIES 2009 VARIABLE RATE REVENUE BONDS (SERIES 2009 BONDS) ON BEHALF OF THE OBLIGATED GROUP. THE PROCEEDS WERE USED FOR THE REFUNDING OF NJHCFFA SERIES A BONDS ISSUED IN 1997 AND RENOVATIONS TO THE EXISTING NURSING FACILITY. THE SERIES 2009 BONDS ARE PAYABLE IN ANNUAL PRINCIPAL INSTALLMENTS THROUGH JULY 2038 WITH INTEREST AT A VARIABLE INTEREST RATE (NOT TO EXCEED 12%). THE INTEREST RATES AS OF DECEMBER 31, 2021 AND 2020 WERE .11% AND 0.78% RESPECTIVELY. THE SERIES 2009 BONDS ARE SECURED BY A LETTER OF CREDIT WITH A BANK WITH AN AVAILABLE AMOUNT OF APPROXIMATELY $9,107,000, WHICH EXPIRES JANUARY 1, 2026. BOND B IN DECEMBER 2005, THE OBLIGATED GROUP FINANCED $6,600,000 THROUGH NJHCFFA VARIABLE RATE SERIES 2005 BONDS FOR THE CONSTRUCTION AND EQUIPPING OF A TWO-STORY ADDITION TO THE INPATIENT MENTAL HEALTH FACILITY, THE ACQUISITION OF PROPERTY SITUATED ADJACENT TO THE WYCKOFF/HAWTHORNE CAMPUS, AND VARIOUS OTHER RENOVATIONS. THE SERIES 2005 BONDS ARE PAYABLE IN ANNUAL PRINCIPAL INSTALLMENTS THROUGH JULY 2035 AND AT A VARIABLE INTEREST RATE (NOT TO EXCEED 12%) THAT AVERAGED 0.29% AND 1.73% DURING 2021 AND 2020, RESPECTIVELY. THE BONDS ARE SECURED BY A LETTER OF CREDIT WITH A BANK. THE LETTER OF CREDIT IS FOR APPROXIMATELY $4,677,000 AND EXPIRES JANUARY 1, 2026. BOND C IN DECEMBER 2015, CHRISTIAN HEALTH ACQUIRED SIENA VILLAGE WITH BOND PROCEEDS ISSUED THROUGH THE NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY (NJEDA). THESE NJEDA 2015 BONDS ARE PAYABLE IN MONTHLY INSTALLMENTS ON A 30-YEAR FULLY AMORTIZING BASIS THROUGH DECEMBER 2045 AND BEAR INTEREST AT 65% OF THE 30-DAY LIBOR PLUS 1.20% WITH A MINIMUM OF 1.63% AND A MAXIMUM OF 2.68%. THE INTEREST RATE AT DECEMBER 31, 2021 AND 2020 WAS 1.63. THE BANK HAS THE OPTION TO TENDER THE NJEDA 2015 BONDS IN FULL ON JANUARY 1, 2023 OR TO RESET THE INTEREST RATE. THE NJEDA 2015 BONDS ARE SECURED BY A FIRST LEASEHOLD MORTGAGE ON AND A GROSS RECEIPTS PLEDGE OF SIENA VILLAGE. BOND D ON DECEMBER 15, 2020, THE NFA ISSUED TWO TAX-EXEMPT NON-QUALIFIED REVENUE BONDS IN THE AMOUNT OF $16,300,000 (SERIES 2020A BONDS) AND $13,000,000 (SERIES 2020B BONDS) ON BEHALF OF THE OBLIGATED GROUP. THE SERIES 2020A BONDS WERE ISSUED TO REPAY THE EXISTING CAPITAL IMPROVEMENT LOANS. THE SERIES 2020B BONDS WERE ISSUED FOR FINANCING THE COSTS OF CONSTRUCTING AND EQUIPPING CERTAIN IMPROVEMENTS TO THE NURSING HOME AND MENTAL HEALTH FACILITIES. DURING 2021, APPROXIMATELY $4,526,000 WAS DRAWN TO FUND CONSTRUCTION. THE NFA 2020 SERIES A AND B BONDS HAVE A 25-YEAR TERM, MATURING IN 2045, BEARING INTEREST AT A VARIABLE RATE OF THE 90-DAY LIBOR PLUS 1.87%, WITH A RATE FLOOR OF 2.19%. FROM DECEMBER 15, 2020 THROUGH DECEMBER 31, 2022, THE INTEREST RATE FOR THE SERIES 2020 B BONDS IS FLOATING AT THE 90-DAY LIBOR PLUS 1.87% WITH A RATE FLOOR OF 2.19%. THE INTEREST RATE FOR BOTH THE SERIES 2020 A AND SERIES 2020 B BONDS, AS OF DECEMBER 31, 2021, WAS 2.41% AND 2.19%, RESPECTIVELY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF THE CENTER IS TO PROVIDE A CONTINUUM OF HIGH-QUALITY SERVICES CONSISTENT WITH THE CHRISTIAN PRINCIPLES ON WHICH THE INSTITUTION WAS FOUNDED. CARE IS PROVIDED TO THOSE IN NEED OF LONG-TERM CARE, MENTAL-HEALTH CARE, RESIDENTIAL LIVING, AND SENIOR HOUSING IN A COMPASSIONATE AND LOVING ENVIRONMENT. THE MISSION IS ROOTED IN THE BELIEF THAT WE MINISTER TO THE WHOLE PERSON, RECOGNIZING THAT A PERSON'S FAITH SHOULD BE UTILIZED, STRENGTHENED, AND NOURISHED. ACCORDINGLY, WE RESPECT AND CARE FOR THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF THOSE WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER'S LONG-TERM CARE DIVISION OPERATES (I) THE HERITAGE MANOR NURSING HOME ("HERITAGE MANOR"), A 298-BED SKILLED NURSING AND MEDICAL-CARE FACILITY, (II) HILLCREST RESIDENCE, A 39-BED CLASS C BED BOARDING HOME, (III) EVERGREEN COURT, A 291 SENIOR HOUSING UNITS (EVERGREEN COURT, CH OF WAYNE, LLC (SIENA VILLAGE), (IV) THE LONGVIEW ASSISTED LIVING RESIDENCE ("LONGVIEW"), A 95-BED ASSISTED LIVING FACILITY WITH A SPECIALIZED UNIT FOR RESIDENTS WITH MEMORY IMPAIRMENT; (V) SOUTHGATE BEHAVIOR MANAGEMENT UNIT ("SOUTHGATE"), A 40-BED LONG-TERM CARE FACILITY THAT SPECIALIZES IN BEHAVIOR-MANAGEMENT TREATMENT; AND (VI) THE CHRISTIAN HEALTH ADULT DAY SERVICES ("ADULT DAY SERVICES") PROGRAMS IN WAYNE AND WYCKOFF, NEW JERSEY THAT PROVIDE DAYTIME NURSING AND RESPITE CARE FOR AREA SENIORS. SIENA VILLAGE IS A 250-UNIT APARTMENT COMPLEX DESIGNED TO MEET THE NEEDS OF SENIORS ON FIXED INCOMES SEEKING TO MAXIMIZE THEIR INDEPENDENCE BY OFFERING LOW-INCOME, MODERATE-INCOME, AND MARKET RATE APARTMENTS. SUMMER HILL APARTMENTS, A 164-UNIT INDEPENDENT HOUSING RESIDENCE DESIGNED TO MEET THE NEEDS OF SENIORS ON FIXED INCOME SEEKING TO MAXIMIZE THEIR INDEPENDENCE BY OFFERING MODERATE-INCOME AND MARKET RATE APARTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MAJORITY OF THE CENTER'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE CENTER'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE CHRISTIAN HEALTHCARE CENTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION DETERMINATION FOR THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIALS IS BASED ON AREA'S ANNUAL SALARY AND MARKET RATES AS WELL AS ANNUAL PERFORMANCE EVALUATIONS. THE PROCESSIS REVIEWED ANNUALLY BY THE ORGANIZATIONS PERSONNEL COMMITTEE AND THEY USES DATA OF COMPARABLE COMPENSATION FOR SIMILAR QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION FOR THE OTHER OFFICERS OR KEY EMPLOYEES OF CHRISTIAN HEALTH CARE CENTER IS BASED ON THE AREA'S SALARY MARKET RATES AND ANNUAL PERFORMANCE EVALUATIONS. USES DATA OF COMPARABLE COMPENSATION FOR SIMILAR QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, &amp; FINANCIAL STATEMENTS TO GENERAL PUBLIC: WRITTEN REQUESTS FOR THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE CONSIDERED ON A CASE BY CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Mattress Rentals - Total Revenue: 51325, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 51325;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Pension liability - 440272; Change in Interest in Foundation - 578091; Change in Fair Value of Derivative - -2126115;</ExplanationTxt>
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        <ControlledOrganizationInd>false</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>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Christian Health Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1376319</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>