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      <Form990PartVIISectionAGrp>
        <PersonNm>NATALIE LEVKOVICH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATE FLYNN</PersonNm>
        <TitleTxt>PRESIDENT/SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>241655</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28452</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA BRAUN</PersonNm>
        <TitleTxt>VP CLINICAL IMPROVEMENT</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>162410</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8969</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN CHOI</PersonNm>
        <TitleTxt>SR. DIRECTOR, POPULATION H</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>123335</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37615</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAUDETTE FONSHELL</PersonNm>
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        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103959</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42220</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>631359</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>117256</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THOMAS JEFFERSON UNIVERSITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>170 S INDEPENDENCE MALL</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>POPULATION HEALTH CONSULTANT</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARBORMETRIX INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>339 EAST LIBERTY ST SUITE 210</AddressLine1Txt>
            <CityNm>ANN ARBOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48104</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE AND DATA MANAGEMENT</ServicesDesc>
        <CompensationAmt>112500</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>606772</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1748444</AllOtherContributionsAmt>
      <TotalContributionsAmt>2355216</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6998</TotalRevenueColumnAmt>
        <ExclusionAmt>6998</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2362214</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>6998</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>208299</TotalAmt>
        <ProgramServicesAmt>58640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128829</ManagementAndGeneralAmt>
        <FundraisingAmt>20830</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>824630</TotalAmt>
        <ProgramServicesAmt>746047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78583</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>54359</TotalAmt>
        <ProgramServicesAmt>48225</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6134</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>118273</TotalAmt>
        <ProgramServicesAmt>107696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10577</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>95705</TotalAmt>
        <ProgramServicesAmt>65825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29880</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>34100</TotalAmt>
        <ManagementAndGeneralAmt>34100</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>546</TotalAmt>
        <ManagementAndGeneralAmt>546</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>15000</TotalAmt>
        <ManagementAndGeneralAmt>15000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>449567</TotalAmt>
        <ProgramServicesAmt>411332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38235</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>23665</TotalAmt>
        <ProgramServicesAmt>9226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12425</ManagementAndGeneralAmt>
        <FundraisingAmt>2014</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>102561</TotalAmt>
        <ManagementAndGeneralAmt>102561</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>14746</TotalAmt>
        <ProgramServicesAmt>13942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>804</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>25815</TotalAmt>
        <ProgramServicesAmt>25509</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>13144</TotalAmt>
        <ManagementAndGeneralAmt>13144</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>5500</TotalAmt>
        <ProgramServicesAmt>1000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4500</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DIRECT PROGRAM SERVICES</Desc>
        <TotalAmt>133710</TotalAmt>
        <ProgramServicesAmt>133710</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>14895</TotalAmt>
        <ProgramServicesAmt>95</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14800</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>1956</TotalAmt>
        <ProgramServicesAmt>654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1302</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>2136471</TotalAmt>
        <ProgramServicesAmt>1621901</ProgramServicesAmt>
        <ManagementAndGeneralAmt>491726</ManagementAndGeneralAmt>
        <FundraisingAmt>22844</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>626234</BOYAmt>
        <EOYAmt>976099</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>327678</BOYAmt>
        <EOYAmt>235695</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>67132</BOYAmt>
        <EOYAmt>59002</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3878</BOYAmt>
        <EOYAmt>7268</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>104527</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>58950</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>24525</BOYAmt>
        <EOYAmt>45577</EOYAmt>
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        <BOYAmt>1049447</BOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>390607</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>345506</BOYAmt>
        <EOYAmt>92920</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>245800</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>680876</BOYAmt>
        <EOYAmt>729327</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>319109</BOYAmt>
        <EOYAmt>567515</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>49462</BOYAmt>
        <EOYAmt>26799</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>368571</BOYAmt>
        <EOYAmt>594314</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1049447</BOYAmt>
        <EOYAmt>1323641</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>225743</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2129090</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1905713</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2052775</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2250207</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2355216</CurrentTaxYearAmt>
        <TotalAmt>10693001</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2129090</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1905713</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2052775</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2250207</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2355216</CurrentTaxYearAmt>
        <TotalAmt>10693001</TotalAmt>
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      <PublicSupportTotal170Amt>10693001</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3881</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3032</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2285</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3350</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6998</CurrentTaxYearAmt>
        <TotalAmt>19546</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10712547</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99820</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99420</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>23095</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15589</DepreciationAmt>
        <BookValueAmt>7506</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>35427</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>24637</DepreciationAmt>
        <BookValueAmt>10790</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>46005</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>18724</DepreciationAmt>
        <BookValueAmt>27281</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>45577</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PPP LOAN PAYABLE</Desc>
        <Amt>245800</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>245800</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2362214</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2362214</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2362214</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2136471</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2136471</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2136471</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ADOPTED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, WITH NO CUMULATIVE EFFECT ADJUSTMENT REQUIRED. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION HAS ANALYZED THE TAX POSITIONS TAKEN IN ITS FILINGS WITH THE IRS AND STATE JURISDICTIONS WHERE IT OPERATES. THE ORGANIZATION BELIEVES THAT ITS INCOME TAX FILING POSITIONS WILL BE SUSTAINED UNDER EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE AFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATE FLYNN</PersonNm>
        <TitleTxt>PRESIDENT/SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>197118</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36155</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8382</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10452</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270107</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA BRAUN</PersonNm>
        <TitleTxt>VP CLINICAL IMPROVEMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>147394</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13652</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1364</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7489</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1480</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171379</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN CHOI</PersonNm>
        <TitleTxt>SR. DIRECTOR, POPULATION H</TitleTxt>
        <BaseCompensationFilingOrgAmt>112244</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10462</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>629</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27065</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160950</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN EMPLOYEE LEASE AGREEMENT WITH THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ("HAP"). THE SALARIES AND BENEFITS REPORTED ON THIS FEDERAL FORM 990 REPRESENTS AMOUNTS PAID FOR EMPLOYEES PERFORMING SERVICES FOR THE ORGANIZATION UNDER THIS AGREEMENT. HAP REPORTS THE EMPLOYEES ON THEIR FORM W-3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS ALLOW THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ("HAP") TO NOMINATE THREE BOARD MEMBERS OF THE HEALTH CARE IMPROVEMENT FOUNDATION (HCIF). HAP HAS UTILIZED THIS BYLAW AND HAS PLACED NOMINEES ON THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS ALLOW THE HOSPITAL AND HEALTSYSTEM ASSOCIATION OF PENNSYLVANIA ("HAP") TO NOMINATE THREE PERSONS TO SERVE AS DIRECTORS AND SHALL HAVE THE FURTHER RIGHT TO NOMINATE REPLACEMENT DIRECTORS FOR ANY DEPARTING HAP DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FEDERAL FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND IS PRESENTED TO THE ORGANIZATION FOR REVIEW. THE PRESIDENT AND OTHER HCIF PROFESSIONALS REVIEW A DRAFT OF THE RETURN AND THEN PRESENT IT TO THE FINANCE COMMITTEE. AFTER THE FINANCE COMMITTEE REVIEWS A DRAFT OF THE 990, A COPY IS PROVIDED TO ALL BOARD MEMBERS FOR A REVIEW. AT THE NEXT SCHEDULED BOARD MEETING, THE FINANCE COMMITTEE WILL MOVE TO HAVE THE 990 ACCEPTED BY THE GOVERNING BODY. AFTER ACCEPTANCE, THE 990 IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES AND BOARD MEMBERS ARE REQUESTED TO DISCLOSE AND REVIEW ANNUALLY ANY POTENTIAL CONFLICT OF INTEREST. THE BOARD ADOPTED AND IMPLEMENTED A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL ATTESTATION. BOARD MEMBERS ARE ASKED TO REFRAIN FROM VOTING AND RECUSE THEMSELVES FROM RELATED DISCUSSIONS WHEN A CONFLICT ARISES. EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS AND REFRAIN FROM PARTICIPATION IN ANY ACTIONS WHICH COULD GIVE RISE TO CONFLICTS EXCEPT UPON APPROVAL OF THE BOARD AFTER FULL DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION REVIEW PROCESS INCLUDES A SELF-ASSESSMENT COMPONENT PERFORMED BY THE PRESIDENT OF THE ORGANIZATION CONTINUING WITH AN IN-PERSON INTERVIEW WITH THE EXECUTIVE COMMITTEE. THE FULL BOARD OF DIRECTORS DETERMINES COMPENSATION FOR KEY EMPLOYEES, AFTER RECOMMENDATIONS FROM THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 291,284. MANAGEMENT AND GENERAL EXPENSES 37,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 328,884. DATA PROCESSING: PROGRAM SERVICE EXPENSES 120,048. MANAGEMENT AND GENERAL EXPENSES 635. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,683.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME BASIS AS PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>