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        <OtherCompensationAmt>21363</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1918567</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>68157</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>17</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NATIONAL HEALTHCARE CONSULTING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7 ONTARIO AVE</AddressLine1Txt>
            <CityNm>PLAINVIEW</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FINANCE CONSULTANT</ServicesDesc>
        <CompensationAmt>450750</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PREFERRED BUILDING SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>77 KEARNY AVENUE</AddressLine1Txt>
            <CityNm>KEARNY</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07032</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>371428</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDIX STAFFING SOLUTIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7839 SOLUTION CENTER</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60677</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>191413</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAO MANAGEMENT CONSULTING SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>52 GLEN ROAD</AddressLine1Txt>
            <CityNm>WOODCLIFF LAKE</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07677</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>QA/QI CONSULTING</ServicesDesc>
        <CompensationAmt>174900</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICALWORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 847950</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EHR SOFTWARE</ServicesDesc>
        <CompensationAmt>173085</CompensationAmt>
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      <GovernmentGrantsAmt>6910366</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>597846</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <ManagementAndGeneralAmt>118707</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>77236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54550</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>196231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42758</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>269053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67172</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>34204</TotalAmt>
        <ManagementAndGeneralAmt>34204</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>76343</TotalAmt>
        <ProgramServicesAmt>61091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15252</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>246707</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DONATED VACCINES</Desc>
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        <ProgramServicesAmt>873349</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CONSUMABLE SUPPLIES</Desc>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <EOYAmt>2500000</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>5220950</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7734404</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9270734</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>196916</CurrentTaxYearMinus2YearsAmt>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>15279357</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15279357</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>13236760</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13236760</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY METROPOLITAN AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. METROPOLITAN'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT SHOWN ON SCHEDULE J, PART II, COLUMN B(II) REPRESENTS LONGEVITY BONUS, WHICH WAS APPROVED BY THE BOARD OF TRUSTEES.</ExplanationTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OUTSOURCES THE POSITION OF CHIEF FINANCIAL OFFICER TO NATIONAL HEALTHCARE CONSULTING, INC. NATIONAL HEALTHCARE CONSULTING, INC. WAS PAID $450,750 FOR THEIR SERVICES RENDERED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED IN DETAIL BY THE CEO AND CFO OF THE ORGANIZATION. AFTER THEIR REVIEW AND APPROVAL, THE FINANCE COMMITTEE WILL RECEIVE A COPY OF THE TAX RETURN FOR THEIR REVIEW AND APPROVAL. AFTER THE RETURN IS APPROVED INTERNALLY, THE BOARD IS GIVEN A COPY OF THE TAX RETURN FOR THEIR REVIEW. ONCE THIS PROCEDURE IS COMPLETED, THE FORM 990 IS SIGNED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR, THE ORGANIZATION DISTRIBUTES A CONFLICT OF INTEREST POLICY TO EXECUTIVE MANAGEMENT AND TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND AFFIRMATIVE ACKNOWLEDGEMENT THAT THEY ARE AWARE OF THE POLICY. IN ADDITION, THE ORGANIZATION ASKS FOR ANY ORGANIZATIONS THAT SENIOR MANAGEMENT, MEDICAL STAFF OR BOARD OF TRUSTEES HAVE AN INTEREST IN TO ENSURE THAT REFERRALS OR OTHER VENDOR RELATIONSHIPS ARE NOT BEING CONSUMMATED WITH THOSE ENTITIES. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE BOARD OF TRUSTEES FOR THEIR INITIAL REVIEW. ANY CONFLICTS DEEMED BY THE BOARD OF TRUSTEES TO BE POTENTIALLY DETRIMENTAL TO THE ORGANIZATION ARE REFERRED TO LEGAL COUNSEL FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE ORGANIZATION IS BY UTILIZING AND ANALYZING DATA FROM OTHER NEW JERSEY NOT-FOR-PROFIT ORGANIZATIONS. THE BOARD THEN APPROVES COMPENSATION FOR THE PRESIDENT/CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 162,442. MANAGEMENT AND GENERAL EXPENSES 361,709. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 524,151. MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 339,619. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 339,619. BILLING CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 122,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,310. BUILDING MAINTENANCE CONSULTANT: PROGRAM SERVICE EXPENSES 292,363. MANAGEMENT AND GENERAL EXPENSES 72,991. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 365,354.</ExplanationTxt>
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</Return>
