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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael McCloe</PersonNm>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Linda Seeley</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIKA IGLESIAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Krueger</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY PETRUZZI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Shuler</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AURA VILLA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Donald Costanzo</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Raul Aguirre</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Amanda Angarita</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Andrea Rios</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Irma McKenna</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Zufall MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HENRY SCHEIN INC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 371952</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BENCO DENTAL CO</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 731372</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MCKESSON MEDICAL-SURGICAL INC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 634404</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EASTERN JANITORIAL</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>315 RIDGEDALE AVE</AddressLine1Txt>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>079369998</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEIDCUS IT</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 66936</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63166</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <NoncashContributionsAmt>2227170</NoncashContributionsAmt>
      <TotalContributionsAmt>29714350</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621498</BusinessCd>
        <TotalRevenueColumnAmt>17312539</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER HEALTHCARE RELATED REVENUE</Desc>
        <BusinessCd>621498</BusinessCd>
        <TotalRevenueColumnAmt>10362606</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10362606</RelatedOrExemptFuncIncomeAmt>
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      <GrossRentsGrp>
        <RealAmt>66300</RealAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>66300</TotalRevenueColumnAmt>
        <ExclusionAmt>66300</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncomeFromGamingGrp>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <ExclusionAmt>455719</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
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        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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        <ProgramServicesAmt>1464378</ProgramServicesAmt>
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        <ProgramServicesAmt>25334483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4180862</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>156672</ProgramServicesAmt>
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        <FundraisingAmt>21246</FundraisingAmt>
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        <ProgramServicesAmt>52131</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>78000</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>18430</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12270</ProgramServicesAmt>
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        <ProgramServicesAmt>938717</ProgramServicesAmt>
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        <ProgramServicesAmt>64264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1212855</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>337722</ProgramServicesAmt>
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        <ProgramServicesAmt>3428</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>490912</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>703563</ProgramServicesAmt>
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        <FundraisingAmt>9741</FundraisingAmt>
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        <FundraisingAmt>3365</FundraisingAmt>
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        <ProgramServicesAmt>11871660</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1123245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>527829</ManagementAndGeneralAmt>
        <FundraisingAmt>6050</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>171559</ManagementAndGeneralAmt>
        <FundraisingAmt>6409</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>630030</TotalAmt>
        <ManagementAndGeneralAmt>630030</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>714184</ProgramServicesAmt>
        <ManagementAndGeneralAmt>317982</ManagementAndGeneralAmt>
        <FundraisingAmt>603</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>49938603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9857551</ManagementAndGeneralAmt>
        <FundraisingAmt>337316</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>4062</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>7064574</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2428791</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>6842119</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1369012</EOYAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I; QUESTIONS 1A AND 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MADE A PAYMENT WITH RESPECT TO AN INSURANCE PLAN FOR THE FOLLOWING INDIVIDUALS: RINA RAMIREZ-ALEXANDER, M.D., DOUGLAS BISHOP, M.D., PATRICIA KAO AND PETER BEBEL, MBA. THE ORGANIZATION GROSSED-UP THE PAYMENTS MADE FOR TAX-PURPOSES. ACCORDINGLY, THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RINA RAMIREZ-ALEXANDER, M.D., $23,000; DOUGLAS BISHOP, M.D., $22,100; PATRICIA KAO, $22,984 AND PETER BEBEL, MBA, $11,880.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I; QUESTION 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2024 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Mission ======= To provide access to quality, affordable and culturally responsive health care to people and communities who experience barriers to care. Vision ====== To create equal opportunity for good health. History ======= In 1990, with little seed money and a few volunteers, Dr. Robert Zufall and his wife, Kathryn, opened a small community clinic in Dover to provide medical care to low-income people and families. The retired urologist treated patients while his wife managed the clinic and doggedly pursued funding opportunities. Their tenacity for enlisting volunteers generated a core team of physicians, dentists, and support staff so they could provide a full spectrum of services. Almost instantly, the once-a-week clinic attracted a growing patient base which, over the years, necessitated expansions of space and hours of operation. However, despite private and public support, funding for the clinic was a constant struggle. In 2004, its future was strengthened by its designation as a Federally Qualified Health Center. Renamed in 2006 to honor the Zufalls, the organization now proudly carries on their commitment in seven New Jersey counties. ======================= HRSA Community Health Center Quality Recognition 2024 In August 2024, Zufall received three Community Health Center Quality Recognition (CHQR) Badges from HRSA. These badges recognize health centers that have made notable quality improvement achievements in the areas of quality, health equity, and health information technology. The three badges are: Health Center Quality Leader with Gold tier recognition: This badge places Zufall among the top 10% of health centers in terms of overall clinical quality measure performance. Zufall has consistently achieved status as a Health Center Quality Leader since 2016. Health Disparities Reducer: This badge is awarded to health centers with at least a 10% improvement in low birth weight, hypertension control, or uncontrolled diabetes Clinical Quality Measures and have met set targets for measures in all racial and ethnic groups served within the last reporting year. Zufall also received this badge in 2023 and 2019. Access Enhancer: This badge is given to health centers who have 1) earned at least one Health Center Quality Leader or National Quality Leader badge or improved by at least 15% in one or more Clinical Quality Measures in back-to-back reporting years; and 2) have at least a 5% an increase in total patients and patients receiving mental health, substance use disorder, vision, dental, or enabling services in back-to-back reporting years. Zufall also received this badge in 2023 and 2019. American Heart Association Outpatient Program Awards In October 2024, Zufall Health received the following awards from the American Heart Association: Gold+ from The Target: BP Recognition Program: This initiative celebrates practices and health systems that treat patients with hypertension, for achieving blood pressure control rates at or above 70% within the populations they serve. These achievements will ultimately lead to a reduction in the number of Americans who suffer heart attacks and strokes. Check. Change. Control: Cholesterol Gold Level: This initiative recognizes our work towards improving the identification and management of our patients' cholesterol through 70% or more adherence to statins by at-risk patients. Target: Type 2 Diabetes Participant Level: This initiative promotes evidence-based care for patients with type 2 diabetes who have had cardiovascular events. Achievement of the award denotes impressive HbA1c control and at least 70% adherence to a cardiovascular-focused clinical measure. National Center for Quality Assurance Recognition In 2024, the National Center for Quality Assurance (NCQA) recognized Zufall Health as a Patient-Centered Medical Home for all eligible sites. The award recognizes Zufall's systematic use of patient-centered, coordinated care management processes. Zufall has maintained this recognition every year since 2016. Community Programs ================== Arts In Health -------------- Through our Arts in Health Program, we provided local professional and amateur artists the opportunity to showcase their creative talents and cultural diversity in a unique venue. The Arts In Health program added another dimension to the care we provide by drawing upon the therapeutic value of art in the healing process. We believed fine art adds a sense of comfort and beauty to an atmosphere traditionally considered sterile, and helped alleviate the anxiety of being in a medical setting. On a broader scale, our intent was to reach beyond our patients and staff to culturally enrich our community by providing new channels for creative expression and by inspiring an appreciation of the arts in individuals who typically may not have access to mainstream visual arts experiences. H.E.A.L. -------- The Health, Education, and Legal Program (H.E.A.L.) is a medical-legal partnership between Legal Services of Northwest Jersey (LSNWJ) and Zufall Health. H.E.A.L. provides education, case management, and legal assistance to low-income Hunterdon, Morris, Somerset, Sussex, and Warren County residents. The program focuses on legal issues related to: - Public benefits including Social Security Disability Income (SSDI), Temporary Assistance for Needy Families (TANF), the Supplemental Nutrition Assistance Program (SNAP), unemployment benefits, NJ FamilyCare (Medicaid), Charity Care, and homelessness assistance - Domestic abuse, child custody, or child support/alimony - Tenants' rights, evictions, home ownership issues, and Section 8 - Financial protection - Advance planning and individual rights Intensive Senior Support (ISS) ------------------------------ Intensive Senior Support (ISS) is a program for older adults (60 years and over) who live in Morris County, providing: - A support system for vulnerable older adults who are at high risk of losing their independent living status due to mental illness, substance abuse, dementia, homelessness, domestic violence, and extreme resistance to services - Linkage for those in need of in-home services to supportive programs and access to comprehensive primary medical, dental, and behavioral health care to address chronic and acute medical issues. ISS program participants will experience a continuity of care that facilitates stabilization of their medical and behavioral health conditions. Those who do not have a regular medical provider will be linked to Zufall Health for their primary care needs. Additionally, participants receive case management intervention services and appropriate referrals, including transportation to appointments to ensure continuation of care. Financial support for ISS is provided, in part, by the Morris County Board of Commissioners. Maternal Wraparound Program ---------------------------- The Maternal Wraparound Program (M-WRAP) provides intensive case management to residents of Morris, Sussex, and Warren counties who are pregnant or up to one year postpartum and are using or have recently used alcohol or drugs (including prescription narcotics). Services are provided during pregnancy and for up to one year after delivery. M-WRAP is funded by the New Jersey Division of Mental Health and Addiction Services. M-WRAP staff is here to listen and help program eligible participants take the steps that are right for them and their baby to improve their health and well-being. Services are confidential and judgment-free. M-WRAP Staff Can Assist with Finding: - Treatment and Counseling - Recovery Support Services - Services to Support Family Members - Safe Shelter - Prenatal and Primary Health Care - Transportation - And Much More</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>SNAP-Ed ------- SNAP-Ed is short for supplemental nutrition assistance program education. This program offered educational classes to teach community members how to make healthy food choices on a limited budget. It also encouraged increased physical activity. SNAP-Ed classes taught behavioral changes such as how to: - Eat more fruits, vegetables and whole grains - Drink fewer sugary beverages and reduce sodium intake - Increase physical activity levels - Maintain appropriate nutritional balance at all life stages Zufall health offered classes in Hunterdon, Morris, Somerset, Sussex, and Warren Countiedss, adapted to each audience including special lessons to meet the needs of children, teens, adults, seniors and pregnant, breastfeeding or new moms. SNAP-Ed was an extension of the Federal Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps. Reach Out and Read ================== At Zufall Health, promoting early literacy development is an important component of pediatric primary care. Through our participation in the Reach Out and Read New Jersey program, our providers give a new, age-appropriate book to pediatric patients at each well-child visit starting at six months of age. We also encourage parents to read to their child to create a language-rich home environment. The Reach Out and Read program is based on research that frequent exposure to words through reading aloud helps young children develop language skills which serve as the foundation for all learning, and fosters a love of books that will last a lifetime. Community Outreach ================= At Zufall Health, we go beyond the walls of our health centers to meet people where they are. Our Community Outreach Program partners with local organizations, farms, shelters, housing authorities, and more to remove barriers to care and connect individuals and families to essential health services. Outreach workers are at the heart of this effort. They help people navigate the health system, schedule appointments, coordinate on-site medical and dental care, arrange transportation, assist with translation and prescriptions, provide health education, and connect patients to community resources. Most importantly, they build trusting relationships-empowering our neighbors to take charge of their health. We focus our outreach on several key populations: - Seasonal Agricultural Workers - People Experiencing Homelessness - Veterans - Seniors - Public Housing Residents</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WILLIAM SHULER &amp; EVA TURBINER, MA - BUSINESS RELATIONSHIP. WILLIAM SHULER &amp; ROBERT ZUFALL, M.D. - BUSINESS RELATIONSHIP.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION B; QUESTION 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF ZUFALL HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FROM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS AND FILING WITH THE IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CURRENTLY HAS IN PLACE A CONFLICT-OF-INTEREST POLICY WHICH IT REGULARLY MONITORS AND ENFORCES. THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY ANNUALLY SIGN A CONFLICT-OF-INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, GOVERNING BODY AND MANAGEMENT WILL INVESTIGATE THE ISSUE. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, MANAGEMENT AND THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY. THE MEMBER WILL NOT BE ALLOWED TO VOTE OR BE A PART OF ANY DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT HAVE TO DO WITH THE CONFLICT UNTIL SUCH TIME THAT THERE IS NO LONGER A CONFLICT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION AT ZUFALL HEALTH CENTER TAKES INTO CONSIDERATION THE COMPENSATION PAID FOR OTHER SIMILAR POSITIONS IN THE MARKET PLACE AS WELL AS GENERAL PERFORMANCE OF THE EMPLOYEE AND THE CURRENT FINANCIAL CAPACITY OF THE ORGANIZATION. EACH YEAR THE BOARD OF DIRECTORS CONDUCTS A PERFORMANCE REVIEW OF THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER ("CEO") AND DETERMINES THE CEO'S SALARY. WHEN ESTABLISHING THE SALARY, THE BOARD REVIEWS COMPENSATION SURVEYS CONDUCTED BY THE NEW JERSEY HEALTH CENTERS TO ENSURE THAT THE ORGANIZATION'S CEO'S COMPENSATION IS CONSISTENT WITH STATE AND NATIONAL BENCHMARKS. SIMILARLY, THE CEO TAKES INTO ACCOUNT THOSE SAME COMPENSATION SURVEYS AS THE CEO SETS THE COMPENSATION FOR CERTAIN OTHER OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE UPON WRITTEN REQUEST AT THE ORGANIZATION'S OFFICE AT 18 WEST BLACKWELL STREET, DOVER, NJ, 07801. IN ADDITION, FORM 1023 AS WELL AS THE FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S OFFICE AT 18 WEST BLACKWELL STREET, DOVER, NJ, 07801.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART VII AND SCHEDULE J</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF ZUFALL HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CORE FORM, PART VII AND SCHEDULE J, PART II REFLECTS BOARD MEMBERS/OFFICERS OF THIS ORGANIZATION WHO RECEIVED COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THAT THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER/OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART VII, SECTION A, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF ZUFALL HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND ZUFALL HEALTH FOUNDATION, INC. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF ZUFALL HEALTH FOUNDATION, INC., THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART XII; QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR THE YEAR ENDED DECEMBER 31, 2024. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART XII; QUESTION 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REQUIRED TO FOLLOW THE AUDIT REQUIREMENTS OF TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS (UNIFORM GUIDANCE) WHICH SUPERSEDES OMB CIRCULAR A-133.</ExplanationTxt>
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          <BusinessNameLine1Txt>ZUFALL HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>217320</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF ZUFALL HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH-QUALITY COST-EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>