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      <Desc>Health Care Provider Education and Engagement - TeamBirth NJ: The Quality Institute partnered with Ariadne Labs to implement a shared decision-making initiative, TeamBirth, in New Jersey. TeamBirth works to improve poor maternal and infant outcomes and inequities that are the result of breakdowns in teamwork and communication in the delivery system. To date, we are implementing Team Birth in 6 hospitals and 2 birthing centers in New Jersey and looking to expand further. This work is supported by New Jersey Department of Health. (Continued on Schedule O)</Desc>
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        <Desc>Community Engagement- The Quality Institute's - The Mayors Wellness Campaign (MWC): MWC is a statewide community health initiative that provides communities with funding opportunities and technical assistance for collecting local data and prioritizing their top health-related needs, planning, and implementing programs to address those needs, and developing ways to evaluate their efforts. Over 430 communities have signed the MWC pledge to make their communities healthily places to live, work, and play. In addition, the MWC runs specially focused programs which are described below. (Continued on Schedule O)</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ashish Parikh MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Linda Locke CNM MPH LSW FACNM</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>775390</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>32717</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>385750</MembershipDuesAmt>
      <GovernmentGrantsAmt>486961</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2943107</AllOtherContributionsAmt>
      <TotalContributionsAmt>3815818</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>50950</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>COUNCIL INCOME - EXCHANGE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>200000</RelatedOrExemptFuncIncomeAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>1500</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1500</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>250950</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>95758</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>409858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72234</ManagementAndGeneralAmt>
        <FundraisingAmt>36117</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>845064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45668</ManagementAndGeneralAmt>
        <FundraisingAmt>42219</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>64114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12243</ManagementAndGeneralAmt>
        <FundraisingAmt>6121</FundraisingAmt>
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        <ProgramServicesAmt>88383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12920</ManagementAndGeneralAmt>
        <FundraisingAmt>6460</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>3388</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>79796</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>24000</ProgramServicesAmt>
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      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>3378</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1700</ProgramServicesAmt>
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        <ProgramServicesAmt>12283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25582</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>17442</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>5967</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>6958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20336</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <FundraisingAmt>1020</FundraisingAmt>
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      <InterestGrp>
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      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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      <InsuranceGrp>
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        <ProgramServicesAmt>1782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13635</ManagementAndGeneralAmt>
        <FundraisingAmt>235</FundraisingAmt>
      </InsuranceGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>1985151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>395289</ManagementAndGeneralAmt>
        <FundraisingAmt>95155</FundraisingAmt>
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      <InfoInScheduleOPartXInd>X</InfoInScheduleOPartXInd>
      <CashNonInterestBearingGrp>
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        <EOYAmt>187974</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>2220639</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>862018</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>87428</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>313408</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>195175</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>2671098</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>1333375</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>4004473</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>4199648</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1686931</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>46206</NetUnrlzdGainsLossesInvstAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearAmt>94258</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.69170</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalLobbyingExpendGrp>
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      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
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      <LobbyingNontaxableAmountGrp>
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      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
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      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearMinus2Amt>239929</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>247727</CurrentYearMinus1Amt>
        <CurrentYearAmt>273780</CurrentYearAmt>
        <TotalAmt>1006746</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
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      <AvgTotalLobbyingExpendGrp>
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      </AvgTotalLobbyingExpendGrp>
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      </AvgGrassrootsNontaxableGrp>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <EquipmentGrp />
      <OtherLandBuildingsGrp />
      <FinancialDerivativesGrp />
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
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      <OtherAssetsOrgGrp>
        <Desc>CSV - LIFE INSURANCE</Desc>
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      </OtherAssetsOrgGrp>
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        <ExplanationTxt>The Institute is exempt from federal income tax under Section 501(c)(3) of the United States Internal Revenue Code and exempt from state income taxes under state law, and no provision for such income tax has been reflected in the accompanying financial statements. The Institute has evaluated uncertain tax positions with respect to its operations and concluded there are no such positions at May 31, 2024 and 2023. The Institute did not recognize any tax-related interest or penalties during the period presented in these financial statements.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Schedule O - Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part III - Line 4a The Leapfrog Group: The Quality Institute serves as the Regional Leader for The Leapfrog Group in New Jersey and New York. We provide support to hospitals and Ambulatory Surgical Centers (ASC) to achieve the highest participation rate in the country in The Leapfrog Group's annual Hospital and ASC Survey. The Leapfrog surveys are voluntary surveys that report on safety within a facility. The survey results are publicly reported in a consumer-friendly format and used by employers, consumers, and insurers when choosing a facility for services. Facilities use the survey process to improve their quality. Quality Events and Briefings: The Quality Institute holds quality improvement education sessions and releases regular Quality Briefings to drive quality improvement work. Quality improvement strategies can be used by employers, purchasers, payers, and patients to help inform decisions about where to seek care, leverage purchasing power, and increase transparency. Form 990, Part III - Line 4b Maternity Action Plan (MAP): The MAP provides a directional path forward to address New Jersey's maternal health crisis and address birth equity. The MAP serves as a companion to the NurtureNJ strategic plan. It includes background information and specific steps to improve maternal care and address disparities in maternal infant health outcomes especially for Black pregnant individuals and their families. This work is supported by the Robert Wood Johnson Foundation. Maternal Infant Health (MIH) Hub: The MIH Hub advances recommendations from Delivering Better Care: Midwifery Practice in New Jersey to support Midwifery practice in New Jersey. The MIH Hub is an ongoing learning collaborative and complements our MAP work. This work is supported by the Burke Foundation. Primary Care Payment Model Study: The Quality Institute was selected, with funding from the New Jersey Department of Human Services, to conduct a market scan of alternative payment models and value-based models for primary care currently in use in New Jersey and to convene a workgroup of various stakeholders and experts to suggest models and measures to use to promote sustainable, comprehensive primary care with a particular focus on integrating behavioral health. Small Group Market Reform: At the Quality Institute, we have long studied the individual and small group markets and looked for ways to make them more affordable. With input from consumers, businesses, insurance and health policy experts, we created a report with nine recommendations to strengthen these markets for employers and their employees. Our recommendations are being used to develop policy changes in these regulated markets. to develop policy changes in these regulated markets. Form 990, Part III - Line 4c Conversation of Your Life (COYL): COYL is part of the MWC. Through COYL, we provide technical assistance, materials, speakers, and resources on advance care planning. MWCs uses this assistance to bring important programming on advance care planning to comfortable community settings where people can learn how to create an advance directive, share their wishes for care, and pick a health care proxy. Mental Health Focus: With support from The Horizon Foundation for New Jersey, we are running programs with MWCs to combat stigma around mental health and to train people in Mental Health First Aid. With support from the HealthCare Foundation of New Jersey we are training over 75 doulas and community health workers who support pregnant individuals, in Mental Health First Aid. are training over 75 doulas and community health workers who support pregnant individuals, in Mental Health First Aid. Form 990, Part VI, Section B, line 11b: The Form 990 is reviewed in detail and approved by the Finance Committee. The form is then presented to the entire board for their review. It is then filed with the IRS. Form 990, Part VI, Section B, Line 12c: The Organization regularly and consistently monitors and enforces its conflict of interest policy by requiring all board of directors members, executive committee members, officers, committee members, and staff members to annually complete a detailed conflict of interest disclosure statement. Form 990, Part VI, Section B, Line 15: The process for determining the compensation of the President included review and approval by the Executive Committee, which serves as a compensation committee. The Committee used comparability data obtained from Guidestar 990s of other non-profit health care related organizations in making their decision. The deliberation and decision making process are set forth in the President's employment contract and documented in the minutes of the Executive Committee meetings. The position of Chief Operating Officer does not include a contract or voting rights, as a result, the process for determining the compensation is similar to that of the other staff. Specifically, the President &amp; CEO reviews Guidestar 990 filings showing salaries of comparable roles within comparable organizations in New Jersey and regionally. The deliberation and decision are documented in the personnel files. Please note that as required by IRS regulations the salaries are reported on a calendar year basis, and as such will differ from the fiscal year numbers. Form 990, Part VI, Section C, Line 19: The Organization makes its governing documents and conflict of interest policy available to the public on its website under the About Us tab. Financial statements are available to the public upon request by phone or email. FORM 990, PART VII, SECTION A Board member Linda Locke is compensated for her work as a consultant. She is not compensated for her duties as a board member. She abstained from voting on any issues related to her consulting work. Form 990, Part XII, Line 2C The Organization did not change the process of overseeing the audit or selecting the independent accountant.</ExplanationTxt>
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