Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2022 , and ending 06-30-2023
BCheck if applicable:
CName of organization
NEW JERSEY INNOVATION INSTITUTE INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
323 MARTIN LUTHER KING JR BLVD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEWARK, NJ07102
D Employer identification number

47-1042118
E Telephone number

G Gross receipts $ 34,340,267
F Name and address of principal officer:
DR MICHAEL JOHNSON PHD
323 MARTIN LUTHER KING JR BLVD
NEWARK,NJ07102
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NJII.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2014
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: WE ARE AN INNOVATIVE RESEARCH ORG. DEDICATED TO REVITALIZING ECONOMIC DEVELOPMENT WITHIN NJ.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 131
6 Total number of volunteers (estimate if necessary) ............. 6 15
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 741,009
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 18,972,490 27,041,814
9 Program service revenue (Part VIII, line 2g) ......... 2,403,914 3,227,234
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 62,784,767 2,231,873
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,576,075 1,839,346
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 85,737,246 34,340,267
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 479,250 10,365,500
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 9,842,335 11,234,754
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 16,783,622 13,177,838
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 27,105,207 34,778,092
19 Revenue less expenses. Subtract line 18 from line 12....... 58,632,039 -437,825
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 71,920,921 73,825,081
21 Total liabilities (Part X, line 26)............. 14,512,591 16,854,576
22 Net assets or fund balances. Subtract line 21 from line 20..... 57,408,330 56,970,505
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 31,701,330 including grants of $ 10,365,500 ) (Revenue $ 2,486,225 )
SEE SCHEDULE ONJII HELPS TO TURN IDEAS INTO WORKABLE SOLUTIONS ACROSS FOUR DIVISIONS: HEALTHCARE DELIVERY SYSTEMS, PROFESSIONAL CORPORATE EDUCATION, DEFENSE AND HOMELAND SECURITY, AND ENTREPRENEURSHIP.HEALTHCARE DELIVERY SYSTEMSNJII HELPS CREATE NEW MODELS OF EVIDENCE-BASED HEALTHCARE. BUILDING ON A SECURE EXCHANGE OF DIGITAL INFORMATION, THESE NEW DELIVERY SYSTEMS IMPROVE THE QUALITY OF CARE AND FOSTER NEW MEDICAL DEVICE TECHNOLOGY TO LOWER COSTS AND IMPROVE OUTCOMES.PROFESSIONAL CORPORATE EDUCATIONTHE PROFESSIONAL CORPORATE EDUCATION DIVISION AT NJII IS FOCUSED ON HELPING EMPLOYERS MAKE THE MOST OF THEIR MOST VALUABLE ASSET; THEIR PEOPLE. NJII BELIEVES STRONGLY IN PROTECTING THE VALUE OF THE INVESTMENTS MADE IN THE WORKFORCE AND IS DEDICATED TO PROVIDING PROGRAMMING AND SUPPORT THAT MEETS THE NEEDS OF INDUSTRIES AND THE BUSINESSES WITHIN THEM. DEFENSE & HOMELAND SECURITYNJII HELPS ADDRESS THE DEMANDS OF DEFENSE AND NATIONAL SECURITY, INCLUDING PORT SECURITY, BIO-METRIC AND SENSOR-BASED DETECTION SYSTEMS, WEAPONS, ENERGETICS, AND MATERIAL LOGISTICS AS WELL AS COMMUNICATIONS PROJECTS AND SECURITY SYSTEMS FOR INFRASTRUCTURE DEFENSE, COMMAND, CONTROL AND FIRST-RESPONDER SUPPORT. ENTREPRENEURSHIPTHE ENTREPRENEURSHIP DIVISION AT NJII IS FOCUSED ON ENGAGING STARTUPS, GROWING BUSINESSES, AND ORGANIZATIONS IN ENTREPRENEURIAL THINKING AND ACTIVITIES. NJII WORKS WITH ORGANIZATIONS AND TEAMS TO HELP THEM EXPAND THEIR INNOVATION MINDSET AND TRAIN OTHERS IN THE METHODS OF ENTREPRENEURSHIP. THIS DIVISION RUNS AN INCUBATOR CALLED "VENTURELINK" WHICH IS ALSO THE NAME OF A BUILDING THAT IS LOCATED ON THE NJIT CAMPUS AND OFFERS FLEXIBLE PRIVATE AND CO-WORKING OFFICE SPACE. THE DIVISION IS TASKED WITH COMMERCIALIZING INTELLECTUAL PROPERTY THAT COMES FROM NJIT AND GROWING NJII ENTREPRENEURSHIP PROGRAMS AND SERVICES ACROSS NEW JERSEY.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet31,701,330
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
441
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
131
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletCHARLENE NICHOLSON323 MARTIN LUTHER KING JR BLVD   NEWARK,NJ07102 (973) 596-5321
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) TEIK C LIM......................................................................
CHAIRMAN (7/22-6/23)/INTERIM PRES.
5.00
.................
30.00
X   X       0 449,624 33,740
(2) ATAM DHAWAN......................................................................
DIRECTOR
1.00
.................
34.00
X           0 417,094 52,428
(3) HOLLY STERN......................................................................
SECRETARY (NON VOTING)
1.00
.................
34.00
X   X       0 345,499 41,592
(4) ROBERT MEDINA......................................................................
CHAIRMAN (AS OF 6/23)
1.00
.................
1.00
X   X       0 0 0
(5) DR KENNETH BLANK......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(6) ROBERT COHEN......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(7) NICHOLAS DENICHILO......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(8) THERESA EDELSTEIN......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(9) CRAIG GOTSMAN......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(10) DEBBIE HART......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(11) JOSE LOZANO......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(12) PRABHAS MOGHE......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(13) DEAN PARANICAS......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(14) JENNIFER ROWLAND......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(15) AL DE SETA......................................................................
DIRECTOR (AS OF 9/22)
1.00
.................
0.00
X           0 0 0
(16) DHIRAJ SHAH......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(17) MICHELE SIEKERKA......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) TOM WISNIEWSKI........................................................................
DIRECTOR
1.00
.......................0.00
X           0 0 0
(19) SIMON NYNENS........................................................................
PRESIDENT & CEO (THRU 8/22)
17.50
.......................17.50
    X       0 513,649 55,082
(20) TOM NEHILA........................................................................
INTERIM CFO (AS OF 3/2023)
35.00
.......................0.00
    X       0 0 0
(21) JENNIFER D'ANGELO........................................................................
SVP HEALTHCARE DIVISION
35.00
.......................0.00
        X   317,001 0 50,231
(22) KEVIN SCULL........................................................................
CHIEF FINANCIAL OFFICER (THRU 2/23)
35.00
.......................0.00
        X   205,667 0 45,706
(23) MATTHEW MOLINE........................................................................
CHIEF TECHNOLOGY OFFICER
35.00
.......................0.00
        X   185,762 0 52,373
(24) ZAINAB ALALI PHD........................................................................
ASSOC. DR. OF QUALITY ASSURANCE
35.00
.......................0.00
        X   191,303 0 22,997
(25) WILLIAM LUTZ........................................................................
DIRECTOR OF VENTURELINK
35.00
.......................0.00
        X   166,869 0 14,075
(26) DR JOEL BLOOM........................................................................
FORMER CHAIRMAN
0.00
.......................35.00
          X 0 901,845 45,293








1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,066,602 2,627,711 413,517
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet20
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
4MEDICA INC

13160 MINDANAO WAY SUITE 350
MARINA DEL REV,CA90292
HEALTHCARE CONSULTING 4,877,000
VELATURA LLC

120 N WASHINGTON SQUARE SUITE 316
LANSING,MI48933
INFORMATION TECHNOLOGY 916,083
GLOBAL TEK WORKS

3110 SPECTRUM
IRVINE,CA92618
CONSULTING SERVICES 457,470
CARE PLUS BERGEN INC

230 EAST RIDGEWOOD AVENUE
PARAMUS,NJ07652
HEALTHCARE CONSULTING 356,570
HEALTHCARE IT LEADERS LLC

PO BOX 930816
ATLANTA,GA31193
HEALTHCARE CONSULTING 327,850
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet9
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 425,867
e Government grants (contributions)1e 26,615,947
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 27,041,814
 Program Service RevenueAmt Business Code
2a PROF. DEVELOPMENT 541900 1,305,549 1,305,549    
b DIGITAL SCI. STUDIO 541900 777,317 777,317    
c SHARED SERVICE REVENUE 541900 741,009   741,009  
d EMS REGISTRY 541900 215,801 215,801    
e OTHER ACTIVITIES 541900 187,558 187,558    
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 3,227,234
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 2,231,873     2,231,873
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   1,839,346 6a
b Less: rental expenses   0 6b
c Rental income or (loss)   1,839,346 6c
d Net rental income or (loss).......MediumBullet 1,839,346     1,839,346
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 34,340,267 2,486,225 741,009 4,071,219
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 10,365,500 10,365,500
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 284,365   284,365  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 8,722,898 7,488,173 1,234,725  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 659,795 556,123 103,672  
9 Other employee benefits ....... 909,535 766,622 142,913  
10 Payroll taxes ........... 658,161 554,746 103,415  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 127,006 90,607 36,399  
c Accounting ........... 83,610   83,610  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 8,117   8,117  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 7,469,566 7,055,739 413,827  
12 Advertising and promotion .... 2,580 576 2,004  
13 Office expenses .......        
14 Information technology ...... 37,550 37,550    
15 Royalties ..        
16 Occupancy ........... 1,851,897 1,846,079 5,818  
17 Travel ............ 113,163 88,637 24,526  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 148,447 139,069 9,378  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 683,419 360,233 323,186  
23 Insurance ... 167,495 354 167,141  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a SHARED SERVICES 1,500,124 1,500,124    
b SUBSCRIPTIONS 423,263 402,249 21,014  
c EQUIPMENT AND SUPPLIES 254,251 232,056 22,195  
d REPAIRS & MAINTENANCE 24,487 24,487    
e All other expenses 282,863 192,406 90,457  
25 Total functional expenses. Add lines 1 through 24e 34,778,092 31,701,330 3,076,762 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 3,905,796 1 1,076,510
2 Savings and temporary cash investments ......... 65,000,000 2 66,030,565
3 Pledges and grants receivable, net ...... 758,475 3 91,441
4 Accounts receivable, net ............. 375,046 4 174,038
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 115,216 9 235,388
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,426,988
b Less: accumulated depreciation 10b 532,115 801,513 10c 894,873
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 964,875 15 5,322,266
16 Total assets. Add lines 1 through 15 (must equal line 33)... 71,920,921 16 73,825,081
Liabilities 17 Accounts payable and accrued expenses ..... 4,400,824 17 4,178,916
18 Grants payable ...   18  
19 Deferred revenue ......... 9,274,837 19 386,733
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22 10,900,000
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 836,930 25 1,388,927
26 Total liabilities. Add lines 17 through 25.. 14,512,591 26 16,854,576
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 801,514 30 894,874
31 Retained earnings, endowment, accumulated income, or other funds 56,606,816 31 56,075,631
32 Total net assets or fund balances ........... 57,408,330 32 56,970,505
33 Total liabilities and net assets/fund balances ........ 71,920,921 33 73,825,081
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
34,340,267
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
34,778,092
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-437,825
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
57,408,330
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
56,970,505
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 25,094,908 18,654,722 21,741,711 18,972,490 27,041,814 111,505,645
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3 25,094,908 18,654,722 21,741,711 18,972,490 27,041,814 111,505,645
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4. 111,505,645
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4.. 25,094,908 18,654,722 21,741,711 18,972,490 27,041,814 111,505,645
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 22,050 11,617 1,306,188 1,576,110 4,071,219 6,987,184
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10 118,492,829
12
12
11,018,032
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
94.100 %
15
15
97.330 %
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number
47-1042118
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....   320,844 66,374 254,470
c Leasehold improvements        
d Equipment ....   970,070 465,741 504,329
e Other .....   136,074   136,074
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 894,873
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)DUE FROM NJIT 3,974,232
(2)RIGHT TO USE ASSET 1,348,034
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 5,322,266
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,388,927
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: FIN 48 NJII FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. NJII IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE; ALTHOUGH, NJII IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. NJII HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. NJII HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. IN ADDITION, NJII HAS DETERMINED THAT IT HAS NOT GENERATED MATERIAL UNRELATED BUSINESS INCOME AND, THEREFORE, NO INCOME TAX PROVISION IS REQUIRED.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  





Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number
47-1042118
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) 11 HISTORY LANE OPERATING COMPANY LLC
11 HISTORY LANE
JACKSON,NJ08527
20-1945900 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(2) ABIGAIL HOUSE FOR NURSING AND REHABILITATION
1105 LINDEN STREET
CAMDEN,NJ08102
81-0607198 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(3) ABSECON OPERATOR LLC
1020 PITNEY RD
ABSECON,NJ08201
83-3644965 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(4) ACTS RETIREMENT LIFE COMMUNITIES INC
309 BRIDGEBORO ROAD
MOORESTOWN,NJ08057
23-1900132 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(5) ADVANCED SUBACUTE
685 SALINA ROAD
SEWELL,NJ08080
46-4094642 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(6) ALAMEDA CENTER FOR REHABILITATION AND HEALTHC
303 ELM STREET
PERTH AMBOY,NJ08861
81-0798021 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(7) ALLAIRE REHAB AND NURSING
115 DUTCH LANE ROAD
FREEHOLD,NJ07728
47-5548905 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(8) ALLEGRO AT HARRINGTON PARK
212 S CENTRAL AVE
ST LOUIS,MO63105
61-1868744 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(9) ALLENDALE ASSISTED LIVING LLC
85 HARRETON RD
ALLENDALE,NJ07401
86-2713425 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(10) ALLENDALE OPERATOR LLC
85 HARRETON RD
ALLENDALE,NJ07401
86-2685064 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(11) ALLIANCE HC HOLDINGS LLC
1382 LANES WILL ROAD
LAKEWOOD,NJ08701
81-4311054 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(12) AMBER COURT OF ELIZABETH LLC
1155 E JERSEY ST
ELIZABETH,NJ07201
20-4571673 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(13) ARBOR RIDGE OPERATOR LLC
261 TERHUNE DR
WAYNE,NJ07470
84-2624666 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(14) ARISTACARE AT CHERRY HILL LLC
1399 CHAPEL HILL AVENUE W
CHERRY HILL,NJ08002
45-3833565 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(15) ARISTACARE AT MANCHESTER LLC
245 BIRCHWOOD AVENUE
CRANFORD,NJ07016
46-4126951 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(16) ARISTACARE AT WHITING LLC
23 SCHOOLHOUSE ROAD
WHITING,NJ08759
26-2429737 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(17) ASHBROOK CARE & REHABILITATION CENTER LLC
1610 RARITAN ROAD
SCOTCH PLAINS,NJ07076
27-0398833 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(18) ASPEN HILLS HEALTHCARE CENTER LLC
600 PEMBERTON BROWN MILLS ROAD
PEMBERTON,NJ08068
45-4881207 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(19) ATLANTIC COAST REHABILITATION CENTER
485 RIVER AVE
LAKEWOOD,NJ08701
22-3307698 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(20) BARCLAYS REHABILITATION & HEALTHCARE CENTER
1412 MARLTON PIKE E
CHERRY HILL,NJ08755
47-4870551 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(21) BARNABAS HEALTH INC
95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
22-2405279 N/A 815,750 0     SUBSTANCE USE DISORDER PROGRAM
(22) BARNEGAT NURSING AND REHABILITATION LLC
859 WEST BAY AVE
BARNEGAT,NJ08005
46-3532819 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(23) BARNERT SUBACUTE REHABILITATION CENTER LLC
680 BROADWAY SUITE 301
PATERSON,NJ07514
26-4723997 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(24) BARTLEY OPERATOR LLC
15 AMERICA AVE
LAKEWOOD,NJ08701
87-3184736 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(25) BERGEN POST ACUTE CARE LLC
336 PROSPECT AVENUE
HACKENSACK,NJ07601
83-2058275 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(26) BERLIN OPERATOR LLC
100 LONG-A-COMING LANE
BERLIN,NJ08009
87-3225504 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(27) BERNICE TAYLOR-JONES(THE MARILYN CENTER)
85 SOUTH HARRISON STREET SUITE 201
EAST ORANGE,NJ07018
74-3217163 N/A 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(28) BHEIGHTS ASSOCIATES LLC
4201 ROUTE 9
HOWELL,NJ07731
81-2330714 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(29) BISHOP MCCARTHY CENTER FOR REHAB & HEALTHCARE
1045 E CHESTNUT AVE
VINELAND,NJ08360
47-4298234 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(30) BOONTON CARE CENTER
199 POWERVILLE ROAD
BOONTON,NJ07005
82-3511287 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(31) BRACHA INC
1048 - GROVE STREET
ELIZABETH,NJ07202
22-1584350 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(32) BRANDYWINE LIVING
525 FELLOWSHIP ROAD SUITE 360
MT LAUREL,NJ08054
83-0973303 N/A 119,000 0     SUBSTANCE USE DISORDER PROGRAM
(33) BRICK CITY MEDICAL LLC-SUBURBAN HEALTH CLINIC
43 PROGRESS STREET
UNION,NJ07083
82-5446216 N/A 7,500 0     SUBSTANCE USE DISORDER PROGRAM
(34) BRIDGE-BROOKSIDE LLC
93 MANALAPAN AVE
FREEHOLD,NJ07728
61-1769050 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(35) BRIDGEWAY ASSISTED LIVING LLC
565 ROUTE 28
BRIDGEWATER,NJ08807
22-3508671 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(36) BRIDGEWAY INC
270 ROUTE 28
BRIDGEWATER,NJ08807
22-2224737 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(37) BRIGHTVIEW GREENTREE
170 GREENTREE ROAD
MARLTON,NJ08053
84-3244084 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(38) BRIGHTVIEW HAMBURG LLC DBA BRIGHTVIEW WAYNE
1139 HAMBURG TURNPIKE
WAYNE,NJ07470
82-3390636 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(39) BRIGHTVIEW PARAMUS LLC
396 FOREST AVE
PARAMUS,NJ07869
36-4789138 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(40) BRIGHTVIEW RANDOLPH LLC
175 QUAKER CHURCH RD
RANDOLPH,NJ07869
80-0964062 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(41) BRIGHTVIEW SENIOR LIVING
752 COOPER STREET
WOODBURY,NJ08096
46-5459840 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(42) BRIGHTVIEW TENAFLY LLC
55 HUDSON AVE
TENAFLY,NJ07670
90-1017070 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(43) BRIGHTVIEW WARREN LLC
57 MOUNT BETHEL ROAD
WARREN,NJ07059
46-5034625 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(44) BROOKHAVEN CENTER FOR REHABILITATION AND HEAL
211 BOULEVARD OF THE AMERICAS
LAKEWOOD,NJ08701
83-4281762 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(45) BUCKINGHAM AT NORWOOD CARE & REHABILITATION
100 MCCLELLAN STREET
NORWOOD,NJ07648
04-3588881 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(46) C G HEALTHCARE LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
84-1654777 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(47) CAMBRIDGE ASSISTED LIVING LLC
255 E MAIN STREET
MOORESTOWN,NJ08057
84-4378895 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(48) CAMBRIDGE OPERATOR LLC
255 E MAIN STREET
MOORESTOWN,NJ08057
84-2864153 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(49) CANTERBURY AT CEDAR GROVE CARE & REHABILIATION
398 POMPTON AVENUE
CEDAR GROVE,NJ07009
04-3588863 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(50) CAPE MAY COUNTY COUNCIL ON ALCHOLISM
3819 NEW JERSEY AVENUE
WILDWOOD,NJ082601914
22-2413312 501(C)(3) 7,500 0     SUBSTANCE USE DISORDER PROGRAM
(51) CARE CONNECTION RAHWAY LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
46-4345532 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(52) CARE HSL CARDINAL VILLAGE OPCO LLC
455 HURVILLE-CROSSKEYS ROAD
SEWELL,NJ08080
46-3236210 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(53) CARE ONE LLC
187-189 PARAMUS ROAD
PARAMUS,NJ07652
32-0542749 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(54) CARE ONE LLC
1622 US 22 W
BOUND BROOK,NJ08805
35-2524036 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(55) CARE ONE LLC
101 WHIPPANY ROAD
WHIPPANY,NJ07981
20-8385037 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(56) CARE ONE LLA
1621 US 22 W
BOUND BROOK,NJ08805
20-2702048 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(57) CARE ONE LLC
76 PASSAIC AVE
LIVINGSTON,NJ07039
22-3613888 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(58) CARE ONE LLC
90 W RIDGEWOOD AVENUE
PARAMUS,NJ07652
22-3563457 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(59) CARE ONE LLC
1240 BRACE ROAD
CHERRY HILL,NJ08034
81-2149189 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(60) CARE ONE LLC
1040 HIGHWAY 36
ATLANTIC HIGHLANDS,NJ07716
20-1233297 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(61) CARE ONE LLC
CARE ONE AT WELLINGTON
HACKSENSACK,NJ07601
20-0888628 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(62) CARE ONE LLC
1350 INMAN AVE
EDISON,NJ08820
22-3708455 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(63) CARE ONE LLC
800 RIVER ROAD
MILFORD,NJ07646
03-0501873 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(64) CARE ONE LLC
1660 WHITEHORSE-HAMILTON SQUARE
ROAD
HAMILTON,NJ08690
22-3822464 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(65) CARE ONE LLC
173 BRIDGE PLAZA NORTH
FORT LEE,NJ07024
82-4709606 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(66) CARE ONE LLC
221 COUNTY ROAD
CRESSKILL,NJ07626
22-3826018 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(67) CARE ONE LLC
188 HIGHWAY 34
HOLMDEL,NJ07734
22-3617176 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(68) CARE ONE LLC
870 ROUTE 70 E
MARLTON,NJ08053
22-3563505 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(69) CARE ONE LLC
599 CRANBURY ROAD
EAST BRUNSWICK,NJ08816
22-3783212 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(70) CARE ONE LLC
493 BLACK OAK RIDGE ROAD
WAYNE,NJ07471
20-0888560 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(71) CARE ONE LLC
874 ROUTE 70 EAST
EAST MARLTON,NJ08053
20-3553929 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(72) CARE PLUS BERGEN INC
230 E RIDGEWOOD AVENUE
PARAMUS,NJ07652
22-3240487 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(73) CAREONE AT MADISON AVENUE LLC
151 MADISON AVENUE
MORRISTOWN,NJ07960
33-1018383 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(74) CAREONE AT MOORESTOWN LLC
895 WESTFIELD ROAD
MOORESTOWN,NJ08057
33-1006392 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(75) CAREONE AT ORADELL
600 KINDERKAMACK ROAD
ORADELL,NJ07649
03-0501956 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(76) CAREONE LLC
100 MAZDABROOK ROAD
PARSIPPANY TROYHILLS,NJ07054
22-3731771 N/A 25,500 0     SUBSTANCE USE DISORDER PROGRAM
(77) CAREONE STANWICK LLC
301 N STANWICK ROAD
MOORESTOWN,NJ08057
20-5224656 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(78) CAREONE LLC
544 TEANECK ROAD
TEANECK,NJ07666
03-0379420 N/A 25,500 0     SUBSTANCE USE DISORDER PROGRAM
(79) CARNEGIE POST ACUTE CARE AT PRINCETON LLC
5000 WINDROW DRIVE
PRINCETON,NJ08540
84-1905478 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(80) CARNEYS POINT REHAB AND NURSING CENTER
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
41-2245016 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(81) CATHOLIC CHARITIES DIOCESE OF TRENTON
383 W STATE STREET
TRENTON,NJ086185705
21-0634494 N/A 7,500 0     SUBSTANCE USE DISORDER PROGRAM
(82) CEDAR OAKS HEALTHCARE LLC
1311 DURHAM AVENUE
SOUTH PLAINFIELD,NJ07080
20-5957054 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(83) CENTER FOR AGING INC
1 APPLEWOOD DRIVE
FREEHOLD,NJ07728
22-2575377 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(84) CENTRASTATE ASSISTED LIVING INC
560 IRON BRIDGE ROAD
FREEHOLD,NJ07728
22-3520730 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(85) CENTRASTATE HEALTHCARE AFFILIATES INC
689 WEST MAIN STREET
FREEHOLD,NJ07728
52-1594300 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(86) CHERRY HILL OPCO LLC
3 EDGEWATER DRIVE
NORWOOD,NJ07062
85-3210600 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(87) CHERRY HILL OPERATING LLC
210 ST MARYS DRIVE
CHERRY HILL,NJ08003
47-4298800 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(88) CHERRY HILL REHAB AND CARE CENTER LLC
630 HERMAN ROAD
JACKSON,NJ08701
85-4390061 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(89) CHESHIRE HOME INC
9 RIDGEDALE AVENUE
FLORHAM PARK,NJ07932
22-1936587 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(90) CHILDREN'S SPECIALIZED HOSPITAL
PO BOX 48066
NEWARK,NJ07101
22-1487148 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(91) CHRISTIAN HEALTH CARE CENTER
301 SICOMAC AVENUE
WYCKOFF,NJ07481
22-1546163 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(92) CINNAMINSON NURSING LLC
1700 WYNWOOD DRIVE
CINNAMINSON,NJ08077
83-2188575 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(93) CITY OF PASSAIC
330 PASSAIC STREET
PASSAIC,NJ07055
22-6002194 N/A 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(94) C-LINE COMMUNITY OUTREACH SERVICES
110 MARTIN LUTHER KING JR DRIVE
JERSEY CITY,NJ07305
22-3580252 501(C)(3) 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(95) C-LINE COUNSELING SERVICES
680 BROADWAY
PATERSON,NJ07514
46-2881405 501(C)(3) 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(96) CLOVER MEADOWS HEALTHCARE & REHABILITATION CE
112 FRANKLIN CORNER ROAD
LAWRENCEVILLE,NJ08648
83-3818718 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(97) COMMUNITY PSYCHIATRIC INSTITUTE
65-75 SANFORD STREET
EAST ORANGE,NJ07018
23-7184194 501(C)(3) 27,500 0     SUBSTANCE USE DISORDER PROGRAM
(98) COMPLETE CARE AT ARBORS LLC
1750 ROUTE 37 WEST
TOMS RIVER,NJ08757
84-1828466 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(99) COMPLETE CARE AT BARN HILL LLC
249 HIGH STREET
NEWTON,NJ07860
86-1397211 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(100) COMPLETE CARE AT BEY LEA LLC
1351 OLD FREEHOLD ROAD
TOMS RIVER,NJ08753
82-4837781 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(101) COMPLETE CARE AT BRAKELEY PARK LLC
290 RED SCHOOL LANE
PHILLIPSBURG,NJ08865
86-1481656 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(102) COMPLETE CARE AT BURLINGTON WOODS LLC
115 SUNSET ROAD
BURLINGTON,NJ08016
22-2134113 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(103) COMPLETE CARE AT CHESTNUT HILL LLC
360 CHESTNUT STREET
PASSAIC,NJ07055
85-2925236 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(104) COMPLETE CARE AT CLARK LLC
1213 WESTFIELD AVE
CLARK,NJ07066
87-4509969 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(105) COMPLETE CARE AT COURT HOUSE LLC
144 MAGNOLIA DRIVE
CAPE MAY,NJ08210
86-1531271 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(106) COMPLETE CARE AT EAST ORANGE LLC
140 PARK AVENUE
EAST ORANGE,NJ07017
86-1430263 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(107) COMPLETE CARE AT HOLIDAY LLC
4 PLAZA DRIVE
TOMS RIVER,NJ08757
84-1828716 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(108) COMPLETE CARE AT INGLEMOOR LLC
333 GRAND AVE
ENGLEWOOD,NJ07631
86-1787951 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(109) COMPLETE CARE AT KRESSON VIEW LLC
2601 EVESHAM ROAD
VOORHEES,NJ08043
86-1848850 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(110) COMPLETE CARE AT LAURELTON LLC
475 JACK MARTIN BLVD
BRICK,NJ08724
82-4837415 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(111) COMPLETE CARE AT LINWOOD LLC
201 NEW ROAD
LINWOOD,NJ08221
82-4854616 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(112) COMPLETE CARE AT MADISON LLC
625 STATE HIGHWAY 34
MATAWAN,NJ07747
86-1874134 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(113) COMPLETE CARE AT MARCELLA LLC
2305 RANCOCAS ROAD
BURLINGTON,NJ08016
86-1901015 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(114) COMPLETE CARE AT MERCERVILLE LLC
2240 WHITEHORSE MERCERVILLE RD
MERCERVILLE,NJ08619
86-1934727 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(115) COMPLETE CARE AT MILFORD MANOR LLC
1730 NJ 37 W
TOMS RIVER,NJ08757
87-2110791 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(116) COMPLETE CARE AT MONMOUTH
229 BATH AVENUE
LONG BRANCH,NJ07740
87-2088368 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(117) COMPLETE CARE AT PARK PLACE LLC
2 DEERPARK DR
MONMOUTH JUNCTION,NJ08852
86-1962492 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(118) COMPLETE CARE AT PASSAIC LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
81-5137106 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(119) COMPLETE CARE AT PHILLIPSBURG LLC
843 WILBUR AVE
PHILLIPSBURG,NJ08865
86-1988394 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(120) COMPLETE CARE AT SHORROCK HAVEN LLC
75 OLD TOMS RIVER RD
BRICK,NJ08723
84-1846181 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(121) COMPLETE CARE AT SHORROCK LLC
75 OLD TOMS RIVER RD
BRICK,NJ08723
84-1822097 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(122) COMPLETE CARE AT SUMMIT RIDGE
20 SUMMIT STREET
WEST ORANGE,NJ07052
83-2038388 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(123) COMPLETE CARE AT VICTORIA COMMONS LLC
610 TOWNBANK ROAD
CAPE MAY,NJ08204
86-2086103 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(124) COMPLETE CARE AT VOORHEES LLC
3001 EVESHAM ROAD
VOORHEES,NJ08043
86-2040159 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(125) COMPLETE CARE AT WATERVIEW LLC
536 RIDGE ROAD
CEDAR GROVE,NJ07009
86-2022408 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(126) COMPLETE CARE AT WESTFIELD LLC
1515 LAMBERTS MILL ROAD
WESTFIELD,NJ07090
86-2064482 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(127) COMPLETE CARE AT WHITING
3000 HILLTOP ROAD
WHITING,NJ08759
84-2616365 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(128) COMPLETE CARE AT WOODLANDS LLC
1400 WOODLAND AVE
PLAINFIELD,NJ07060
84-3691061 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(129) COMPLETE CARE HAMILTON PLAZA LLC
56 HAMILTON AVE
PASSAIC,NJ07055
82-4840519 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(130) CONCORD HEALTHCARE LLC
963 OCEAN AVE
LAKEWOOD,NJ08701
11-3696485 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(131) COOPER CARE LLC
5101 N PARK DR
PENNSAUKEN TOWNSHIP,NJ08109
83-2187724 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(132) COOPER OPERATING LLC
2 COOPER PLAZA
CAMDEN,NJ08103
90-1015616 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(133) CORAL HARBOR OPERATOR LLC
2050 SIXTH AVENUE
NEPTUNE,NJ07753
47-5157241 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(134) CORDILLERA PROFESSIONALS LLC
403 CLAREMONT AVE
MONTCLAIR,NJ07042
26-2908770 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(135) CORNELL HALL CARE & REHABILITATION CENTER LLC
234 CHESTNUT STREET
UNION,NJ07083
27-0399141 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(136) COUNTRY ARCH CARE CENTER LLC
114 PITTSTOWN RD
PITTSTOWN,NJ08867
22-3782136 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(137) COUNTY OF ATLANTICDBA MEADOWVIEW NURSING AND REHABILITATION CENTER
235 DOLPHIN AVE
NORTHFIELD,NJ08225
21-6000049 GOV'T 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(138) COUNTY OF CAPE MAY
4 MOORE ROAD
CAPE MAY,NJ08210
21-6000106 GOV'T 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(139) CRANBURY SNF OPERATIONS LLC
61 MAPLEWOOD AVENUE
CRANBURY,NJ08512
87-1989358 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(140) CRANFORD OPCO HOLDINGS LLC
600 LINCOLN PARK EAST
CRANFORD,NJ07016
88-1619142 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(141) CRANFORD SNF LLC
205 BIRCHWOOD AVE
CRANFORD,NJ07016
86-3101971 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(142) CREATIVE CHANGE COUNSELING INC
668 MAIN STREET
LUMBERTON,NJ08048
47-3867940 501(C)(3) 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(143) CREST POINTE OPERATOR LLC
1515 HULSE ROAD
POINT PLEASANT,NJ08742
83-1309072 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(144) CRYSTAL SPRING CENTER LLC
395 LAKESIDE BLVD
BAYVILLE,NJ08721
85-4389841 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(145) CUMBERLAND OPERATOR LLC
15 AMERICA AVE
LAKEWOOD,NJ08701
45-4517410 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(146) DAUGHTERS OF ISRAEL INC
1155 PLEASANT VALLEY WAY
WEST ORANGE,NJ07052
22-1487162 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(147) DE LA SALLE HALL
810 NEWMAN SPRINGS ROAD
LINCROFT,NJ07738
22-2245377 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(148) DELLRIDGE HEALTH AND REHABILITATION CENTER
532 N FARVIEW
PARAMUS,NJ07652
20-1949090 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(149) DIAMOND REHAB CENTER
525 E COUNTY LINE ROAD SUITE 4
LAKEWOOD,NJ08701
15-6444423 N/A 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(150) DOCTORS SUBACUTE HEALTHCARE
59 BIRCH STREET
PATERSON,NJ07522
82-5088722 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(151) EASTERN PINES LLC
29 NORTH VERMONT AVENUE
ATLANTIC CITY,NJ08041
87-2315082 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(152) EB CARE AT ENGLEWOOD LLC
412 SOUTH VAN BRUNT STREET
ENGLEWOOD,NJ07631
81-2543184 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(153) EDISON HEALTHCARE LLC
22 MERIDIAN ROAD SUITE 9
EDISON,NJ08820
84-2265535 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(154) ELMORA HILLS HEALTHCARE AND REHABILITATION CE
225 WEST JERSEY STREET
ELIZABETH,NJ07202
20-5011603 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(155) ELMWOOD HILLS HEALTHCARE CENTER LLC
425 WOODBURY TURNERSVILLE ROAD
BLACKWOOD,NJ08012
46-2922534 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(156) EMERSON CONVALESCENT CENTER
100 KINDERKAMACK ROAD
EMERSON,NJ07630
04-2770980 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(157) ENGEL BURMAN SENIOR CARE AT WALDWICK LLC
245 WYCKOFF AVENUE
WALDWICK,NJ07463
85-3377349 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(158) ENGEL BURMAN SENIOR CARE AT WAYNE LLC
1440 HAMBURG TURNPIKE
WAYNE,NJ07470
46-3811822 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(159) EOH ACQUISITION GROUP LLC (CAREWELL HEALTH)
300 CENTRAL AVENUE
EAST ORANGE,NJ07018
85-4153331 N/A 18,250 0     SUBSTANCE USE DISORDER PROGRAM
(160) ESSEX GARDEN GROUP LLC
155 40TH STREET
IRVINGTON,NJ07111
86-2959313 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(161) ESSEX RESIDENTIAL CARE LLC
165 FAIRFIELD AVENUE
WEST CALDWELL,NJ07006
83-2041597 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(162) EVERMAY AT BRANCHVILLE LLC
3 PHILLIPS RD
BRANCHVILLE,NJ07826
32-1044564 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(163) EXCELCARE AT EGG HARBOR
6818 DELILAH ROAD
EGG HARBOR,NJ08234
87-2332382 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(164) FAMILY OF CARING AT PARK RIDGE LLCV
120 NOYES DRIVE
PARK RIDGE,NJ07656
88-1351072 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(165) FAMILY OF CARING AT TEANECK
1104 TEANECK ROAD
TEANECK,NJ07666
87-2014440 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(166) FAMILY OF CARING HEALTHCARE AT MONTCLAIR
577 CHESTNUT RIDGE ROAD
WOODCLIFF LAKE,NJ07677
83-1190737 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(167) FAMILY OF CARING HEALTHCARE AT RIDGEWOOD
304 S VAN DIEN AVENUE
RIDGEWOOD,NJ07450
83-1196844 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(168) FAMILY OF CARING HEALTHCARE AT TENAFLY
133 COUNTY ROAD
TENAFLY,NJ07670
84-2888404 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(169) FELLOWSHIP VILLAGE INC
8000 FELLOWSHIP ROAD
BASKING RIDGE,NJ07920
22-3146725 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(170) FOOTHILL ACRES REHABILITATION & NURSING CENTE
39 E MOUNTAIN ROAD
HILLSBOROUGH,NJ08844
04-3712916 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(171) FOREST MANOR MANAGEMENT LLC
145 STATE PARK ROAD PO BOX 283
HOPE,NJ07844
20-8265352 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(172) FORKIDCARE LLC
1304 LAUREL OAK ROAD
VOORHEES,NJ08043
20-3248074 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(173) FOUNTAINS CCRC HOLDING LLC
600 BAYVIEW AVE STE 400
INWOOD,NY11096
83-4705808 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(174) FRIENDS HOME AT WOODSTOWN INC
1 FRIENDS DRIVE
WOODSTOWN,NJ08098
21-0455847 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(175) GARDEN TERRACE NURSING HOME
361 MAIN STREET
CHATHAM,NJ07928
22-1913497 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(176) GARDENS AT MONROE HEALTHCARE & REHABILITATION
189 APPLEGARTH ROAD
MONROE TOWNSHIP,NJ08831
20-3512487 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(177) GARDENS AT WAYNE POST ACUTE AND NURSING CENTE
296 HAMBURG TURNPIKE
WAYNE,NJ07470
84-4389558 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(178) GARDENVIEW OPCO LLC
1420 S BLACK HORSE PIKE
WILLIAMSTOWN,NJ08094
84-2806555 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(179) GATEWAY CARE CENTER LLC
139 GRANT AVE
EATONTOWN,NJ07724
46-0487678 N/A 13,500 0     SUBSTANCE USE DISORDER PROGRAM
(180) GENESIS HEALTHCARE LLC
54 SHARP STREET
MILLVILLE,NJ08332
27-3237296 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(181) GLOUCESTER COUNTY IMPROVEMENT AUTHORITY
256 COUNTY HOUSE ROAD
CLARKSBORO,NJ08020
21-6000660 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(182) GOLD CHRIS ASSOCIATES LLC (GATEWAY DAY)
1 CENTRE STREET
OCENA,NJ07712
54-2116113 N/A 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(183) GOLDEN REHABILITATION & NURSING CENTER
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
45-1657760 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(184) GOOD NEWS HOME INC
33 BARTLES CORNER ROAD
FLEMINGTON,NJ08822
22-2481670 501(C)(3) 20,000 0     SUBSTANCE USE DISORDER PROGRAM
(185) GRACE ELDERCARE LLC
25 MAIN STREET
FRANKLIN,NJ07416
77-0686963 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(186) GRANDE CENTER POST-ACUTE AND NURSING LLC
65 N SUSSEX ST
DOVER,NJ07801
84-4375237 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(187) GREEN ACRES REHAB AND NURSING LLC
1931 LAKEWOOD ROAD
TOMS RIVER,NJ08755
81-4364230 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(188) GREEN HILL INC
103 PLEASANT VALLEY WAY
WEST ORANGE,NJ07052
22-1500537 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(189) GREEN KNOLL CARE LLC
875 ROUTE 202/206
BRIDGEWATER,NJ08807
83-2052461 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(190) GREENBROOK MANOR CARE & REHABILITATION CENTER
303 ROCK AVENUE
GREEN BROOK,NJ08812
27-0399365 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(191) GREENWOOD HOUSE HOME THE JEWISH AGED INC
53 WALTER STREET
EWING,NJ08628
21-0639867 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(192) GROVE HEALTHCARE & REHABILITATION CENTER LLC
919 GREEN GROVE ROAD
NEPTUNE,NJ07753
22-3630091 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(193) HACKENSACK MERIDIAN HEALTH INC
343 THORNALL STREET
EDISON,NJ08837
22-3474145 501(C)(3) 699,000 0     SUBSTANCE USE DISORDER PROGRAM
(194) HACKENSACK MERIDIAN HEALTH INC
399 THORNALL ST 2ND FLOOR
EDISON,NJ08837
22-2731440 501(C)(3) 93,500 0     SUBSTANCE USE DISORDER PROGRAM
(195) HAMILTON GROVE HEALTHCARE & REHABILITATION LL
2300 HAMILTON AVE
HAMILTON,NJ08619
27-3000242 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(196) HAMILTON OPERATOR LLC
1501 NJ-33
HAMILTON SQUARE,NJ08690
83-4431263 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(197) HAMILTON PARK ATRIUM OPCO LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
46-1334323 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(198) HAMILTON PARK OPCO LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
46-1324162 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(199) HAMILTON TWP ASSISTED LIVING ASSOCIATES LLC
409 STENTON AVENUE
FLOURTOWN,PA19031
23-2928718 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(200) HAMPTON RIDGE HEALTHCARE & REHAB
94 STEVENS ROAD
TOMS RIVER,NJ08755
27-3285399 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(201) HARBOUR VIEW SENIOR LIVING CORP
3505 BERGEN TPKE
NORTH BERGEN,NJ07047
88-1402230 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(202) HARROGATE INC
400 LOCUST STREET
LAKEWOOD,NJ08701
22-2919029 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(203) HARTWYCK AT OAKTREE INC
2048 OAKTREE ROAD
EDISON,NJ08820
22-2666023 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(204) HAZEL STREET OPERATIONS LLC
1815 LAKEWOOD ROAD
TOMS RIVER,NJ08755
87-1019030 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(205) HAZLET GARDEN GROUP LLC
3325 NJ-35
HAZLET,NJ07730
82-4154061 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(206) HCR MANORCARE INC
212 MARTER AVE
MOORESTOWN,NJ08057
86-1448854 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(207) HCR MANORCARE INC
2700 CHAPEL AVE
CHERRY HILL,NJ08002
26-0623009 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(208) HCR MANORCARE INC
1180 ROUTE 22 WEST
MOUNTAINSIDE,NJ07092
26-0612791 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(209) HCR MANORCARE INC
113 SOUTH ROUTE 73
VOORHEES,NJ08043
86-1243633 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(210) HCR MANORCARE INC
1086 DUMONT DRIVE
VOORHEES,NJ08043
26-0612955 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(211) HCR MANORCARE INC
378 FRIES MILL RD
SEWELL,NJ08080
22-1604502 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(212) HCR MANORCARE INC
550 JESSUP ROAD
WEST DEPTFORD,NJ08066
26-0612993 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(213) HCR MANORCARE INC
18 EDEN LANE
WHIPPANY,NJ07981
26-0623155 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(214) HCR MANORCARE INC
510 PROSPECT AVENUE
WEST ORANGE,NJ07052
26-0622938 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(215) HCR MANORCARE INC
800 HAMBURG TURNPIKE
WAYNE,NJ07470
26-0622912 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(216) HEALTH CENTER AT GALLOWAY
66 W JIMMIE LEEDS RD
GALLOWAY,NJ08205
14-5776930 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(217) HEALTH VILLAGE INC
422 SCHOOLEYS MOUNTAIN ROAD
HACKETTSTOWN,NJ07840
22-1717575 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(218) HEBREW OLD AGE CENTER OF ATLANTIC CITY
22 W JIMMIE LEEDS RD
GALLOWAY,NJ08205
21-0634576 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(219) HOLLAND CHRISTIAN HOME
151 GRAHAM AVE
HALEDON,NJ07508
22-1529791 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(220) HOLMDEL GARDEN GROUP LLC
622 S LAUREL AVE
HAZLET,NJ07333
85-2623376 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(221) HOMESTEAD REHABILITATION & HEALTH CARE CENTER
129 MORRIS TURNPIKE
NEWTON,NJ07860
46-1383698 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(222) HOSPITALER SISTERS OF MERCY
915 917 SOUTH MAIN STREET
PLEASANTVILLE,NJ08232
22-3200352 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(223) HUDSONVIEW REHAB AND HEALTHCARE CENTER
9020 WALL STREET
NORTH BERGEN,NJ07047
83-4270448 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(224) INDEPENDENCE MANOR AT HUNTERDON
188 ROUTE 31
FLEMINGTON,NJ08822
22-3481240 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(225) INNOVA ATLANTIC WH OPERATIONS LLC
43 NORTH WHITE HORSE PIKE
HAMMONTON,NJ08037
45-3749794 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(226) INNOVA GLOUCESTER DEPTFORD BRIDGE OPERATIONS
1511 CLEMENTS BRIDGE ROAD
DEPTFORD,NJ08096
45-3749783 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(227) IVQ GLASSBORO OPCO LP
3152 GLASSBORO CROSSKEYS ROAD
GLASSBORO,NJ08028
84-2172970 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(228) JERSEY SHORE POST ACUTE REHABILITATION AND NU
101 WALNUT STREET
NEPTUNE,NJ07753
86-1277786 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(229) JEWISH HEALTHCARE CENTER INC
1151 W MAIN STREET
FREEHOLD,NJ07728
84-2831040 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(230) JEWISH HOME ASSISTED LIVING
685 WESTWOOD AVE
RIVER VALE,NJ07675
45-0501306 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(231) JEWISH HOME AT ROCKLEIGH
10 LINK DRIVE
ROCKLEIGH,NJ07647
22-3466678 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(232) JOB HAINES HOME FOR AGED PEOPLE
250 BLOOMFIELD AVENUE
BLOOMFIELD,NJ07003
22-0972180 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(233) JUNIPER COMMUNITIES LLC
1648 S BLACK HORSE PK
WILLIAMSTOWN,NJ08094
46-0886640 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(234) JUNIPER VILLAGE AT CHATHAM LLC
500 SOUTHERN BLVD
CHATHAM,NJ07928
46-0886118 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(235) KENNEDY HEALTH CARE FACILITIES
535 EGG HARBOR ROAD
SEWELL,NJ08080
22-2442032 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(236) KESWICK PINES DBA THE PINES AT WHITING
509 ROUTE 30
WHITING,NJ08759
52-1761381 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(237) KING MANOR REHAB LLC
2303 WEST BANGS AVE
NEPTUNE,NJ07753
20-4619735 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(238) LA PAULA AT MAIN LLC
244 E MAIN ST
BERGENFIELD,NJ07621
27-1247925 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(239) LAKEVIEW REHABILITATION AND CARE CENTER
130 TERHUNE DRIVE
WAYNE,NJ07470
87-4117609 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(240) LAKEWOOD OF VOORHEES OPERATOR
1302 LAUREL OAK ROAD
VOORHEES,NJ08043
45-2702798 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(241) LAN DEPTFORD LLC
38 N CENTRAL AVE
RAMSEY,NJ07446
82-2241830 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(242) LAPAULA MANOR CORPORATION
25 SOUTH PAULA DRIVE
BERGENFIELD,NJ07621
20-1545867 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(243) LAUREL BAY HEALTH AND REHABILITATION
32 LAUREL AVE
KEANSBURG,NJ07734
22-3570033 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(244) LAUREL BROOK OPERATOR LLC
3718 CHURCH ROAD
MT LAUREL,NJ08054
82-1729424 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(245) LAUREL HEALTHCARE LLC
18 W LAUREL ROAD
STRATFORD,NJ08084
45-3527844 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(246) LEISURE CHATEAU ACQUISITION LLC
962 RIVER AVE
LAKEWOOD,NJ08701
36-4564936 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(247) LINCOLN PARK CARE CENTER
499 PINE BROOK ROAD
LINCOLN PARK,NJ07035
46-0950679 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(248) LINCOLN PARK RENAISSANCE
521 PINE BROOK RD
LINCOLN,NJ07035
90-0887359 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(249) LINDEN GARDEN ESTATES LLC
400 W STIMPSON AVE
LINDEN,NJ07036
81-2607713 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(250) LITTLE BROOK HOME INC
78 SLIKER ROAD
CALIFON,NJ07830
20-3881038 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(251) LITTLE SISTERS OF THE POORST JOSEPH'S HOME FOR THE ELDERLY
140 SHEPHERD LANE
TOTOWA,NJ07512
22-2098022 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(252) LIVINGSTON CARE CENTER LP
311 SO LIVINGSTON AVE
LIVINGSTON,NJ07039
22-3191040 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(253) LLANFAIR HOUSE CARE & REHABILITATION CENTER L
1140 BLACK OAK ROAD
WAYNE,NJ07470
27-0399620 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(254) LLMD ASSOCIATES LLC
512 UNION STREET
TRENTON,NJ08611
52-2142900 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(255) M&B OPERATIONS LLC
14C 53RD STREET SUITE 221
BROOKLYN,NY11232
46-1487739 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(256) MAGNOLIA GARDENS
1935 LAKEWOOD ROAD
TOMS RIVER,NJ08755
22-3632241 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(257) MANHATTANVIEW OPERATIONS LLC
211 BLVD OF THE AMERICA
LAKEWOOD,NJ08701
87-1144105 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(258) MAPLEWOOD AT PRINCETON
1 HOSPITAL DRIVE
PLAINSBORO,NJ08536
46-4768746 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(259) MARGARET ANNA CUSACK CARE CENTER INC
537 PAVONIA AVENUE
JERSEY CITY,NJ07306
76-0847915 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(260) MASONIC CHARITY FOUNDATION OF NJ
902 JACKSONVILLE ROAD
BURLINGTON,NJ08016
21-0634536 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(261) MATAWAN SNF OPERATIONS LLC
38 FRENEAU AVENUE
MATAWAN,NJ07747
88-1389126 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(262) MATURE ENVIRONMENTS INC
1 KALISA WAY SUITE 301
PARAMUS,NJ07652
22-3379021 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(263) MAYWOOD SNF OPERATIONS LLC
100 WEST MAGNOLIA AVE
MAYWOOD,NJ07607
84-4144100 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(264) MCAULEY HALL INC
1633 US HIGHWAY 22 WEST
WATCHUNG,NJ07069
22-3248964 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(265) MEDFORD CONVALESCENT AND NURSING CENTER
185 TUCKERTON ROAD
MEDFORD,NJ08055
22-2121490 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(266) MEDICAL SOCIETY OF NEW JERSEY
2 PRINCESS ROAD
LAWRENCEVILLE,NJ08648
21-0601684 501(C)(6) 6,000 0     SUBSTANCE USE DISORDER PROGRAM
(267) MERION GARDENS ASSISTED LIVING LLC
315 MERION AVE
CARNEYS POINT,NJ08069
22-3762683 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(268) MERRY HEART ASSISTED LIVING LLC
118 MAIN STREET
SUCCASUNNA,NJ07876
20-8088347 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(269) MERRY HEART NURSING HOME INC
200 ROUTE 10 WEST
SUCCASUNNA,NJ07876
22-1585417 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(270) MERWICK CARE & REHABILITATION CENTER LLC
100 PLAINSBORO ROAD
PLAINSBORO,NJ08536
26-1219389 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(271) MIDDLESEX COUNTY IMPROVEMENT AUTHORITY
1133 MARLBORO ROAD
OLD BRIDGE,NJ08857
22-3111054 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(272) MILLENNIUM MEMORY CARE AT FREEHOLD
147 HALIFAX RD
MAHWAH,NJ07430
85-2333905 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(273) MILLENNIUM MEMORY CARE AT HOLDMEL
147 HALIFAX RD
MAHWAH,NJ07430
47-5283019 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(274) MILLENNIUM MEMORY CARE AT MATAWAN
147 HALIFAX RD
MAHWAH,NJ07430
47-4718851 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(275) MILLENNIUM MEMORY CARE AT MONROE
147 HALIFAX RD
MAHWAH,NJ07430
46-4583563 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(276) MILLENNIUM MEMORY CARE AT OCEAN
147 HALIFAX RD
MAHWAH,NJ07430
47-4756715 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(277) MONTCLAIR CARE CENTER LLC
111-115 GATES AVE
MONTCLAIR,NJ07042
83-3875334 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(278) MORRIS HALLSTLAWRENCE INC
2381 LAWRENCEVILLE RD
LAWRENCEVILLE,NJ08648
22-3227943 501(C)(3) 25,500 0     SUBSTANCE USE DISORDER PROGRAM
(279) MORRIS VIEW HEALTH CARE CENTER
540 WEST HANOVER AVE
MORRISTOWN,NJ07960
82-1787098 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(280) MORRISTOWN POST ACUTE REHABILITATION & NURSIN
77 MADISON AVENUE
MORRISTOWN,NJ07960
84-3687651 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(281) MOUNT HOLLY OPERATOR LLC
62 RICHMOND AVE
LUMBERTON,NJ08048
87-3195021 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(282) MULLICA GARDENS ASSISTED LIVING LLC
161 MULLICA HILL ROAD
MULLICA HILL,NJ08062
45-4525402 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(283) MYSTIC MEADOWS SNF LLC
151 9TH AVENUE
LITTLE EGG HARBOR,NJ08087
86-3101815 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(284) NEW BEGINNINGS TREATMENT CENTER
1460 LIVINGSTON AVENUE BLD 400
RM301-303
NORTH BRUNSWICK,NJ08902
46-4814637 501(C)(3) 27,500 0     SUBSTANCE USE DISORDER PROGRAM
(285) NEW DIRECTIONS BEHAVORIAL HEALTH CENTER
9 LINCOLN PARK
NEWARK,NJ07102
22-3800040 N/A 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(286) NEW JERSEY FIREMEN'S HOME
565 LATHROP AVENUE
BOONTON,NJ07005
22-1500566 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(287) NEWARK AIDS CONSORTIUM INC
298 BROADWAY
NEWARK,NJ07104
22-2903536 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(288) NEWLIFE MEDICAL DETOXIFICATION
773 RT 70E SUITE E-100
MARLTON,NJ08053
82-1359628 N/A 30,000 0     SUBSTANCE USE DISORDER PROGRAM
(289) NEWPORT GARDEN GROUP LLC
198 STEVENS AVE
JERSEY CITY,NJ07305
86-2856304 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(290) NJ EASTERN STAR HOME INC
111 FINDERNE AVENUE
BRIDGEWATER,NJ08808
22-1630362 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(291) NORTH CAPE POST ACUTE NURSING AND REHABILITAT
3809 BAYSHORE RD
NORTH CAPE MAY,NJ08204
86-3996908 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(292) NORTH JERSEY PEDIATRIC AND ADULT NURSING AND
1433 RINGWOOD AVENUE
HASKELL,NJ07420
84-1864152 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(293) NORWOOD TERRACE HEALTCH CENTER LLC
40 NORWOOD AVE
PLAINFIELD,NJ07060
31-1692423 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(294) OAKLAND OPERATOR LLC
20 BREAKNECK ROAD
OAKLAND,NJ07436
47-1895744 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(295) OCEAN CONVALESCENT CENTER INC
1579 OLD FREEHOLD RD
TOMS RIVER,NJ08755
22-2536966 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(296) OCEAN GROVE OPERATING LLC
600 BAYVIEW AVE SUITE 400
INWOOD,NY11096
81-4736789 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(297) OCEAN VIEW ASSOCIATES OPERATION LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
47-1811516 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(298) OPERATING COMPANY LLC
2020 ROUTE 23
WAYNE,NJ07470
47-1676655 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(299) OPTIMA CARE JERSEY CITY LLC
178-198 OGDEN AVE
JERSEY CITY,NJ07307
87-1504143 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(300) OPTIMA CARE SECAUCUS LLC
595 COUNTY AVENUE
SECAUCUS,NJ07094
85-2569437 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(301) OPTIMA CARE UNION CITY LLC
615 23RD STREET
UNION CITY,NJ07087
87-1489139 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(302) OPTIONS COUNSELING CENTER
15 CALVIN PLACE
METUCHEN,NJ08840
22-3459157 N/A 12,500 0     SUBSTANCE USE DISORDER PROGRAM
(303) ORGANIZATION FOR RECOVERY INC
519 NORTH AVENUE
PLAINFIELD,NJ07060
22-3523677 501(C)(3) 10,000 0     SUBSTANCE USE DISORDER PROGRAM
(304) OWEN HEALTH CARE INC
2041 SPRINGFIELD AVENUE
VAUXHALL,NJ07088
27-3775955 N/A 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(305) PARAGON SENIOR LIVING LLC
425-427 US ROUTE 46
HACKETTSTOWN,NJ07840
47-2053260 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(306) PARK GROVE HEALTHCARE & REHABILITAITON CENTER
101 N GROVE STREET
EAST ORANGE,NJ07017
84-1908394 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(307) PARKE PLACE ASSOCIATES LLC
409 STENTON AVENUE
FLOURTOWN,PA19031
23-2979011 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(308) PARKER HEALTH GROUP INC
1421 RIVER ROAD
PISCATAWAY,NJ08854
81-5241497 501(C)(3) 42,500 0     SUBSTANCE USE DISORDER PROGRAM
(309) PARKWAY MANOR HEALTH CENTER LLC
480 NORTH WALNUT STREET
EAST ORANGE,NJ07017
26-2904077 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(310) PHNJ LLC
38 N CENTRAL AVENUE
RAMSEY,NJ07446
27-2853956 N/A 93,500 0     SUBSTANCE USE DISORDER PROGRAM
(311) PILGRAM RIVER LLC
393 AMWELL ROAD
HILLSBOROUGH,NJ08844
22-3791274 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(312) PINE ACRES CONVALESCENT CENTER
51 MADISON AVE
MADISON,NJ07940
27-2087130 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(313) PINE BROOK CARE AND REHABILITATION
104 PENSION ROAD
MANALAPAN,NJ07726
87-2354772 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(314) PLAZA HEALTHCARE AND REHABILITATION
456 RAHWAY AVENUE
ELIZABETH,NJ07202
43-2038752 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(315) PREFERRED CARE AT MERCER LLC
1201 PARKWAY AVE
EWING,NJ08628
47-4106611 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(316) PREFERRED CARE AT OLD BRIDGE LLC
6989 ROUTE 18 SOUTH
OLD BRIDGE,NJ08857
81-4479741 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(317) PREFERRED CARE HOLDINGS LLC
2350 HOSPITAL ROAD
ALLENWOOD,NJ08720
47-5373918 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(318) PREMIER CADBURY LLC
2150 NJ-38
CHERRY HILL,NJ08002
47-5102565 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(319) PRIME CARE HEALTH LLC
1 LEISURE CT
FLEMINGTON,NJ08822
26-3687427 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(320) PRIME HEALTHCARE SERVICES - SAINT CLARES LLC
25 POCONO ROAD
DENVILLE,NJ07834
46-3483967 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(321) PRINCETON NURSING HOME & REHABILITATION CENTER
728 BUNN DR
PRINCETON,NJ08540
22-2570405 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(322) PROMEDICA SENIOR CARE OF PISCATAWAY NJ INC
10 STERLING DR
PISCATAWAY,NJ08854
86-1179270 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(323) RAHWAY GARDEN GROUP LLC
1777 LAWRENCE STREET
RAHWAY,NJ07065
86-2803770 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(324) REFORMED CHURCH MINISTRIES TO THE AGING THE
1990 ROUTE 18 N
OLD BRIDGE,NJ08857
22-1508545 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(325) REGENCY HERITAGE NURSING AND REHABILITATION C
380 DEMOTT LANE
SOMERSET,NJ08873
20-8476454 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(326) RESIDENCE AT PARK RIDGE
577 CHESTNUT RIDGE RD
WOODCLIFF LAKE,NJ07677
88-1648610 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(327) RIVERFRONT HEALTHCARE ASSOCIATES INC
18 BUTLER BOULEVARD
BAYVILLE,NJ08721
22-3450729 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(328) RIVERS EDGE SNF
533 NJ-28
RARITAN,NJ08869
86-3102100 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(329) RIVERSIDE NURSING AND REHABILITATION
325 JERSEY STREET
TRENTON,NJ08611
45-4663733 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(330) RIVERVIEW NURSING AND REHAB
303 BANK AVE
RIVERTON,NJ08077
87-1985058 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(331) ROLLING HILLS OPERATIONS LLC
16 CRATETOWN ROAD
LEBANON,NJ08833
01-0784546 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(332) ROSE HILL ASSOCIATES LLC
409 STENTON AVENUE
FLOURTOWN,PA19031
23-2969703 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(333) ROSE MOUNTAIN CARE CENTER INC
27 US HIGHWAY 1 S
NEW BRUNSWICK,NJ08901
22-2896567 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(334) ROYAL SUITES CARE CENTER
214 WEST JIMMIE LEEDS ROAD
GALLOWAY,NJ08205
82-0570614 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(335) RT 206 INC
45 RT 206
HAMMONTON,NJ08037
22-1812124 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(336) RUNNELLS OPERATING LLC
40 WATCHUNG WAY
BERKELEY HEIGHTS,NJ07922
47-1528153 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(337) SAINT PETER'S UNIVERSITY HOSPITAL
254 EASTON AVENUE
NEW BRUNSWICK,NJ08901
22-1487330 501(C)(3) 84,000 0     SUBSTANCE USE DISORDER PROGRAM
(338) SEACREST OPERATOR LLC
1001 CENTER ST
LITTLE EGG HARBOR,NJ08087
87-1817813 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(339) SENIOR LIVING SOLUTIONS LLC
BRIDGEWAY CARE AND REHABILITATION
CENTER
HILLSBOROUGH,NJ08844
20-8670992 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(340) SHI-II HILLSBOROUGH LLC
351 US ROUTE 206
HILLSBOROUGH,NJ08844
81-1135128 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(341) SHI-II WASHINGTON TOWNSHIP LLC
339 GREENTREE ROAD
SEWELL,NJ08080
82-2524354 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(342) SHORE GARDENS REHABILITATION AND NURSING CENT
231 WARNER STREET
TOMS RIVER,NJ08755
86-2655660 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(343) SHORE HEALTH CARE CENTER INC
527 RIVER AVE
LAKEWOOD,NJ08701
22-3203823 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(344) SILVER HEALTHCARE CENTER
1417 BRACE RD
CHERRY HILL,NJ08034
47-5526718 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(345) SINAI CENTER FOR REHABILITATION AND HEALTHCAR
65 JAY STREET
NEWARK,NJ07103
47-1431880 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(346) SJF-CCRC INC
1110 LAUREL OAK ROAD
VOORHEES,NJ08043
22-3701092 501(C)(3) 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(347) SK NURSING HOME ASSOCIATES LLC
14C 53RD ST SUITE 220
BROOKLYN,NY11232
26-3381424 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(348) SNH NJ TENANT LLC
1400 ROUTE 70
LAKEWOOD,NJ08701
84-1945671 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(349) SNH TEANECK TENANT LLC
655 POMANDER WALK
TEANECK,NJ07666
45-3021440 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(350) SOMERSET SENIOR CARE LLC
1870 EASTON AVENUE
SOMERSET,NJ08873
82-3748463 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(351) SOMERSET WOODS REHABILITATION AND NURSING CEN
780 OLD NEW BRUNSWICK ROAD
SOMERSET,NJ08873
47-3707964 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(352) SOUTH CENTER STREET NURSING HOME LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
20-1976892 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(353) SOUTH MOUNTAIN REHABILITATION CENTER
2385 SPRINGFIELD AVE
VAUXHALL,NJ07088
22-3513785 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(354) SPRING CREEK REHAB AND NURSING
1 LINDBERGH AVE
PERTH AMBOY,NJ08861
87-0890573 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(355) SPRING GROVE OPERATOR LLC
144 GALES DRIVE
NEW PROVIDENCE,NJ07974
82-4912515 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(356) SPRING HILLS AT SOMERSET LLC
26 MAIN ST
EDISON,NJ08837
20-1517378 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(357) SPRING HILLS CHERRY HILL LLC
27 MAIN ST
EDISON,NJ08837
27-2484835 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(358) SPRING HILLS HAMILTON LLC
3 HAMILTON HEALTH PLACE
HAMILTON,NJ08690
47-1498813 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(359) SPRING HILLS LIVINGSTON LLC
348 EAST CEDAR ST
LIVINGSTON,NJ07039
88-1393571 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(360) SPRING HILLS LLC
26 MAIN STREET
EDISON,NJ08837
22-3701677 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(361) SPRING HILLS POST ACUTE WAYNE
1120 ALPS ROAD
WAYNE,NJ07470
47-1691395 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(362) SPRING HILLS PRINCETON ASSISTED LIVING
1000 WINDROW DRIVE
PRINCETON,NJ08540
84-1937770 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(363) SPRING OAK ASSISTED LIVING OF VOORHEES LLC
396 SOUTH WHITE HORSE PIKE
BERLIN,NJ08009
27-0644156 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(364) SPRING OAK OF FORKED RIVER LLC
601 N MAIN STREET
FORKED RIVER,NJ08734
27-0641991 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(365) SPRING OAK OF VINELAND LLC
1611 SOUTH MAID ROAD
VINELAND,NJ08360
27-0671427 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(366) ST CLOUD OPERATIONS LLC
14C 53RD STREET SUITE 222
BROOKLYN,NY11232
22-3727276 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(367) ST CLOUD ROCHELLE PARK LLC
14C 53RD STREET SUITE 221
BROOKLYN,NY11232
20-3662160 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(368) ST ANN'S HOME FOR THE AGED
198 OLD BERGEN ROAD
JERSEY CITY,NJ07305
22-2823794 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(369) ST CATHERINE OF SIENA INC
7 RYERSON AVENUE
CALDWELL,NJ07006
22-3672887 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(370) ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC
315 EAST LINDSLEY ROAD
CEDAR GROVE,NJ07009
22-1487602 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(371) STAFFORD OPCO LLC
315 NORWOOD PARK SOUTH SUITE 205
NORWOOD,MA02062
85-3259020 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(372) STRATFORD MANOR REHABILITATION & CARE CENTER
787 NORTHFIELD AVE
WEST ORANGE,NJ07052
45-3855816 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(373) SUB ACUTE REHABILITATION CENTER AT KEARNY LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
27-3212807 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(374) SUMMER HILL NURSING HOME LLC
14 C 53RD STREET SUITE 220
BROOKLYN,NY11232
22-3296173 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(375) SUNNYSIDE MANOR INC
2500 RIDGEWOOD ROAD
WALL,NJ07719
22-3101189 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(376) SUNRISE SENIOR LIVING MANAGEMENT INC
7902 WEST PARK DRIVE
MCLEAN,VA22102
54-1172771 N/A 238,000 0     SUBSTANCE USE DISORDER PROGRAM
(377) SYCAMORE REHABILIATION AND ASSISTED LIVING AT
1 S RIDGEDALE AVENUE
EAST HANOVER,NJ07936
61-1850629 N/A 17,000 0     SUBSTANCE USE DISORDER PROGRAM
(378) THE ACTORS FUND OF AMERICA
155-175 WEST HUDSON AVE
ENGLEWOOD,NJ07631
13-1635251 501(C)(3) 25,500 0     SUBSTANCE USE DISORDER PROGRAM
(379) THE BAPTIST HOME SOCIETY OF NJ
707 EAGLE ROCK AVE
EAST ORANGE,NJ07052
22-1487123 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(380) THE HEALTH CENTER AT BLOOMINGDALE
255 UNION AVE
BLOOMINGDALE,NJ07403
46-4625073 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(381) THE HEARTLANDS RETIREMENT COMMUNITY ELLICOT
255 WASHINGTON STREET
NEWTON,MA02458
26-2062134 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(382) THE HOUSE OF THE GOOD SHEPHERD
798 WILLOW GROVE STREET
HACKETTSTOWN,NJ07840
22-1500539 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(383) THE LAKEWOOD COURTYARD LLC
52 MADISON AVE
LAKEWOOD,NJ08701
20-1074730 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(384) THE MARTIN AND EDITH STEIN ASSISTED LIVING RE
350 DEMOTT LANE
SOMERSET,NJ08873
22-3700189 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(385) THE PALACE REHABILITATION AND CARE CENTER LLC
315 WEST MILL RD
MAPLE SHADE,NJ08052
26-0437868 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(386) THE RESIDENCE AT LAKERIDGE LLC
2145 WHITESVILLE ROAD
TOMS RIVER,NJ08755
14-1872997 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(387) THE TERRACES AT SEACREST VILLAGE
281 MATHISTOWN ROAD
EGG HARBOR,NJ08087
87-1928912 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(388) TOWER LODGE CARE CENTER
1506 GULLY ROAD
WALL,NJ07719
22-3499104 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(389) TRC REALTY CORP TA BAYSIDE MANOR
7 LAUREL AVE
KEANSBURG,NJ07734
22-3492515 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(390) TRINITAS REGIONAL MEDICAL CENTER
225 WILLIAMSON STREET
ELIZABETH,NJ07207
22-3601678 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(391) UNITED METHODIST HOMES OF NEW JERSEY
3311 STATE ROUTE 33
NEPTUNE,NJ07753
21-0634464 501(C)(3) 59,500 0     SUBSTANCE USE DISORDER PROGRAM
(392) UNITY PLACE OF MONMOUTH COUNTY LLC
1075 STEPHENSON AVEN SUITE C
OCEANPORT,NJ077571242
47-1136134 N/A 7,500 0     SUBSTANCE USE DISORDER PROGRAM
(393) UNITY PLACE PARTIAL CARE LLC
1 KEYSTONE AVE STE 100
CHERRY HILL,NJ080031600
27-1040822 N/A 7,500 0     SUBSTANCE USE DISORDER PROGRAM
(394) VALLEY VIEW REHABILITATION & HEALTHCARE CENTE
1 SUMMIT AVE
NEWTON,NJ07860
47-5536764 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(395) VENETIAN CARE AND REHABILITATION CENTER
275 JOHN T OLEARY BLVD
SOUTH AMBOY,NJ08879
26-2273447 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(396) VERA E CARPENTER(ANSWER MOVING FORWARD SUPP)
1344 SPRINGFIELD AVENUE
IRVINGTON,NJ07111
38-3916171 N/A 25,000 0     SUBSTANCE USE DISORDER PROGRAM
(397) VICTORIA MEWS ASSISTED LIVING LLC
51 N MAIN STREET
BOONTON TOWNSHIP,NJ07005
22-3545921 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(398) VILLAGE SENIOR CARE LLC DBA BEAR CREEK ASSIST
1000 LEGION PLACE SUITE 1600
ORLANDO,FL32801
47-5223522 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(399) VOORHEES OPCO LLC
315 NORWOOD PARK SOUTH SUITE 205
NORWOOD,NJ02062
85-3297103 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(400) VSL HAMILTON NJ LLC
7047 E GREENWAY PKWY SUITE 33
PHOENIX,AZ85254
87-4478123 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(401) WARDELL GARDENS REHAB CENTER LLC
524 WARDELL ROAD
TINTON FALLS,NJ07753
85-3283514 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(402) WEDGWOOD GARDENS CARE CENTER
3419 ROUTE 9 N
FREEHOLD,NJ07728
26-2672221 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(403) WELL BL OPCO LLC
2021 HIGHWAY 35
WALL,NJ07719
83-1322060 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(404) WELL BL OPCO LLC
1587 OLD FREEHOLD ROAD
TOMS RIVER,NJ08755
26-0515380 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(405) WELL BL OPCO LLC
2005 US 22 W PO BOX 6100
BRIDGEWATER,NJ08807
52-2110145 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(406) WELL BL PORTFOLIO 1 OPCO LLC
775 MT LUCAS RD
PRINCETON,NJ08540
85-1492863 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(407) WELL BRANDYWINE HOWELL LLC
100 MERIDIAN PL
HOWELL,NJ07731
84-2127517 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(408) WELLINGTON ESTATES LLC
2018 HIGHWAY 35
SPRING LAKE,NJ07762
81-4868943 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(409) WEST HUDSON SUB ACUTE CARE CENTER LLC
14C 53RD STREET SUITE 220
BROOKLYN,NY11232
27-3212973 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(410) WH HOLDINGS 1 LLC
350 OXFORD ROAD
OXFORD,NJ07863
47-4091017 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(411) WILEY MISSION
99 EAST MAIN STREET
MARLTON,NJ08053
21-6008028 501(C)(3) 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(412) WILLOW SPRINGS OPERATOR LLC
1049 BURNT TAVERN ROAD
BRICK,NJ08724
37-1764056 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(413) WOODBURY SENIOR HOUSING LLC
124 GREEN AVE
WOODBURY,NJ08096
82-1707477 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(414) WOODBURY SNF OPERATIONS LLC
467 COOPER ST
WOODBURY,NJ08096
88-1380299 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(415) WOODCLIFF LAKE HEALTH & REHABILITATION CENTER
555 CHESTNUT RIDGE ROAD
WOODCLIFF LAKE,NJ07677
20-1948344 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(416) WOODCLIFF LAKE SENIOR CARE LLC
364 CHESTNUT RIDGE ROAD
WOODCLIFF LAKE,NJ07677
46-2688644 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(417) WRP OPERATING HAMILTON NJ LLC
1750 YARDVILLE-HAMILTON RD
HAMILTON,NJ08690
82-1296673 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(418) WRP OPERATING WASHINGTON NJ LLC
120 TOWN CENTER BLVD
SEWELL,NJ08080
81-2746022 N/A 8,500 0     SUBSTANCE USE DISORDER PROGRAM
(419) NJ INSTITUTE OF TECHNOLOGY
UNIVERSITY HEIGHTS
NEWARK,NJ07102
22-6000910 115(A)(2) 0 3,950,000 FMV INVESTMENTS CAMPUS FACILITIES AND INFRASTRUCTURE
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
56
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
363
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE SUBSTANCE USE DISORDER PROGRAM PROVIDES FUNDING TO QUALIFYING TREATMENT PROVIDERS TO HELP THEM DEPLOY OR UPGRADE ELECTRONIC HEALTH RECORD TECHNOLOGY AND PROVIDE MORE EFFECTIVE CARE TO THOSE SUFFERING FROM ADDICTION. FUNDING WAS ALSO PROVIDED TO THE NEW JERSEY INSTITUTE OF TECHNOLOGY, A RELATED ORGANIZATION, FOR CAMPUS IMPROVEMENTS PERTAINING TO FACILITIES AND INFRASTRUCTURE. THE USE OF ALL GRANT FUNDING IS MONITORED IN ACCORDANCE WITH GRANT STIPULATIONS.
Schedule I (Form 990) 2022



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1DR JOEL BLOOM
FORMER CHAIRMAN
(i)

(ii)
0
-------------
581,018
0
-------------
163,690
0
-------------
157,137
0
-------------
14,000
0
-------------
31,293
0
-------------
947,138
0
-------------
0
2SIMON NYNENS
PRESIDENT & CEO (THRU 8/22)
(i)

(ii)
0
-------------
284,409
0
-------------
0
0
-------------
229,240
0
-------------
14,000
0
-------------
41,082
0
-------------
568,731
0
-------------
0
3TEIK C LIM
CHAIRMAN (7/22-6/23)/INTERIM PRES.
(i)

(ii)
0
-------------
291,906
0
-------------
0
0
-------------
157,718
0
-------------
14,000
0
-------------
19,740
0
-------------
483,364
0
-------------
0
4ATAM DHAWAN
DIRECTOR
(i)

(ii)
0
-------------
396,185
0
-------------
0
0
-------------
20,909
0
-------------
14,000
0
-------------
38,428
0
-------------
469,522
0
-------------
0
5HOLLY STERN
SECRETARY (NON VOTING)
(i)

(ii)
0
-------------
328,328
0
-------------
0
0
-------------
17,171
0
-------------
14,000
0
-------------
27,592
0
-------------
387,091
0
-------------
0
6JENNIFER D'ANGELO
SVP HEALTHCARE DIVISION
(i)

(ii)
301,311
-------------
0
15,000
-------------
0
690
-------------
0
25,400
-------------
0
24,831
-------------
0
367,232
-------------
0
0
-------------
0
7KEVIN SCULL
CHIEF FINANCIAL OFFICER (THRU 2/23)
(i)

(ii)
179,377
-------------
0
25,000
-------------
0
1,290
-------------
0
17,175
-------------
0
28,531
-------------
0
251,373
-------------
0
0
-------------
0
8MATTHEW MOLINE
CHIEF TECHNOLOGY OFFICER
(i)

(ii)
182,072
-------------
0
3,000
-------------
0
690
-------------
0
16,239
-------------
0
36,134
-------------
0
238,135
-------------
0
0
-------------
0
9ZAINAB ALALI PHD
ASSOC. DR. OF QUALITY ASSURANCE
(i)

(ii)
106,109
-------------
0
85,000
-------------
0
194
-------------
0
0
-------------
0
22,997
-------------
0
214,300
-------------
0
0
-------------
0
10WILLIAM LUTZ
DIRECTOR OF VENTURELINK
(i)

(ii)
166,599
-------------
0
0
-------------
0
270
-------------
0
13,382
-------------
0
693
-------------
0
180,944
-------------
0
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 3 COMPENSATION OF NJII'S PRESIDENT AND CEO IS ESTABLISHED BY THE NEW JERSEY INSTITUTE OF TECHNOLOGY, THE EMPLOYER OF RECORD. HIS COMPENSATION IS ESTABLISHED WITHIN COMPETITIVE RANGES AND IS DETERMINED BASED ON COMPARING THE SALARIES OF SIMILARLY SITUATED EXECUTIVES AT PEER INSTITUTIONS WITHIN THE SAME GEOGRAPHICAL REGION.
PART I, LINE 4A PRESEIDENT AND CEO, SIMON NYNENS, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $225,334 IN CALENDAR YEAR 2022; THIS PAYMENT IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III).
Schedule J (Form 990) 2022

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Return Reference Explanation
FORM 990, PART III, LINE 1 THE NEW JERSEY INNOVATION INSTITUTE (NJII), AN NJIT CORPORATION, WAS FOUNDED IN 2014 AND HELPS TURN IDEAS INTO WORKABLE SOLUTIONS ACROSS FOUR DIVISIONS: HEALTHCARE DELIVERY SYSTEMS, PROFESSIONAL CORPORATE EDUCATION, DEFENSE AND HOMELAND SECURITY, AND ENTREPRENEURSHIP. NJII COMBINES THE VAST RESOURCES OF NJIT, STRONG AND FAR-REACHING INDUSTRY AND GOVERNMENT RELATIONSHIPS, AND PROVEN METHODS FOR BUILDING INDUSTRY CENTRIC ECOSYSTEMS TO HELP DRIVE INNOVATION AND DELIVER SOLUTIONS THAT MAKE A DIRECT IMPACT ON THE ECONOMY AND THE HEALTH AND WELFARE OF ITS PARTICIPANTS. NJII APPLIES THE INTELLECTUAL AND TECHNOLOGICAL RESOURCES OF NJIT TO CHALLENGES IDENTIFIED BY INDUSTRY PARTNERS, TO SPUR PRODUCT CREATION AND ENHANCEMENT, DEVELOP SOLUTIONS FOR SECTOR-WIDE AND/OR COMPANY-FOCUSED CHALLENGES, AND SERVE AS A CATALYST FOR REGIONAL ECONOMIC GROWTH.
FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE MARCH 2023, TOM NEHILA BECAME THE INTERIM CHIEF FINANCIAL OFFICER OF NJII. NJII PAID A THIRD PARTY MANAGEMENT COMPANY FOR THE SERVICES RENDERED BY MR. NEHILA UNTIL SUCH TIME AS HE BECAME A FULL-TIME NJII EMPLOYEE IN NOVEMBER OF 2023. SINCE MR. NEHILA WAS NOT PROVIDING SERVICES TO NJII IN CALENDAR YEAR 2022, NO COMPENSATION IS DISCLOSED FOR HIM IN PART VII OR SCHEDULE J OF THE FORM 990. AMOUNTS PAID TO MR. NEHILA, VIA THE THIRD PARTY MANAGEMENT COMPANY, AND AS AN EMPLOYEE FOR TWO MONTHS IN 2023, WILL BE REPORTED ON NEXT YEAR'S FORM 990.
FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDER NEW JERSEY INNOVATION INSTITUTE, INC.'S SOLE CORPORATE MEMBER IS THE NEW JERSEY INSTITUTE OF TECHNOLOGY, A SECTION 115(A)(2) GOVERNMENTAL ENTITY.
FORM 990, PART VI, SECTION A, LINE 7A HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY NEW JERSEY INNOVATION INSTITUTE, INC.'S SOLE CORPORATE MEMBER, NEW JERSEY INSTITUTE OF TECHNOLOGY, HAS THE FOLLOWING POWERS RESERVED TO IT WITHIN NJII'S BYLAWS: (1) TO DETERMINE THE SIZE OF NJII'S BOARD OF DIRECTORS; AND (2) TO APPOINT AND REMOVE NJII'S DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS NEW JERSEY INNOVATION INSTITUTE, INC.'S (NJII) SOLE CORPORATE MEMBER, NEW JERSEY INSTITUTE OF TECHNOLOGY, HAS THE FOLLOWING POWERS RESERVED TO IT WITHIN NJII'S BYLAWS:(1) TO AUTHORIZE THE AMENDMENT AND RESTATEMENT OF NJII'S BYLAWS AND ARTICLES OF INCORPORATION; (2) TO AUTHORIZE THE MERGER, CONSOLIDATION OR OTHER REORGANIZATION OF NJII; (3) TO AUTHORIZE THE LIQUIDATION OR DISSOLUTION OF NJII; AND (4) TO AUTHORIZE THE INITIATION OF INSOLVENCY OR BANKRUPTCY PROCEEDINGS.
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE ORGANIZATION'S FORM 990 IS PREPARED BY A NATIONALLY RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S SENIOR MANAGEMENT AND FINANCIAL TEAM. UPON COMPLETION, THE ORGANIZATION'S EXTERNAL ACCOUNTING FIRM PRESENTS THE FORM 990 TO THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS TO ENABLE THEM TO FULFILL THEIR DUE DILIGENCE AND OVERSIGHT RESPONSIBILITIES. A COPY OF THE FINAL FORM 990 IS SHARED WITH THE FULL BOARD OF DIRECTORS PRIOR TO ITS ELECTRONIC FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THAT ARISE BY VIRTUE OF THEIR RELATIONSHIP TO THE ORGANIZATION, BOARD SERVICE, OR POSITION WITHIN THE ORGANIZATION. THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL QUESTIONNAIRE/DISCLOSURE STATEMENT THAT IS DISTRIBUTED TO THESE INDIVIDUALS. POTENTIAL CONFLICTS ARE INVESTIGATED IMMEDIATELY.
FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW & APPROVAL PROCESS COMPENSATION OF THE PRESIDENT AND CEO, TOP MANAGEMENT AND OTHER OFFICERS OF NEW JERSEY INNOVATION INSTITUTE, INC. IS ESTABLISHED BY NEW JERSEY INSTITUTE OF TECHNOLOGY, THE EMPLOYER OF RECORD. COMPENSATION LEVELS ARE ESTABLISHED WITHIN COMPETITIVE RANGES DETERMINED VIA COMPARISONS WITH SIMILAR ORGANIZATIONS AND LOCAL MARKET CONDITIONS.
FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC BY RETAINING A COPY AT ITS PLACE OF BUSINESS IN ADDITION TO POSTING IT ON THE ORGANIZATION'S WEBSITE. THE FORM 990 IS ALSO AVAILABLE ON WWW.GUIDESTAR.ORG. THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT ORDINARILY MADE AVAILABLE TO THE PUBLIC, BUT, IF REQUESTED, WILL BE PROVIDED AT MANAGEMENT'S DISCRETION.
FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 7,055,739. MANAGEMENT AND GENERAL EXPENSES 413,827. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,469,566.
PART X, LINE 22 NJII'S PARENT ORGANIZATION, THE NEW JERSEY INSTITUTE OF TECHNOLOGY, ISSUED A NO-INTEREST LOAN PAYABLE TO NJII IN THE AMOUNT OF $10,900. NJII WILL BEGIN REPAYING THE LOAN ON JULY 1, 2026 OVER A PERIOD OF 8 YEARS UNTIL SUCH TIME AS THE BALANCE IS PAID IN FULL.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
NEW JERSEY INNOVATION INSTITUTE INC
 
Employer identification number

47-1042118
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)NEW JERSEY INSTITUTE OF TECHNOLOGY
323 MARTIN LUTHER KING JR BLVD

NEWARK,NJ07102
22-6000910
PUBLIC RESEARCH UNIVERSITY NJ 115   N/A
 
No
(2)FOUNDATION AT NJ INSTITUTE OF TECH
323 MARTIN LUTHER KING JR BLVD

NEWARK,NJ07102
22-1714037
FUNDRAISING NJ 501(C)(3) LINE 7 NJIT
 
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HEALTHCARE INNOVATION SOLUTIONS HOLDCO INC

211 WARREN STREET 3RD FLOOR
NEWARK,NJ07103
88-1416611
HEALTHCARE SOFTWARE SOLUTIONS NJ NJII
 
C 1,635,360 1,922,615 100.000 % Yes  












Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) NONE

     





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


Software ID:  
Software Version: