NewDirector of Estimating Building and Land TechnologyDirector of EstimatingStamford, CTThe ideal candidate will bring deep expertise in ground-up construction estimating, strong leadership capabilities, and a proven track record managing high-value projects from early design through bid execution and project turnover. Building and Land Technology (BLT) is seeking an experienced and strategic Director of Estimating to lead and actively participate in all estimating efforts for complex mid- to high-rise residential and commercial office developments in Stamford, CT.
NewDirector / Senior Tax Manager, CPA Kforce Inc.Director / Senior Tax Manager, CPAStamford, CT$165,000–$200,000Summary: In this position, you will lead client relations and business development activities, provide day-to-day accounting support to a portfolio of clients, and manager engagements, prepare tax filings as well as research and planning activities. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
NewDirector, Women’s Campaign Vaco LLCDirector, Women’s CampaignNew York, NY$130,000–$130,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
NewBusiness Development Director Vaco LLCBusiness Development DirectorNew York, NY$75,000–$85,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
NewClinical Director 4-2026 Hourchildren.orgClinical Director 4-2026Long Island City, NYPerform additional department or agency-related duties or special projects as directed by the supervisor, the Senior Director of Programs, Chief Impact & Program Officer, or Executive Director. Hour Children (HC) is an organization founded to help incarcerated and formerly incarcerated women and their children successfully rejoin the community, reunify with their families, and build healthy, independent, and secure lives.
NewDirector of SEC Reporting and Technical Accounting Vaco LLCDirector of SEC Reporting and Technical AccountingNew York, NYRemote$200,000–$250,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
NewDirector Medical Monitor JouléDirector Medical MonitorParsippany, NJ$210,000–$335,000 / yearServe as the primary medical contact for investigators and study sites regarding protocol-related medical questions, including subject eligibility and enrollment guidance. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
Associate Director Corporate Communications JouléAssociate Director Corporate CommunicationsParsippany, NJ$135,000–$170,000 / yearJoin a growing biopharmaceutical organization where communications plays a critical role in shaping corporate reputation, supporting key business milestones, and translating complex science into meaningful stories. This is an opportunity to work closely with executive leadership and cross-functional teams to drive both external and internal communications initiatives across a fast-paced, highly visible environment.
NewMedical Science Director (Carolinas Region) JouléMedical Science Director (Carolinas Region)Parsippany, NJRemote$200,000–$240,000 / yearEngage with healthcare providers, KOLs, pharmacy stakeholders, and institutional decision-makers to foster trusted relationships within inpatient and outpatient settings. Support medical affairs activities across oncology, infectious disease, nephrology, and acute care through compliant scientific exchange and insight gathering.
Medical Science Director (Ohio Valley) JouléMedical Science Director (Ohio Valley)Parsippany, NJRemote$200,000–$240,000 / yearEngage with healthcare providers, KOLs, pharmacy stakeholders, and institutional decision-makers to foster trusted relationships within inpatient and outpatient settings. Support medical affairs activities across oncology, infectious disease, nephrology, and acute care through compliant scientific exchange and insight gathering.
Medical Science Director (Mountain Plains) JouléMedical Science Director (Mountain Plains)Parsippany, NJRemote$200,000–$240,000 / yearEngage with healthcare providers, KOLs, pharmacy stakeholders, and institutional decision-makers to foster trusted relationships within inpatient and outpatient settings. Support medical affairs activities across oncology, infectious disease, nephrology, and acute care through compliant scientific exchange and insight gathering.
Medical Science Director (New England Region) JouléMedical Science Director (New England Region)Parsippany, NJRemote$200,000–$235,000 / yearA field-based Medical Science Director will support Medical Affairs through compliant scientific exchange, insight gathering, and cross-functional collaboration across oncology and related therapeutic areas (infectious disease, nephrology, acute/critical care). This role partners with HCPs/KOLs, pharmacy leaders, and institutional stakeholders across inpatient/outpatient settings to support medical strategy, evidence generation initiatives, and scientific engagement (congresses, advisory boards, education).
Medical Science Director (Mid-Atlantic Region) JouléMedical Science Director (Mid-Atlantic Region)Parsippany, NJRemote$200,000–$240,000 / yearThis role serves as a clinical and scientific resource, facilitating evidence-based discussions, gathering medical insights, supporting clinical research initiatives, and collaborating cross-functionally to help inform medical strategy, education, and patient care. The Medical Science Director is a field-based medical affairs professional responsible for building scientific relationships with healthcare providers, key opinion leaders, and healthcare systems across oncology and related specialty therapeutic areas.
Medical Science Director Northern CA JouléMedical Science Director Northern CAParsippany, NJRemote$200,000–$235,000 / yearServe as a scientific resource to healthcare providers, key opinion leaders, pharmacy stakeholders, and institutional decision-makers across inpatient and outpatient healthcare settings. Support medical affairs activities across oncology, infectious disease, nephrology, acute care, and related therapeutic areas through compliant scientific exchange, insight gathering, and collaboration.
Medical Science Director Southern CA JouléMedical Science Director Southern CAParsippany, NJRemote$200,000–$235,000 / yearServe as a scientific resource to healthcare providers (HCPs), key opinion leaders (KOLs), pharmacy stakeholders, and institutional decision-makers across inpatient and outpatient healthcare settings. Support medical affairs activities across oncology, infectious disease, nephrology, acute care, and related therapeutic areas through compliant scientific exchange, insight gathering, and cross-functional collaboration.
NewDiagnostic Medical Sonography Dean/Program Director Swedish Institute IncDiagnostic Medical Sonography Dean/Program Directornew york, NY$150,000–$165,000 / yearDevelops and maintains positive partnerships with the local workforce boards, local economic development agencies, program advisory committees, business and industry, school districts, and other governmental, community, business and educational institutions of the College’s service area to ensure the needs of the area businesses, credit, and non-credit students are met. Plans, administers, manages, and evaluates the Diagnostic Medical Sonography Program and course offerings, in a teaching and learning environment that utilizes face-to-face and digital solutions for courses, textbooks, learning labs, on-line tutoring, and other learning support services.
Director, Senior Counsel - CLOs & Securitization Page Group USADirector, Senior Counsel - CLOs & SecuritizationNew York, NY$290,000–$315,000 / yearFull timeli>Deep expertise in Collateralized Loan Obligations (CLOs), including warehouse financings, new issuances, refinancings, resets, amendments, and ongoing transaction management, with a strong understanding of applicable market practices, transaction structures, and regulatory considerations. Draft, review, and negotiate documentation for CLO transactions, coordinating closely with bankers, structurers, portfolio managers, trustees, collateral managers, rating agencies, investors, and external counsel.
NewDirector of Advanced Heart Failure & Transplant RWJBarnabas HealthDirector of Advanced Heart Failure & TransplantNewark, NJProgram Leadership: Provide medical direction for our Heart Transplant, Advanced Heart Failure, and Mechanical Circulatory Support program, ensuring excellence in clinical outcomes and regulatory compliance (UNOS/CMS). RWJBarnabas Health treats over 3 million patients a year across eleven acute care hospitals-including Newark Beth Israel, RWJUH, Jersey City Medical Center, and Cooperman Barnabas Medical Center.
NewAdult Congenital Heart Disease (ACHD) Cardiologist – Medical Director RWJBarnabas HealthAdult Congenital Heart Disease (ACHD) Cardiologist – Medical DirectorNewark, NJp>Our partnership with Rutgers University creates the state’s largest academic healthcare system dedicated to providing high-quality patient care, leading-edge research, and world-class health and medical education, further advancing our mission of providing high-quality healthcare in New Jersey. With 12 acute care hospitals, 3 children‘s hospitals, a growing number of our outpatient facilities and physician practices, our healthcare system is committed to providing the highest quality of patient care and health education to the community and region.
NewAP/AR Director Page GroupAP/AR DirectorWhite Plains, NY$120,000–$150,000 / yearFull timeThis role oversees daily operations, manages the team, and drives process improvements, with a preference for experience in wine and spirits imports. The Director of AP will lead efficient, accurate, and compliant payables and receivables processes to support cash flow and distributor transactions.
Managing Director Corporate Banking Page Group USAManaging Director Corporate BankingNew York, NY$300,000–$325,000 / yearFull timeNegotiate pricing, terms, covenants, and guarantees for new and existing clients, including the ability to decline transactions that do not meet acceptable risk/return criteria while preserving client relationships. Oversee Credit Analysts in preparing credit applications, including detailed financial analysis, industry research, competitive assessment, and forecasting to ensure timely execution.
NewHospice Director of Admissions (RN)- Delaware Vitas HealthcareHospice Director of Admissions (RN)- DelawareNewark, NJ$100,000–$120,000 / yearp>A program senior leadership role responsible for the Admissions Department’s leadership, strategy, customers, analysis and knowledge management, workforce, operations and results. Ability to communicate tactfully, both verbally and in writing, with program leadership, patients, families, managers, coworkers, and vendors to resolve problems and negotiate resolutions.
Activities Director CommuniCareActivities DirectorMount Vernon, New YorkWe continue to raise the bar and innovate wherever possible to enhance quality of life—creating environments where residents feel at home, employees thrive, and families find comfort and confidence in the care we provide. Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional, person‑centered care as a national leader in post‑acute services for individuals with chronic or complex conditions.
Activities Director Sunrise Senior Living LLCActivities DirectorWayne, NJli>As applicable, all Sunrise team members who drive a Sunrise vehicle must review and sign the Driver job description, understand the key essential duties for safety and regulatory compliance, and successfully complete the Driver Training. Network in the local community in partnership with other department coordinators to establish and develop a relationship with local businesses, organizations, and schools to build and maintain a volunteer base for the community.
Director of Operations and Special Activities (NBOE) Newark Board of EducationDirector of Operations and Special Activities (NBOE)Newark, NJ$155,000–$171,000 / yearStrong problem-solving and project management skills - strong organizational skills, attention to detail, the ability to balance the big picture with detailed steps to reach the end goal and the ability to balance multiple projects under tight deadlines. The Director of Operations and Special Activities is an unaffiliated management position responsible for overseeing high-impact operational functions, events, and activities that directly support the Superintendent's role and districtwide priorities.
Camp Activity Director, Arts & Crafts Westchester Country Club, Inc.Camp Activity Director, Arts & CraftsRye, NY$22–$26 / hourClub members enjoy two championship golf courses and a 9-hole executive course, comprehensive tennis and squash facilities, various dining options, an on-site fitness facility and indoor pool, and other specialized amenities. The Activity Director, Arts & Crafts must complete all tasks and assignments assigned by the Camp Director, including but not limited to: Order necessary art supplies and equipment for six weeks of camp activities.
Activities Coordinator Healthpro Heritage, LLCActivities CoordinatorRiverdale, New York$21–$23 / hourFull timeContributes to a positive work team by sharing information, using problem-solving methods, accepting new ideas, constructive feedback and advice from others . While an effort has been made to thoroughly describe the customary manner in which this job is performed, reasonable accommodation will be made upon notification, for qualified individuals with disabilities who may not be able to perform the job in the manner indicated.
Activities assistant PACS Group IncActivities assistantLinden, NJAssist in providing good communication between employees of all levels, residents, their families, support personnel, government agencies/personnel, and the public to ensure the needs and best interest of the residents, community and facility are met to the extent possible. Assists in developing a monthly activity schedule for residents, which include resident outings, regularly scheduled group activities, and in-room activities for bed-bound or isolated residents.
Activities Coordinator HealthPRO HeritageActivities CoordinatorRiverdale, NY$21–$23 / hourContributes to a positive work team by sharing information, using problem-solving methods, accepting new ideas, constructive feedback and advice from others. While an effort has been made to thoroughly describe the customary manner in which this job is performed, reasonable accommodation will be made upon notification, for qualified individuals with disabilities who may not be able to perform the job in the manner indicated.
Activities Assistant CentraState Healthcare SystemActivities AssistantFreehold, New Jersey$16–$25.60 / hourFull timeBeyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well. Awards and Accreditations: The Manor has been named one of the Best Nursing Homes by U.S. News & World Report, a nationally recognized magazine that routinely evaluates and rates health care providers across the country.
Activities Assistant Christian Health Care CenterActivities AssistantWyckoff, New Jersey$17–$17.75 / hourFull timeMaintains resident activity grids, uses pinksheets appropriately, rewrites in vital comments or goals and months or updates prior to start of new month for accurate documentation of programs. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients.
Activities Aide SpringpointActivities AideDenville, New JerseyAssist in organizing, developing, and directing all therapeutic activities for groups or individuals to meet the needs of the residents. At Springpoint, our Activities Aide is responsible for providing therapeutic activity programs to the residents.
Activities Leader CommuniCareActivities LeaderForest Hills, New Yorkp>A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Communicates and coordinates all plans for assigned activities with activity coordinator/activity director and other departments (schedules, food, room arrangements, escort assistance, and transportation).
Activities Therapist-PD Stamford HealthActivities Therapist-PDStamford, CTMAJOR ACCOUNTABILITIES/CRITICAL RESPONSIBILITIES: Establishes and provides activities and therapy programs on inpatient unit as requested to do so by Director/Manager. Provides a wide range of therapeutic activities through which the patients can rehabilitate, learn alternative coping strategies and enhance self-esteem.
Program Coordinator (Public Health Activities) Rutgers The State University of New JerseyProgram Coordinator (Public Health Activities)Piscataway, NJAligned with Rutgers University-New Brunswick and collaborating university wide, RBHS includes eight schools, a behavioral health network, and six centers and institutes that focus on cancer treatment and research, neuroscience, clinical and translational research, advanced biotechnology and medicine, environmental and occupational health, and health care policy and aging research. With oversight from the Program Director, the Program Coordinator of Public Health Activities will coordinate curriculum development and technical delivery components for assigned projects ensuring activities are implemented effectively and aligned with project goals and timelines and integrating data collection processes into program activities to support continuous improvement.
Activities Specialist (Day Hab) AHRC NassauActivities Specialist (Day Hab)Plainview, New YorkFull timeServes as program representative and liaison for CQL (Commission on Quality Leadership): Remains active and up to date in CQL certifications and trainings; Train personnel on CQL Philosophy trainings; conduct CQL interviews on program participants as needed; point person to schedule interviews, and all other CQL related events. Overview: Ensures compliance for the Day programs in the areas of COMPASS,CQL and regulatory guidelines; Responsible for seeking out and scheduling community opportunities for Day Habilitation Individuals Responsible for maintaining excellent public relations with Community Sites.
Activities & Volunteer Coord. Sunrise Senior Living LLCActivities & Volunteer Coord.NJp>Volunteer and Community Focus Network in the local community in partnership with other department coordinators to establish and develop a relationship with local businesses, organizations, and schools to build and maintain a volunteer base for the community. As applicable, all Sunrise team members who drive a Sunrise vehicle must review and sign the Driver job description, understand the key essential duties for safety and regulatory compliance, and successfully complete the Driver Training.
NewActivities and Volunteer Manager - Senior Living Sunrise Senior Living LLCActivities and Volunteer Manager - Senior LivingWayne, NJli>As applicable, all Sunrise team members who drive a Sunrise vehicle must review and sign the Driver job description, understand the key essential duties for safety and regulatory compliance, and successfully complete the Driver Training. Network in the local community in partnership with other department coordinators to establish and develop a relationship with local businesses, organizations, and schools to build and maintain a volunteer base for the community.
Classroom Teacher / Activities Social Studies Teacher Certificate: History/Social Studies, 7-12 (026) Connecticut REAPClassroom Teacher / Activities Social Studies Teacher Certificate: History/Social Studies, 7-12 (026)Darien, CTAPPLICATION PROCESS: Internal candidates (current employees of the Darien Public Schools) must submit an internal application via Applitrack, including a current resume and cover letter addressed to Marjorie Cion, Director of Human Resources. Cion, Director of Human Resources, mcion@darienps.org, 203-656-7406, Board of Education Offices, 35 Leroy Avenue, Darien, CT 06820.
PEPI Director - Merger Integration & Carve outs (Open to all US locations) Alvarez & Marsal Holdings LLCPEPI Director - Merger Integration & Carve outs (Open to all US locations)NY$150,000–$225,000 / yearem> Practice Development & Eminence: Develop practical solutions and methodologies; develop thoughtware and point-of-view documents; participate in public speaking events People Development: Perform role of coach; provide input and guidance into the staffing process; actively participate in staff recruitment and retention activities; provide leadership and support for delivery teams and staff in local offices Qualifications 10+ years of professional consulting experience, specializing in merger integration, divestitures, business transformation, and change management Experience in integration planning and divestitures a plus, but not required Experience in leading one or more work streams in a business transformation Deep functional expertise in several of the following areas: Finance & Accounting operations HR / Organizational design Role and Job Analysis Leadership and Stakeholder Involvement Communications planning and management Supply Chain / Operations Salesforce effectiveness Marketing optimization Pricing/Margin/Mix optimization Knowledge Management and Transfer Success at both planning revenue growth and profitability growth initiatives and driving them, operationally Program management and leadership experience Specific experience designing and leading the execution of internally-focused and externally-focused change/communications strategies MBA preferred Excellent oral and written communications skills Initiative and drive Critical thinking skills Flexibility to travel at least 75% of time Your journey at A&M We recognize that our people are the driving force behind our success, which is why we prioritize an employee experience that fosters each person's unique professional and personal development. Locations Early Careers Experienced A&M Employee Portal Loading job Back to Search Results Previous Opportunity Next Opportunity PEPI Director - Merger Integration & Carve outs (Open to all US locations) Location: New York, NY, United States Date Posted: Apr 24, 2026 Share: share to e-mail Apply Now Save Job Saved Description Alvarez & Marsal Private Equity Performance Improvement Director, Merger Integrations and Carve-Outs About Alvarez & Marsal Alvarez & Marsal (A&M) is a global consulting firm with over 10,000 entrepreneurial, action and results-oriented professionals in over 40 countries.
Director of Recreation Care-OneDirector of RecreationLivingston, NJ$65,000–$100,000 / yearMust possess leadership ability and motivational skills for effective communication and program development with staff and residents. 3. Serve on, participate in and attend various committees of the facility ie: CQI, Care Plan Meeting, Department Head Meeting.
Director of Recreation CareOne Management LLCDirector of RecreationLivingston, NJ$65,000–$100,000 / yearThe Director of Recreation will be responsible for, but not limited to: Plan, develop, organize, implement, evaluate, and direct the activity programs of this facility. If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you''ll appreciate being a part of our team.
Assistant Director, Nursing Program Hudson County Community CollegeAssistant Director, Nursing ProgramNJli>Encourages the development and usage of pedagogical technology and instructional media to contribute to effective teaching and learning; fosters the implementation of teaching/learning modalities that include active student participation such as reversing the classroom, use of clickers, case studies and simulations. The Candidate should also demonstrate sensitivity to issues of diversity and have the ability to motivate and assist students of diverse, ethnic and racial backgrounds, sexual orientations, genders, cultures, and learning styles, as well as students with disabilities, or varied levels of academic preparation.
Asst Director-Clinical Support Columbia UniversityAsst Director-Clinical SupportNY$110,000–$120,000 / yearManage and perform cross-functional responsibilities: (1) In the absence of the Associate Director of Nursing, manage Nurses in their clinical supportive and consulting/triage roles; ensure nurses coverage and coordinate resources to effectively manage the flow of unscheduled patients; (2) work with the Assistant Director, Infection Prevention and Public Health Support to complete real-time reporting to Department of Health; serve as a backup and assist with Infection Prevention and Public Health Support issues in the absence of the Assistant Director; (3) Will be trained in Travel Health in order-to provide travel assessment to students who are studying or traveling abroad; function as the nurse in the Clinician/Nurse Dyad during non-peak travel medicine service requests. Function as a member of the Medical Services clinical team and clinical management team supporting patient pre and post-visit preparation, scheduling, and triage processes; work in unison with the Associate Directors, Clinical Services, and the Associate Director of Practice Operations to support the flow and care of patients with scheduled appointments or walk-in for triaging.
Nurse Director Atria Senior Living Group IncNurse DirectorNYli>(Clinical Related Matters) - Partner with the Life Guidance Director in maintaining active community and professional ties with clinical and non-clinical contacts. Partner with the Life Guidance Director in providing training and orientation to new assisted living staff members and ongoing training to current staff members.
Assistant Program Director -Broadway Women's Shelter CambaAssistant Program Director -Broadway Women's ShelterBrooklyn, New YorkWe take a comprehensive approach by offering more than 180 integrated programs in: Education & Youth Development, Family Support, Job Training & Employment Support Services, Health, Housing, and Legal Services. Who We Are: CAMBA is a community of staff, volunteers, clients, donors, neighbors and partners who work together to build an inclusive New York City, where all children and adults have access to the resources and supports they need to thrive.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteNew York, NYRemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Associate Director, Pharmacovigilance Scientist Sionna Therapeutics IncAssociate Director, Pharmacovigilance ScientistNY$170,000–$215,000 / yearSionna's goal is to deliver differentiated medicines for people living with CF that can restore their CFTR function to as close to normal as possible by directly stabilizing CFTR's nucleotide-binding domain 1 (NBD1), which the company believes is central to potentially unlocking meaningful improvements in clinical outcomes and quality of life for people with CF. The AD PV Scientist will lead or contribute to key PV deliverables and activities associated with signal detection and management, benefit-risk evaluations and regulatory and aggregate safety reporting processes, PV SOP development and management, and oversight of the PV vendor and Clinical CRO safety activities.
NewNurse Director Atria Senior LivingNurse DirectorArdsley, New York$115,000–$132,250 / yearFull timePartner with the Life Guidance Director in providing training and orientation to new assisted living staff members and ongoing training to current staff members. (Clinical Related Matters) – Partner with the Life Guidance Director in maintaining active community and professional ties with clinical and non-clinical contacts.
Assistant Director RTC Leake and Watts Services IncAssistant Director RTCYonkers, NYol start="5">Safety, Compliance & Risk Management: Ensure full compliance with all applicable state and federal regulations governing Residential Treatment Centers (RTCs), including oversight and regulatory guidance provided by the New York State Office of Children and Family Services (OCFS), as well as requirements set forth by referral sources and funding authorities. Driven by the belief that each of us can thrive when life has hope and opportunity, Rising Ground provides caring support and proven paths to positive change, helping children, adults, and families rise above adversity, and each year, Rising Ground is a positive force in the lives of more than 72,000 individuals annually.