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      <Desc>- HEALTHCARE SERVICES -IN FY24, PLANNED PARENTHOOD OF THE HEARTLAND, INC. (PPHEARTLAND) SERVED 26,374 PATIENTS IN 10 HEALTH CENTERS LOCATED IN IOWA AND NEBRASKA. OUR HEALTH CENTERS IN IOWA AND NEBRASKA PROVIDED ANNUAL EXAMS; BIRTH CONTROL; EMERGENCY CONTRACEPTION; PREGNANCY TESTING AND OPTIONS COUNSELING; FERTILITY AWARENESS EDUCATION; BREAST/CHEST EXAMS AND MAMMOGRAPHY REFERRAL; TRANSGENDER HORMONE THERAPY; LGBTQ+ CARE; PEP FOR HIV PREVENTION AFTER EXPOSURE TO HIV; PREP FOR HIV PREVENTION; HIV TESTING, EDUCATION AND REFERRAL; SCREENING &amp; TREATMENT FOR ANXIETY AND DEPRESSION; TESTING AND TREATMENT FOR STDS/STIS, UTIS, VAGINAL AND BLADDER INFECTIONS; HPV AND HEPATITIS B VACCINATIONS; AND REFERRALS FOR ADDITIONAL CARE.69% OF CLIENTS RECEIVING CARE WERE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL.PLANNED PARENTHOOD IS A WELL-KNOWN AND TRUSTED PROVIDER, CONSISTENTLY DELIVERING COMPASSIONATE CARE TO OUR CLIENTS IN A SUPPORTIVE ENVIRONMENT. OUR HEALTH CENTERS SERVE AS A GATEWAY FOR OUR CLIENTS TO OTHER ESSENTIAL HEALTH CARE SERVICES AND MANY OF OUR CLIENTS REPORT THAT WE ARE THEIR PRIMARY SOURCE OF HEALTH CARE, PARTICULARLY IN RURAL AREAS. TO PROVIDE ACCESS FOR PATIENTS WHO OFTEN FACE BARRIERS TO SERVICE, PLANNED PARENTHOOD OFFERS WALK-IN APPOINTMENTS AND SAME DAY SCHEDULING, ONLINE APPOINTMENT SCHEDULING AND TEXT OR EMAIL APPOINTMENT REMINDERS, TELEHEALTH, A CENTRALIZED REFILL CENTER, AND A COMMITMENT TO PROVIDING INCLUSIVE CARE TO ALL CLIENTS.</Desc>
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        <Desc>- PUBLIC &amp; PROFESSIONAL EDUCATION SERVICES -THE COMMUNITY EDUCATION AND ENGAGEMENT DEPARTMENT'S MISSION IS TO IMPROVE SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES BY INCREASING COMMUNITIES' ACCESS TO MEDICALLY ACCURATE, CULTURALLY RELEVANT SEXUAL AND REPRODUCTIVE HEALTH EDUCATION, INFORMATION, AND RESOURCES.DURING JULY 1, 2023 - JUNE 30, 2024, COMMUNITY EDUCATION AND ENGAGEMENT PROGRAMS REACHED 26,905 YOUTH AND ADULTS ACROSS IOWA AND NEBRASKA. EDUCATORS FACILITATED 878 PRESENTATIONS ON SEXUAL AND REPRODUCTIVE HEALTH TOPICS (E.G. HEALTHY RELATIONSHIPS, BIRTH CONTROL, SEXUALLY TRANSMITTED INFECTIONS, AND COMMUNICATION SKILLS) TO 4,777 PARTICIPANTS IN COMMUNITY- AND SCHOOL-BASED SETTINGS. IN ADDITION, 13,898 PEOPLE WERE REACHED AT HEALTH FAIRS AND COMMUNITY EVENTS.</Desc>
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        <Desc>- PUBLIC AFFAIRS -PUBLIC AFFAIRS STAFF IN NEBRASKA ENGAGED VOLUNTEERS IN OVER 1,200 HOURS OF OUTREACH, ADVOCACY AND ENGAGEMENT ACTIVITIES AT HEALTH CENTERS, ON COLLEGE CAMPUSES, AND IN THE COMMUNITY. A NEW VOLUNTEER EFFORT THIS YEAR WAS COLLECTING SIGNATURES FOR A CONSTITUTIONAL AMENDMENT IN NEBRASKA TO PROTECT ABORTION UNTIL FETAL VIABILITY. NEBRASKA PUBLIC AFFAIRS STAFF AND SUPPORTERS WERE INVOLVED IN THIS EFFORT THROUGOUT FY24. IN IOWA, PUBLIC AFFAIRS STAFF AND VOLUNTEERS EXECUTED AN EXTENSIVE RESPONSE TO THE UNPRECEDENTED SINGLE-DAY SPECIAL SESSION OF THE LEGISLATURE FOR THE SOLE PURPOSE OF PASSING A NEAR-TOTAL ABORTION BAN. AS A RESULT, STAFF ENGAGED VOLUNTEERS IN OVER 9,000 HOURS OF OUTREACH AND ADVOCACY. THIS STATEWIDE EFFORT TO INCREASE SUPPORT FOR SEXUAL AND REPRODUCTIVE HEALTH REACHED NEARLY 94,000 SUPPORTERS IN FY24. THIS EFFORT INCLUDED USING TARGETED DIGITAL COMMUNICATIONS, ENGAGING NEW COLLEGE CAMPUSES, AND SHIFTING BACK TO IN-PERSON SUPPORTER ENGAGEMENT.ALSO, IN FY24, OUR GENERATION ACTION PROGRAMS WERE FURTHER STRENGTHENED FOLLOWING THE PANDEMIC. WE WORKED WITH STUDENTS ON FOUR CAMPUSES IN NEBRASKA WHERE STUDENT-LED GROUPS PRIORITIZED VOTER REGISTRATION AND INFORMATION ABOUT THE ABORTION BALLOT INITIATIVE; HANDING OUT SAFER SEX KITS; AND BUILDING A CAMPUS COMMUNITY OF ADVOCATES FOR SRH. WHILE OUR STAFF PROVIDE RESOURCES AND GUIDANCE TO STUDENT ORGANIZERS, OUR GOAL IS TO SUPPORT THE STUDENTS IN EXECUTING THEIR VISION FOR THE GROUP. IOWA PUBLIC AFFAIRS STAFF EXPANDED LATINE OUTREACH EFFORTS VIA THE RAIZ PROGRAM. PROGRAMMATIC WORK INCLUDED COLLABORATION WITH LATINE-SPECIFIC ORGANIZATIONS, CONTINUING WELL-BEING WORKSHOPS WITH ALLIED PARTNERS, AND TABLING AT EVENTS WITH VOLUNTEERS LIKE THE LATINO FESTIVAL IN DES MOINES.THE NEBRASKA RAIZ PROGRAM CONTINUED IN FY24 WITH THE GOAL OF BUILDING TRUST WITH LATINE COMMUNITIES TO ENSURE THAT OUR POLICY ADVOCACY, COMMUNITY ENGAGEMENT, AND POWER BUILDING GOALS AND EVENTS ARE RELEVANT TO THE NEEDS AND INTEREST OF LATINE AND SPANISH-SPEAKING COMMUNITY MEMBERS IN NEBRASKA. IN FY24, OUR RAIZ PROGRAM TABLED AT 4 LATINE-CENTERED EVENTS, SUCH AS CINCO DE MAYO AND CHINGONA FEST, TO EDUCATE THE LATINE AND SPANISH SPEAKING COMMUNITIES ABOUT THE SERVICES PLANNED PARENTHOOD PROVIDES. AT THESE EVENTS, WE SIGNED UP OVER 125 NEW PROGRAM SUPPORTERS.STAFF IN IOWA AND NEBRASKA CONTINUE TO ENGAGE PATIENT STORYTELLERS THROUGH THE HEALTH CENTER ADVOCACY PROGRAM, BOTH THROUGH HEALTH CENTER ADVOCACY TABLES IN FOUR HEALTH CENTERS IN IOWA AND TWO IN NEBRASKA THAT ALLOW PATIENTS TO SIGN UP TO PARTICIPATE IN VARIOUS ADVOCACY AND EDUCATIONAL PROGRAMMING AND THROUGH THE SPEAKERS BUREAU PROGRAM. IOWA PUBLIC AFFAIRS STAFF TRAINED NEW PATIENT ADVOCATES AS STORYTELLERS AND CULTIVATED EXISTING STORYTELLERS THROUGH COMMUNITY CARE EVENTS. YOUTH ENGAGEMENT SURGED IN GENERATION ACTION STUDENT GROUPS ON FIVE ACTIVE CAMPUSES. THE GENERATION ACTION PROGRAMS WORKED WITH STUDENTS ON FOUR CAMPUSES IN NEBRASKA WHERE STUDENT-LED GROUPS PRIORITIZED VOTER REGISTRATION AND INFORMATION ABOUT THE ABORTION BALLOT INITIATIVE; HANDING OUT SAFER SEX KITS; AND BUILDING A CAMPUS COMMUNITY OF ADVOCATES FOR SEXUAL AND REPRODUCTIVE HEALTH. WHILE OUR STAFF PROVIDE RESOURCES AND GUIDANCE TO STUDENT ORGANIZERS, OUR GOAL IS TO SUPPORT THE STUDENTS IN EXECUTING THEIR VISION FOR THE GROUP.THE IOWA PUBLIC AFFAIRS STAFF REACHED OUT TO SUPPORTERS AND VOTERS ON NATIONAL VOTER REGISTRATION DAY AND IN THE LATINE COMMUNITY VIA THEIR RAIZ PROGRAM.PUBLIC AFFAIRS STAFF PROVIDED EDUCATIONAL PROGRAMMING TO OVER 100 COMMUNITY SUPPORTERS IN NEBRASKA AND 75 IN IOWA ON HOW TO TALK TO THEIR STATE REPRESENTATIVES AND OTHERS ABOUT SEXUAL AND REPRODUCTIVE HEALTH CARE. IN LINCOLN AND OMAHA, PUBLIC AFFAIRS STAFF CONTINUED TO TRAIN SUPPORTERS TO VOLUNTEER AS HEALTH CENTER PATIENT ESCORTS AT THEIR RESPECTIVE HEALTH CENTERS. A NEW PATIENT ESCORT PROGRAM WAS LAUNCHED IN AMES.</Desc>
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        <TitleTxt>DIRECTOR (AS OF 1/1/2024)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>998013</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>95409</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BRIDGE HEALTHCARE PARTNERS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1001 S MONACO PKWY 210</AddressLine1Txt>
            <CityNm>DENVER</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PLANNED PARENTHOOD VOTERS OF NEBRASKA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NE</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>550000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PLANNED PARENTHOOD OF THE HEARTLAND FDTN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADMINISTRATION &amp; OPERATIONS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHONG KOSTER LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1640 RHODE ISLAND AVENUE NW SUITE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING</ServicesDesc>
        <CompensationAmt>342760</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>387726</FundraisingAmt>
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      <GovernmentGrantsAmt>2550780</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CLINIC SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>6323647</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EDUCATIONAL SERVICES</Desc>
        <BusinessCd>611710</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>53</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>6323700</TotalProgramServiceRevenueAmt>
      <FundraisingGrossIncomeAmt>27766</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>387726</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>125809</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>-98043</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>2866</ExclusionAmt>
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      <OtherRevenueTotalAmt>2866</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15187974</TotalRevenueColumnAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>1187120</ProgramServicesAmt>
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        <ProgramServicesAmt>286799</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>28443</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>29184</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>253333</ProgramServicesAmt>
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      <OccupancyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>313950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32066</ManagementAndGeneralAmt>
        <FundraisingAmt>8913</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>51253</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>25459</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CLINICAL SUPPLIES</Desc>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        </ContributorBusinessName>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <TotalExemptPurposeExpendGrp>
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      <TotLbbyExpendMnsLbbyngNonTxGrp>
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      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
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        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
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        <CurrentYearAmt>52918</CurrentYearAmt>
        <TotalAmt>575066</TotalAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <OtherLandBuildingsGrp>
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      </OtherLandBuildingsGrp>
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      <OtherAssetsOrgGrp>
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      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>305720</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATION</Desc>
        <Amt>24897180</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT-OF-USE LEASE LIABILITIES</Desc>
        <Amt>306062</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>25203242</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PLANNED PARENTHOOD OF THE HEARTLAND, INC. IS A NONPROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
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        <Event1Nm>SHINE</Event1Nm>
        <GrossReceiptsEvent1Amt>193324</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>188473</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>4851</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>20597</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>4165</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>4000</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6765</OtherDirectExpensesEvent1Amt>
        <Event2Nm>MOXIE</Event2Nm>
        <GrossReceiptsEvent2Amt>134752</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>117086</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>17666</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>24389</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>31567</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>5262</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>6671</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>87416</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>82167</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>5249</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>8334</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>8045</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>778</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>5236</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>415492</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>387726</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>27766</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>53320</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>43777</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>10040</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>18672</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>125809</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-98043</NetIncomeSummaryAmt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLANNED PARENTHOOD VOTERS OF IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>671 VANDALIA STREET</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55114</ZIPCd>
        </USAddress>
        <RecipientEIN>421357011</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>259000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE MISSION OF PLANNED PARENTHOOD VOTERS OF IOWA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLANNED PARENTHOOD VOTERS OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>671 VANDALIA STREET</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55114</ZIPCd>
        </USAddress>
        <RecipientEIN>470762497</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>798580</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE MISSION OF PLANNED PARENTHOOD VOTERS OF NEBRASKA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SANFORD COMMUNITY CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1700 GENEVA STREET</AddressLine1Txt>
          <CityNm>SIOUX CITY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51103</ZIPCd>
        </USAddress>
        <RecipientEIN>420698174</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>64640</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NORTHERN IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1227 W 27TH STREET</AddressLine1Txt>
          <CityNm>CEDAR FALLS</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50614</ZIPCd>
        </USAddress>
        <RecipientEIN>426004333</RecipientEIN>
        <IRCSectionDesc>UNIV OF N IOWA</IRCSectionDesc>
        <CashGrantAmt>52500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PLANNED PARENTHOOD OF THE HEARTLAND, INC. (PPHEARTLAND) MONITORS THE USE OF FUNDS BY RELATED ORGANIZATIONS THROUGH COMMON EXECUTIVE MANAGEMENT. ON A PERIODIC BASIS, THE DIRECTOR OF PUBLIC AFFAIRS WILL SEND A MEMO TO THE AFFILIATE REQUESTING A GRANT. THE GRANT REQUEST WILL DETAIL THE LINE ITEMS AND ACTIVITIES THAT FUNDS HAVE BEEN REQUESTED FOR, AS WELL AS TIME PERIOD. THE REQUEST IS MADE TO THE PRESIDENT AND CFO OF PLANNED PARENTHOOD NORTH CENTRAL STATES.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUTH RICHARDSON</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHAIR (AS OF 1/1/2024)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>446241</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18506</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>20691</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>485438</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEILAHN DAVIS-WYATT</PersonNm>
        <TitleTxt>COO &amp; SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>285247</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>30000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8499</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>349596</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDY DRAGER</PersonNm>
        <TitleTxt>CFO &amp; TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>236525</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>21863</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>258388</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PLANNED PARENTHOOD OF THE HEARTLAND DOES NOT COMPENSATE ANY INDIVIDUALS. THE ORGANIZATION RELIED ON PLANNED PARENTHOOD NORTH CENTRAL STATES IN SETTING THE COMPENSATION OF THOSE INDIVIDUAS LISTED IN FORM 990, PART VII, SECTION A. PLANNED PARENTHOOD NORTH CENTRAL STATES USED THE FOLLOWING METHODS TO ESTABLISH THE PRESIDENT'S COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>457(F) PLAN CONTRIBUTIONS: RUTH RICHARDSON - $76,604 SHEILAHN DAVIS-WYATT - $6,304 RANDY DRAGER - $19,801</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>15</ContributionCnt>
        <NoncashContributionsRptF990Amt>1180327</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>DAILY TRADING PRICE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PLANNED PARENTHOOD OF THE HEARTLAND UTILIZED A STOCKBROKER WHO COMPLETED ALL STOCK TRANSACTIONS FOR THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MANAGEMENT AND OTHER EMPLOYEE SERVICES ARE PROVIDED THROUGH A SERVICES AGREEMENT WITH PLANNED PARENTHOOD NORTH CENTRAL STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD OF DIRECTORS IS COMPOSED OF PLANNED PARENTHOOD NORTH CENTRAL STATES' CEO, COO AND CFO, AS WELL AS TWO AT-LARGE DIRECTORS ELECTED BY PLANNED PARENTHOOD NORTH CENTRAL STATES' BOARD OF DIRECTORS. ONE OF THE AT-LARGE DIRECTORS MUST BE A BOARD MEMBER OF PLANNED PARENTHOOD NORTH CENTRAL STATES AND ONE MUST BE A BOARD MEMBER OF PLANNED PARENTHOOD OF THE HEARTLAND FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ACTIONS REQUIRE APPROVAL BY PLANNED PARENTHOOD NORTH CENTRAL STATES' BOARD OF DIRECTORS TO BE EFFECTIVE: (A) APPROVAL OF THE ANNUAL AND LONG-TERM STRATEGIC PLANS; (B) APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGET AND FINANCIAL FORECAST; (C) INCURRENCE OF INDEBTEDNESS; (D) MERGER, CONSOLIDATION, DISSOLUTION OR SALE OF SUBSTANCIALLY ALL OF THE ORGANIZATION'S ASSETS; AND (E) AMENDMENT, MODIFICATION OR TERMINATION OF THE ARTICLES OF INCORPORATION OR BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM CONDUCTED A DETAILED REVIEW OF THE FORM 990 AND PRESENTED THE FORM 990 TO THE FULL BOARD FOR ITS REVIEW AND APPROVAL PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST IS DEEMED TO EXIST BETWEEN A LICENCED CLINICIAN (WHETHER EMPLOYEE OR INDEPENDENT CONTRACTOR) OR ANY OTHER EMPLOYEES WHEN THEY ARE A PARTY TO A CONTRACT, OTHER THAN THEIR OWN EMPLOYMENT CONTRACT OR INDEPENDENT CONTRACTOR AGREEMENT, OR INVOLVED IN A TRANSACTION WITH PLANNED PARENTHOOD OF THE HEARTLAND, INC. ("PPH") FOR GOODS OR SERVICES. WHEN THEY HAVE A MATERIAL FINANCIAL INTEREST IN, OR ARE OTHERWISE A DIRECTOR, OFFICER, AGENT, PARTNER, ASSOCIATE, EMPLOYEE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, OR OTHER LEGAL REPRESENTATIVE OF AN ENTITY THAT IS ENGAGED IN A TRANSACTION WITH PPH. LAST, WHEN THEY ARE ENGAGED IN SOME CAPACITY OR HAVE A MATERIAL FINANCIAL INTEREST IN A BUSINESS OR ENTERPRISE THAT COMPETES WITH PPH. ANNUALLY, EACH CLINICIAN AND EMPLOYEE WITH MANAGEMENT RESPONSIBILITIES COMPLETES A DISCLOSURE FORM IDENTIFIYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH THEY ARE INVOLVED THAT COULD CONTRIBUTE TO A CONFLICT OF INTEREST. ANNUAL REVIEWS ARE DONE BY THE PRESIDENT AND VARIOUS COMMITTEES WITHIN THE ORGANIZATION TO MAKE SURE ALL NECESSARY SIGNATURES AND FORMS HAVE BEEN UPDATED AND COMPLETED BY ALL. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE ATTENTION OF THE BOARD OF DIRECTORS BY THE EXECUTIVE MANAGEMENT TEAM. THE BOARD WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED, AND WOULD IMPOSE A "WALL" BETWEEN THE PERSON AND ANY INFORMATION AND DECISION MAKING, REGARDING THE RELATIONSHIP GIVING RISE TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PLANNED PARENTHOOD OF THE HEARTLAND DOES NOT COMPENSATE ANY INDIVIDUALS. THE ORGANIZATION RELIED ON PLANNED PARENTHOOD NORTH CENTRAL STATES IN SETTING THE COMPENSATION OF THOSE INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A. PLANNED PARENTHOOD NORTH CENTRAL STATES USED THE FOLLOWING METHODS TO ESTABLISH THE PRESIDENT'S COMPENSATION: PPNCS UTILIZES AN OUTSIDE COMPENSATION CONSULTANT TO CONDUCT A MARKET ANALYSIS OF PRESIDENT AND EXECUTIVE COMPENSATION, REPORTING ON BOTH BASE PAY MARKET MEDIAN AND VARIABLE PAY MARKET MEDIAN. FOR NON-EXECUTIVE COMPENSATION, PPNCS UTILIZED AN EXTERNAL CONSULTANT IN 2021 AND CONTINUES TO CONDUCT MARKET ANALYSES WITH PAYSCALE, WHICH ALLOWS THE JOB DESCRIPTION TO BE APPLIED TO TAILORED MARKET PARAMETERS. THE MARKET ANALYSIS IS FOCUSED ON ORGANIZATIONS THAT MATCH PPNCS IN SIZE, SCOPE, AND REGION. MULTIPLE TYPES OF ORGANIZATIONS ARE USED, PREDOMINANTLY FOCUSED ON HEALTHCARE ORGANIZATIONS, BUT OTHER INDUSTRIES WITH SIMILAR SIZE AND SCOPE ARE ALSO USED IN THE ANALYSIS TO REPRESENT THE COMPLEXITY OF THE PPNCS BUSINESS MODEL. THE FORMAL ANALYSIS IS COMPLETED ROUTINELY AND NOT LESS FREQUENTLY THAN EVERY THREE YEARS THE INCUMBENT IS IN THE POSITION. IN THE OFF-CYCLE YEARS, TRENDING DATA IS USED TO DETERMINE MOVEMENT IN CEO AND EXECUTIVE PAY AND IS USED IN CONSIDERATION WHEN MAKING ADJUSTMENT RECOMMENDATIONS OR WHEN MAKING A DETERMINATION THAT AN OFF-CYCLE MARKET ANALYSIS IS ADVISABLE. THE MARKET DATA IS REVIEWED BY THE PERSONNEL AND COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS WHO MAKE A FORMAL RECOMMENDATION TO THE BOARD OF DIRECTORS AS IT RELATES TO ESTABLISHING CEO COMPENSATION. THE CEO MAKES THE FINAL DETERMINATION OF SALARY INCREASES FOR OTHER EXECUTIVE COMPENSATION, EXCLUDING HER OWN, BASED ON INDIVIDUAL PERFORMANCE AND POSITION RELATIVE TO THE MARKET MEDIAN. THIS PROCESS WAS LAST UNDERTAKEN IN 2022 FOR THE CEO, COO, CFO, CDO, CMO, SVP OF CLINICAL OPERATIONS, SENIOR DIRECTOR OF E&amp;O, EXECUTIVE VP OF EXTERNAL AFFAIRS, AND DIRECTOR OF BOARD AFFAIRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. SUMMARIZED FINANCIAL DATA IS AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT AVAILABLE ON THE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING: PROGRAM SERVICE EXPENSES 6,425,452. MANAGEMENT AND GENERAL EXPENSES 58,080. FUNDRAISING EXPENSES 384,808. TOTAL EXPENSES 6,868,340.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <AddressLine1Txt>671 VANDALIA STREET</AddressLine1Txt>
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          <ZIPCd>55114</ZIPCd>
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          <AddressLine1Txt>671 VANDALIA STREET</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55114</ZIPCd>
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          <AddressLine1Txt>671 VANDALIA STREET</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55114</ZIPCd>
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        <EIN>421357011</EIN>
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