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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR ANUSHA VISWANATHAN</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA REED</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>12304</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATALIA ARMOZA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER (UNTIL 10/2023)</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>128351</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE MUISE</PersonNm>
        <TitleTxt>INTERIM CFO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRISH TASHJIAN</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMANTHA BOBILA</PersonNm>
        <TitleTxt>CHIEF EXTERNAL AFFAIRS OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CASSANDRA SCULLY</PersonNm>
        <TitleTxt>LEAD CLINICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FAIZ MALIK</PersonNm>
        <TitleTxt>VP OF PEOPLE AND CULTURE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15230</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CONSTANCE CHANG</PersonNm>
        <TitleTxt>CLINICIAN/PROGRAM DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>1031546</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLINICAL HEALTH NETWORK FOR TRANSFORMATI</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>390 NE 191ST ST STE 8466</AddressLine1Txt>
            <CityNm>MIAMI</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33179</ZIPCd>
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        <ServicesDesc>IT SERVICES / CALL CENTER</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHCARE MANAGEMENT SOLUTIONS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 56</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BETTERHEALTH</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>23262 WESTHEIMER RD 944</AddressLine1Txt>
            <CityNm>HOUSTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77098</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SERVICE, ELECTRONIC HEALTH RECOR</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>R&amp;S NORTHEAST</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 935485</AddressLine1Txt>
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            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>311935485</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICAL SUPPLIER</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JENNIFER ELIZABETH COLES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13603 BARDON ROAD</AddressLine1Txt>
            <CityNm>PHOENIX</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21131</ZIPCd>
          </USAddress>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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      <ProgramServiceRevenueGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-29720</TotalRevenueColumnAmt>
        <ExclusionAmt>-29720</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>75057</ExclusionAmt>
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      <OtherRevenueTotalAmt>75057</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13654469</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>301074</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>75000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>695102</TotalAmt>
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        <FundraisingAmt>127481</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ManagementAndGeneralAmt>8105</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>229233</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>43250</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>26606</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1881414</ProgramServicesAmt>
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        <FundraisingAmt>155</FundraisingAmt>
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        <ProgramServicesAmt>333699</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>157095</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7845</ManagementAndGeneralAmt>
        <FundraisingAmt>7972</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>19557</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1345</ManagementAndGeneralAmt>
        <FundraisingAmt>2011</FundraisingAmt>
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        <ManagementAndGeneralAmt>20315</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>45750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74904</ManagementAndGeneralAmt>
        <FundraisingAmt>26250</FundraisingAmt>
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        <ProgramServicesAmt>284552</ProgramServicesAmt>
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        <ProgramServicesAmt>322584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99656</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>716860</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BUILDING &amp; EQUIPMENT MA</Desc>
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        <ProgramServicesAmt>273729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28384</ManagementAndGeneralAmt>
        <FundraisingAmt>10474</FundraisingAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>248882</TotalAmt>
        <ProgramServicesAmt>248882</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>ELECTRONIC HEALTH RECOR</Desc>
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        <ProgramServicesAmt>241780</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>652250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150782</ManagementAndGeneralAmt>
        <FundraisingAmt>127328</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>11745270</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2718563</ManagementAndGeneralAmt>
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        <EOYAmt>220199</EOYAmt>
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        <EOYAmt>781603</EOYAmt>
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        <EOYAmt>168837</EOYAmt>
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        <EOYAmt>115454</EOYAmt>
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        <EOYAmt>53017</EOYAmt>
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        <EOYAmt>7208770</EOYAmt>
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        <EOYAmt>2198512</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>13659990</EOYAmt>
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        <EOYAmt>1335521</EOYAmt>
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        <EOYAmt>1219883</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>12648793</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7338898</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6221605</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>15250796</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13353395</CurrentTaxYearAmt>
        <TotalAmt>67881969</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>67881969</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>71688</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>48206</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>102396</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>313736</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>269347</CurrentTaxYearAmt>
        <TotalAmt>805373</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>71688</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>48206</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>102396</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>313736</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>269347</CurrentTaxYearAmt>
        <TotalAmt>805373</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>10384784</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9938863</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19176421</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15564532</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13622742</CurrentTaxYearAmt>
        <TotalAmt>68687342</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98830</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99070</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01170</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00930</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>15133034</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>15133034</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>906652</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>226663</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>686181</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>763086</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>990650</CurrentYearMinus1Amt>
        <CurrentYearAmt>906652</CurrentYearAmt>
        <TotalAmt>3346569</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>5019854</LobbyingCeilingAmt>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>171545</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>190772</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>247663</CurrentYearMinus1Amt>
        <CurrentYearAmt>226663</CurrentYearAmt>
        <TotalAmt>836643</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1254965</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BeginningYearBalanceAmt>2215831</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>137014</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>217355</OtherExpendituresAmt>
        <EndYearBalanceAmt>2135490</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1809938</BeginningYearBalanceAmt>
        <ContributionsAmt>347333</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>118755</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>60195</OtherExpendituresAmt>
        <EndYearBalanceAmt>2215831</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>994008</BeginningYearBalanceAmt>
        <ContributionsAmt>999904</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-137585</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>46389</OtherExpendituresAmt>
        <EndYearBalanceAmt>1809938</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>807750</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>237219</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>50961</OtherExpendituresAmt>
        <EndYearBalanceAmt>994008</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1078007</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4743</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>275000</OtherExpendituresAmt>
        <EndYearBalanceAmt>807750</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.40560</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.48080</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.11360</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>399313</OtherCostOrOtherBasisAmt>
        <BookValueAmt>399313</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2455788</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>833382</DepreciationAmt>
        <BookValueAmt>1622406</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1044683</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>562973</DepreciationAmt>
        <BookValueAmt>481710</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>738914</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>348738</DepreciationAmt>
        <BookValueAmt>390176</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>19993</OtherCostOrOtherBasisAmt>
        <BookValueAmt>19993</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2913598</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>TRUSTS HELD BY PPFA</Desc>
        <BookValueAmt>36222</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS</Desc>
        <BookValueAmt>283496</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>652443</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS HELD FOR SALE</Desc>
        <BookValueAmt>1226351</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2198512</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LOAN GUARANTEE OBLIGATION</Desc>
        <Amt>556140</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>663743</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1219883</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>13851180</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>164047</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>164047</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13687133</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>26606</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-59270</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-32664</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13654469</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15165698</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>59270</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>59270</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15106428</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>26606</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>26606</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15133034</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS REVIEWED THE TAX POSITIONS FOR EACH OF THE OPEN FISCAL TAX YEARS (2021-2023) OR EXPECTED TO BE TAKEN IN THE ORGANIZATION'S FISCAL 2024 TAX RETURN AND HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES -59,270.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 59,270.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>KEYSTONE CARES</Event1Nm>
        <GrossReceiptsEvent1Amt>138670</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>109120</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>29550</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>6100</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>17250</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>5770</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>30150</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>138670</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>109120</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>29550</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>6100</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>17250</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>5770</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>30150</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>59270</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-29720</NetIncomeSummaryAmt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLANNED PARENTHOOD PENNSYLVANIA ADVOCATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3401 HARTZDALE DRIVE SUITE 103B</AddressLine1Txt>
          <AddressLine2Txt>UNIT 607</AddressLine2Txt>
          <CityNm>CAMP HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17011</ZIPCd>
        </USAddress>
        <RecipientEIN>232208281</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>NONPARTISAN VOTER ENGAGEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YWCA LANCASTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 N LIME STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <RecipientEIN>231352609</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>NONPARTISAN VOTER ENGAGEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAKE THE ROAD STATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 GROVE STREET</AddressLine1Txt>
          <CityNm>BROOKLYN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11237</ZIPCd>
        </USAddress>
        <RecipientEIN>843988830</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>NONPARTISAN VOTER ENGAGEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS THAT RECEIVED ASSISTANCE FROM PLANNED PARENTHOOD KEYSTONE ARE REQUIRED TO REPORT ON THE USE OF FUNDS AT THE END OF THE GRANT TERM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA REED</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>214488</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2018</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>10286</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226792</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRISH TASHJIAN</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>167374</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CASSANDRA SCULLY</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1391</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5907</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162338</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMANTHA BOBILA</PersonNm>
        <TitleTxt>CHIEF EXTERNAL AFFAIRS OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1395</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>59</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154653</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MARIANNE MUISE</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNS MORE THAN 35% OF HMS</RelationshipDescriptionTxt>
        <TransactionAmt>945715</TransactionAmt>
        <TransactionDesc>MANAGEMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF TRANSACTION REPORTED ON PART IV OF $945,715 IS THE ACCRUAL BASIS AMOUNT FOR SERVICES PROVIDED BY HEALTHCARE MANAGEMENT SOLUTIONS TO PLANNED PARENTHOOD KEYSTONE DURING FISCAL YEAR 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>47633</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BEGINNING IN OCTOBER 2023, PLANNED PARENTHOOD KEYSTONE ENGAGED HEALTHCARE MANAGEMENT SOLUTIONS LLC TO PROVIDE CONTRACTUAL FINANCE SERVICES. AS PART OF THIS ARRANGEMENT, MARIANNE MUISE WAS APPOINTED AS THE INTERIM CFO FOR PLANNED PARENTHOOD KEYSTONE. FROM OCTOBER 2023 THROUGH DECEMBER 2023, HEALTHCARE MANAGEMENT SOLUTIONS LLC COMPENSATED MARIANNE MUISE $36,000 FOR HER SERVICES TO PLANNED PARENTHOOD KEYSTONE DURING THIS PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE FINANCE COMMITTEE, IN ADDITION TO THE FINANCE STAFF, REVIEW THE 990 IN DETAIL PRIOR TO FILING. THE ENTIRE BOARD OF DIRECTORS HAVE ACCESS TO THE 990 ELECTRONICALLY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PLANNED PARENTHOOD KEYSTONE REQUIRES ALL EMPLOYEES TO ACKNOWLEDGE AND DISCLOSE ANY CONFLICTS, OR POTENTIAL CONFLICTS OF INTEREST AS PART OF THE EMPLOYEE HANDBOOK. ANY EMPLOYEE WHO VIOLATES THIS POLICY IS SUBJECT TO DISCIPLINE, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. EVERY BOARD MEMBER IS REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS ANNUALLY VIA A DISCLOSURE SUPPORT STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PERFORMANCE EVALUATION- THE CHAIR OF THE BOARD WORKS WITH THE HUMAN RESOURCES DEPARTMENT TO INITIATE AND COMPLETE THE ANNUAL PERFORMANCE AND COMPENSATION REVIEW FOR THE CEO. THE BOARD DISTRIBUTES A CEO EVALUATION FORM TO ALL BOARD MEMBERS. THE FORM IS RETURNED DIRECTLY TO THE CHAIR WHO SHARES THE RESULTS WITH THE BOARD EXECUTIVE COMMITTEE. THE CHAIR MEETS WITH THE CEO TO DELIVER THE RESULTS. THE RESULTS ARE KEPT IN THE CEO'S PERSONNEL FILE. COMPENSATION REVIEW- AN INCREASE TO CEO COMPENSATION, IF ANY, DEPENDS UPON POSITIVE EVALUATION RESULTS AND BUDGET RESTRICTIONS. THE SUGGESTED INCREASE IS REVIEWED AGAINST PLANNED PARENTHOOD FEDERATION OF AMERICA'S ANNUAL CEO COMPENSATION REPORT AND AGAINST EXTERNAL SALARY SURVEYS. THE BOARD'S AWARD OF AN INCREASE IS NOTED ON THE AFFILIATE'S CHANGE OF STATUS FORM WHICH IS COPIED TO THE FINANCE DEPARTMENT AND STORED IN THE CEO'S PERSONNEL FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,195,795. MANAGEMENT AND GENERAL EXPENSES 116,985. FUNDRAISING EXPENSES 3,850. TOTAL EXPENSES 1,316,630. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 685,619. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 685,619.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>