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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER MAGILTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON MALHEIRO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY MOODY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR STEPHANIE MORGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MURRY NEWBERN</PersonNm>
        <TitleTxt>DIRECTOR (THROUGH OCTOBER 2016)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICE SAYRE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARNE WOODS</PersonNm>
        <TitleTxt>DIRECTOR (THROUGH AUGUST 2016)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNA DE BACA</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>10390</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIE BUSSELL</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>4921</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY WILLIAMS BOUSKA CHIEF</PersonNm>
        <TitleTxt>STRATEGIC PTNRSHIPS &amp; COMM OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PENELOPE DICKEY</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFF (THROUGH DEC '16)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE PEARL CHIEF</PersonNm>
        <TitleTxt>LEADERSHIP, EDUCATION &amp; H.R. OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>5497</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE FALKSTROM</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JILL MEADOWS</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>311331</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>7087</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH CAMPBELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMIE OTTERSTROM</PersonNm>
        <TitleTxt>LEAD SENIOR CLINICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ON POINT SECURITY GROUP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1978 NW 92ND COURT SUITE 1</AddressLine1Txt>
            <CityNm>CLIVE</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50325</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LISA MARIE BANITT</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2917 RIDGETOP ROAD</AddressLine1Txt>
            <CityNm>AMES</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
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        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>4983</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4983</RelatedOrExemptFuncIncomeAmt>
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        <SecuritiesAmt>593524</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-3113</TotalRevenueColumnAmt>
        <ExclusionAmt>-3113</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>1163715</ContriRptFundraisingEventAmt>
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        <TotalRevenueColumnAmt>-265549</TotalRevenueColumnAmt>
        <ExclusionAmt>-265549</ExclusionAmt>
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        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>139109</TotalRevenueColumnAmt>
        <ExclusionAmt>139109</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CALL CENTER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8319</TotalRevenueColumnAmt>
        <ExclusionAmt>8319</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21735896</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9847493</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-113664</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>718432</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>936232</TotalAmt>
        <ManagementAndGeneralAmt>936232</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7414743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1077668</ManagementAndGeneralAmt>
        <FundraisingAmt>667510</FundraisingAmt>
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        <ProgramServicesAmt>212154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25142</ManagementAndGeneralAmt>
        <FundraisingAmt>20596</FundraisingAmt>
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        <TotalAmt>708377</TotalAmt>
        <ProgramServicesAmt>546417</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118716</ManagementAndGeneralAmt>
        <FundraisingAmt>43244</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>591096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150177</ManagementAndGeneralAmt>
        <FundraisingAmt>57385</FundraisingAmt>
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        <ManagementAndGeneralAmt>30008</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>85737</TotalAmt>
        <ManagementAndGeneralAmt>85737</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>8586</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>404949</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122597</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>56567</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128640</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>555129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>422561</ManagementAndGeneralAmt>
        <FundraisingAmt>809</FundraisingAmt>
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        <ProgramServicesAmt>368922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103570</ManagementAndGeneralAmt>
        <FundraisingAmt>6444</FundraisingAmt>
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        <ProgramServicesAmt>1635204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>500247</ManagementAndGeneralAmt>
        <FundraisingAmt>4716</FundraisingAmt>
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        <TotalAmt>469345</TotalAmt>
        <ProgramServicesAmt>309997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123696</ManagementAndGeneralAmt>
        <FundraisingAmt>35652</FundraisingAmt>
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        <TotalAmt>6657</TotalAmt>
        <ManagementAndGeneralAmt>6657</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>153809</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>223983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187514</ManagementAndGeneralAmt>
        <FundraisingAmt>570</FundraisingAmt>
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        <ProgramServicesAmt>162897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17987</ManagementAndGeneralAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>2508812</TotalAmt>
        <ProgramServicesAmt>2492809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15822</ManagementAndGeneralAmt>
        <FundraisingAmt>181</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <TotalAmt>568522</TotalAmt>
        <ProgramServicesAmt>134952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>419764</ManagementAndGeneralAmt>
        <FundraisingAmt>13806</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER MEDICAL EXPENSES</Desc>
        <TotalAmt>259632</TotalAmt>
        <ProgramServicesAmt>236737</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22895</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>21578468</TotalAmt>
        <ProgramServicesAmt>16064988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4658025</ManagementAndGeneralAmt>
        <FundraisingAmt>855455</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>3735343</BOYAmt>
        <EOYAmt>3881751</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>702984</BOYAmt>
        <EOYAmt>822427</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1389689</BOYAmt>
        <EOYAmt>1529549</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>459140</BOYAmt>
        <EOYAmt>352175</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>424183</BOYAmt>
        <EOYAmt>254284</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>7629826</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6175922</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1533642</BOYAmt>
        <EOYAmt>1453904</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>121111</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>123656</BOYAmt>
        <EOYAmt>56100</EOYAmt>
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        <BOYAmt>240139</BOYAmt>
        <EOYAmt>553268</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>8741745</BOYAmt>
        <EOYAmt>9024569</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2414633</BOYAmt>
        <EOYAmt>2004330</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>406210</BOYAmt>
        <EOYAmt>311280</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>192363</BOYAmt>
        <EOYAmt>176393</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3013206</BOYAmt>
        <EOYAmt>2492003</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>4868403</BOYAmt>
        <EOYAmt>5810094</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>860136</BOYAmt>
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      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUZANNA DE BACA</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>391824</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PENELOPE DICKEY</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFF (THROUGH DEC '16)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2706</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JILL MEADOWS</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>318418</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH CAMPBELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>153664</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2754</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1558</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157976</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LAURA DICKEY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF PENNY DICKEY, CHIEF CLINICAL OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>25314</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>25</ContributionCnt>
        <NoncashContributionsRptF990Amt>2328352</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</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 FROM MERILL LYNCH WHO COMPLETED ALL STOCK TRANSACTIONS FOR THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE IS MADE UP OF THE BOARD CHAIR, VICE CHAIR, TREASURER AND SECRETARY. THE EXECUTIVE COMMITTEE IS RESPONSIBLE TO THE BOARD OF DIRECTORS WITH FULL POWERS TO ACT IN THE OPERATION AND MANAGEMENT OF THE ORGANIZATION BETWEEN MEETINGS OF THE BOARD EXCEPT AS OTHERWISE PROVIDED. THE EXECUTIVE COMMITTEE KEEPS MINUTES OF EACH OF ITS MEETINGS AND REPORTS THE SAME TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CYRIL MANDELBAUM AND DR. STEPHANIE MORGAN - BUSINESS RELATIONSHIP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS WERE AMENDED DURING THE FISCAL YEAR TO: (A) REMOVE ALL REFERENCES, RIGHTS, POWERS AND PRIVELEGES RELATED TO PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA; (B) PROVIDE THE PRESIDENT THE POWER TO APPOINT SOMEONE IN THEIR PLACE IF THE PRESIDENT IS UNAVAILABLE, OR FOR THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS TO APPOINT THAT PERSON IF THE PRESIDENT IS UNABLE TO DO SO; AND (C) DISBAND THE AUDIT COMMITTEE WITH ITS RESPONSIBILITIES BEING ASSIGNED TO THE FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS REVIEWED BY THE CFO, CEO AND GENERAL COUNSEL. THE FORM 990 WAS THEN PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST IS DEEMED TO EXIST BETWEEN A LICENSED 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. (PPHEARTLAND) 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 PPHEARTLAND. LAST, WHEN THEY ARE ENGAGED IN SOME CAPACITY OR HAVE A MATERIAL FINANCIAL INTEREST IN A BUSINESS OR ENTERPRISE THAT COMPETES WITH PPHEARTLAND. 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 CEO 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 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE REVIEWED THE PERFORMANCE OF THE CEO, INCLUDING COMPARISON TO A COMPENSATION STUDY. THE CEO'S COMPENSATION WAS APPROVED BY THE FULL BOARD OF DIRECTORS. THE PROCEDURES WERE LAST COMPLETED IN 2017. THE COMPENSATION OF OTHER OFFICERS IS DETERMINED BY A REVIEW OF EACH OFFICER'S PERFORMANCE BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
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          <ZIPCd>50309</ZIPCd>
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          <CityNm>DES MOINES</CityNm>
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      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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        <InvolvedAmt>271059</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH VALUE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>632128</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH VALUE</MethodOfAmountDeterminationTxt>
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          <AddressLine1Txt>818 5TH AVENUE SUITE 200</AddressLine1Txt>
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</Return>