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      <MissionDesc>AS A PRIVATE NON-PROFIT HEALTH AND HUMAN SERVICES ORGANIZATION, MATERNAL AND FAMILY HEALTH SERVICES (MFHS) WORKS TO MEET THE HEALTH AND NUTRITION NEEDS OF NORTHEASTERN PENNSYLVANIA'S WOMEN, CHILDREN, AND FAMILIES WITH ESSENTIAL PREVENTATIVE SERVICES, EDUCATION, AND QUALITY CARE. TODAY, WE OVERSEE AND SUPPORT A NETWORK OF HEALTH AND NUTRITION CENTERS IN 17 PENNSYLVANIA COUNTIES.FOUNDED IN 1971, MFHS HAS RESPONDED TO THE COMMUNITY'S CHANGING NEEDS BY CONTINUALLY DEVELOPING AND ADAPTING INNOVATIVE PROGRAMING THAT IMPROVES THE QUALITY OF LIFE FOR WOMEN, CHILDREN, AND FAMILIES. IN 2023, MFHS OPENED A NEW CLINIC LOCATION, CIRCLE OF CARE, IN A LOW-INCOME, HIGH NEED AREA OF SCRANTON TO EXPAND CAPACITY TO DELIVER PROGRAMS IN AN INNOVATIVE AND INCLUSIVE MATERNITY MEDICAL HOME MODEL OF CARE. THIS NEW MATERNITY MEDICAL HOME MODEL, THE FIRST IN PA, IS DESIGNED TO REMOVE BARRIERS, INCLUDING FEAR AND STIGMA, LANGUAGE, TRANSPORTATION, AND FINANCIAL BARRIERS TO ENSURE CONTINUITY OF CARE.</MissionDesc>
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      <Desc>WIC NUTRITION PROGRAMTHE WIC NUTRITION PROGRAM HELPS IMPROVE THE LIVES OF AT-RISK WOMEN AND THEIR FAMILIES IN 17 PENNSYLVANIA COUNTIES AT 27 OFFICE LOCATIONS AND 8 LOCATIONS SERVED BY OUR WIC MOBILE UNIT BY PROMOTING GOOD NUTRITION HABITS. THROUGH NUTRITION COUNSELING, ELECTRONIC WIC (EWIC) BENEFITS TO PURCHASE HEALTHY FOODS, AND BREASTFEEDING SUPPORT, WE ARE FOSTERING HEALTHIER PREGNANCIES, HEALTHIER BIRTH OUTCOMES, BETTER GROWTH AND DEVELOPMENT OF YOUNG CHILDREN, AND A REDUCTION IN CHILDHOOD OBESITY. AS OF NOVEMBER, A TOTAL OF 70,723 UNDUPLICATED PARTICIPANTS WERE SERVED BY THE WIC PROGRAM.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GARRY TAROLI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERICA ACOSTA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAKE GEMZIK</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA LACEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARA POREMBA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSE SIMON</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAMARY BONILLA-RODRIGUEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA PROCIAK</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET KOBYLSKI</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT COLLADO</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA MONTORO EDWARDS</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON HAYWARD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34181</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET MANLEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTEN JENKINS</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARIANA SALAS</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19185</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>682555</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>131116</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>FIRST PARTY PAYMENT</Desc>
        <BusinessCd>621400</BusinessCd>
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      <InvestmentIncomeGrp>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>8458</TotalRevenueColumnAmt>
        <ExclusionAmt>8458</ExclusionAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>8458</ExclusionAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>364944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52925</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2743500</ProgramServicesAmt>
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        <ProgramServicesAmt>695523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84727</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>33859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38654</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>12875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55750</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>69693</ProgramServicesAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>68525</ProgramServicesAmt>
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        <ProgramServicesAmt>184131</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67030</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>706007</TotalAmt>
        <ProgramServicesAmt>670101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35806</ManagementAndGeneralAmt>
        <FundraisingAmt>100</FundraisingAmt>
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        <ProgramServicesAmt>306611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16653</ManagementAndGeneralAmt>
        <FundraisingAmt>4721</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>343442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>368428</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1566777</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158334</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>163730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14421</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>108444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26393</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>196409</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>347775</ProgramServicesAmt>
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        <ProgramServicesAmt>215281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20038</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2165100</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>668803</ProgramServicesAmt>
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        <ProgramServicesAmt>233315</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37677</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
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        <ProgramServicesAmt>268082</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>20812604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2742390</ManagementAndGeneralAmt>
        <FundraisingAmt>5004</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>753807</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>5267066</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>114620</BOYAmt>
        <EOYAmt>113416</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1085827</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>1103704</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4595070</BOYAmt>
        <EOYAmt>4366783</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>6074388</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>3536417</BOYAmt>
        <EOYAmt>3688482</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>20843021</BOYAmt>
        <EOYAmt>21349770</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2395658</EOYAmt>
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        <EOYAmt>2086607</EOYAmt>
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        <EOYAmt>11260715</EOYAmt>
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        <EOYAmt>15742980</EOYAmt>
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        <EOYAmt>5550746</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>56044</BOYAmt>
        <EOYAmt>56044</EOYAmt>
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        <BOYAmt>5016737</BOYAmt>
        <EOYAmt>5606790</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>21349770</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>748787</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus2YearsAmt>16253003</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18990962</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20759681</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>14457961</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16253003</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18990962</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20759681</CurrentTaxYearAmt>
        <TotalAmt>83352479</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>339256</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>231074</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>699495</CurrentTaxYearAmt>
        <TotalAmt>2204980</TotalAmt>
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      <PublicSupportCY170Pct>0.97420</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97830</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleC documentId="RetDoc1039600001">
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      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
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      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
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      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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        <CurrentYearAmt>1000000</CurrentYearAmt>
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        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>EARNINGS ARE USED TO SUPPORT EXISTING PATIENT SERVICES IN FAMILY PLANNING, NUTRITION COUNSELING, PRENATAL CARE, HOME VISITING AND EDUCATIONAL SERVICES. IN ADDITION, THE FUNDS MAY BE USED TO PROVIDE MATCH MONEY FOR NEW AND INNOVATIVE PROGRAMS THAT MAY REQUIRE IT AS PART OF THEIR INITIAL FUNDING APPROVAL PROCESS.</ExplanationTxt>
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        <PersonNm>SHANNON HAYWARD</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES AND APPROVES CEO SALARY BASED UPON MARKET RATES.</ExplanationTxt>
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        <ExplanationTxt>THE FINANCE AUDIT COMMITTEE AND BOARD OF DIRECTORS REVIEWS A DRAFT VERSION OF THE 990 FOR ACCURACY AND COMPLETENESS. ONCE APPROVED, THE 990 IS SUBMITTED TO THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ALL BOARD MEMBERS MUST ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT AND DECLARE ANY ACTUAL OR POTENTIAL CONFLICTS AT THAT TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO IS FORMALLY EVALUATED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ON HER ANNIVERSARY DATE. ALL OTHER KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THEIR IMMEDIATE SUPERVISOR ON THEIR ANNIVERSARY DATE. THIS PROCESS UTILIZES A STANDARDIZED FORM OF GENERAL SUPERVISORY AND MANAGEMENT SKILLS. IN ADDITION EACH EMPLOYEE RECEIVES A DEVELOPMENT PLAN AND IS ASSIGNED SPECIFIC GOALS FROM THE ORGANIZATIONAL STRATEGIC PLAN WHICH ARE EVALUATED IN SUBSEQUENT YEARS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MFHS WILL MAKE AVAILABLE COPIES OF THE ORGANIZATIONS FINANCIAL STATEMENTS, CONFLICTS OF INTEREST POLICY AND OTHER GOVERNING DOCUMENTS UPON RECEIVING A FORMAL WRITTEN REQUEST FOR SUCH DOCUMENTS. MFHS DOES NOT CURRENTLY CHARGE FOR SUCH REQUESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
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          <CityNm>WILKES BARRE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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