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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION INDIRECTLY ENGAGES IN LOBBYING ACTIVITIES DUE TO ITS MEMBERSHIP IN THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE PORTION OF DUES DEVOTED TO ADVOCACY IS NOT KNOWN BY THE ORGANIZATION.</ExplanationTxt>
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        <OtherCostOrOtherBasisAmt>150000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>150000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7883678</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4347812</DepreciationAmt>
        <BookValueAmt>3535866</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2531331</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1910525</DepreciationAmt>
        <BookValueAmt>620806</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>4306672</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE</Desc>
        <Amt>5932387</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
        <Amt>16732</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5949119</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>34475496</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-39106</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>48781</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-597487</OtherRevenueAmt>
      <RevenueNotReportedAmt>-587812</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35063308</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-4923337</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-4923337</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>30139971</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>36580494</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>4923337</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>4923337</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>31657157</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>597487</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>597487</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>32254644</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT- FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ON INCOME FROM OPERATIONS RELATED TO THEIR TAX-EXEMPT PURPOSE, AND THEREFORE, HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE CENTER'S FINANCIAL STATEMENTS. THE CENTER'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. THE CENTER'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE AND LOCAL TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT -597,487</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY COGS -4,923,337</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY COGS 4,923,337</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 597,487</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>JENNIFER ENGLERTH</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>4765</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19755</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>260621</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENT DOORES</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>208979</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3589</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13909</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226477</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET WHEELER</PersonNm>
        <TitleTxt>VP OF OPERATIONS</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>3343</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13869</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181442</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARRIEANN FROLIO</PersonNm>
        <TitleTxt>VP OF INITIATIVES</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANIKA JACKSON</PersonNm>
        <TitleTxt>VP OF INTEGRATION</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>2690</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR ASCELINE GO</PersonNm>
        <TitleTxt>VP OF MEDICAL</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>6373</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12333</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR LAJUAN MOUNTAIN</PersonNm>
        <TitleTxt>VP OF DENTAL</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>5090</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28208</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>289253</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JOSEPH MOUNTAIN</PersonNm>
        <TitleTxt>VP OF DENTAL</TitleTxt>
        <BaseCompensationFilingOrgAmt>267189</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5096</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>344</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272629</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR MARIE KELLETT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>270124</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>270124</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR HETAL PATEL</PersonNm>
        <TitleTxt>PHYSICAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>280400</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>280400</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR LUIS GARCIA</PersonNm>
        <TitleTxt>PHYSICAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>234872</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>234872</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR SAMANTHA MOHLER</PersonNm>
        <TitleTxt>PHYSICAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>223449</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223449</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR EUGENE USOW</PersonNm>
        <TitleTxt>PHYSICAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>217702</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217702</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc6">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>646175</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY FIRST HEALTH'S MISSION IS TO IMPROVE LIVES THROUGH HIGH QUALITY HEALTH SERVICES AND INNOVATIVE PARTNERSHIPS TO DAILY ACTS OF COMPASSION. WE DELIVER ON THIS MISSION THROUGH FOCUS ON ACCESS AND AFFORDABILITY. WE WORK TO ENSURE THAT ACCESS BARRIERS ARE ADDRESSED; WE PROVIDE HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY. OUR WORK POSITIVELY IMPACTS HEALTH AT THE INDIVIDUAL AND COMMUNITY LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>LAJUAN MOUNTAIN JOSEPH MOUNTAIN SHARE FAMILY RELATIONSHIP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, AND IS THEN REVIEWED BY THE CFO AND CEO. PRIOR TO FILING, A COPY OF FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY FIRST HEALTH HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT CHARGES THE BOARD OF DIRECTORS WITH REVIEWING AND ENFORCING COMPLIANCE AT THEIR MONTHLY MEETINGS. THE BOARD OF DIRECTORS HAS ALLOTTED TIME ON THE MONTHLY AGENDA TO DETERMINE IF ANY ATTENDEES HAVE A CONFLICT OF INTEREST WITH ANY OF THE AGENDA ITEMS. THE BOARD THEN VOTES TO ACCEPT THE AGENDA WITHOUT ANY CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE TIME OF EVALUATION, COMPENSATION INFORMATION IS GATHERED BY THE HUMAN RESOURCE DIRECTOR FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE LOCAL MARKET. THIS IS THEN MATCHED WITH PERFORMANCE TO ESTABLISH COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE TIME OF EVALUATION, COMPENSATION INFORMATION IS GATHERED BY THE HUMAN RESOURCE DIRECTOR FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE LOCAL MARKET. THIS IS THEN MATCHED WITH PERFORMANCE TO ESTABLISH COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS INFORMATION IS PROVIDED UPON REQUEST MADE TO THE CHIEF FINANCIAL OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT -597,487 PHARMACY COGS 4,923,337 PHARMACY COGS -4,923,337 BAD DEBT EXPENSE 597,487</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>