﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-11T21:55:20-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>233022325</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>ZELENKOFSKE AXELROD LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>210 TOLLGATE HILL ROAD</AddressLine1Txt>
        <CityNm>GREENSBURG</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>15601</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>134205636</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>FAMILY HEALTH INITIATIVES INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>FAMI</BusinessNameControlTxt>
      <PhoneNum>8566656000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2500 MCCLELLAN AVENUE STE 270</AddressLine1Txt>
        <CityNm>PENNSAUKEN</CityNm>
        <StateAbbreviationCd>NJ</StateAbbreviationCd>
        <ZIPCd>08109</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>HELEN HANNIGAN</PersonNm>
      <PersonTitleTxt>PRESIDENT/CEO</PersonTitleTxt>
      <PhoneNum>8566656000</PhoneNum>
      <SignatureDt>2024-11-11</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JARED C EWING</PreparerPersonNm>
      <PTIN>P00596532</PTIN>
      <PhoneNum>7248342151</PhoneNum>
      <PreparationDt>2024-11-11</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>HELEN HANNIGAN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>2500 MCCLELLAN AVENUE STE 250</AddressLine1Txt>
        <CityNm>PENNSAUKEN</CityNm>
        <StateAbbreviationCd>NJ</StateAbbreviationCd>
        <ZIPCd>08109</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2871024</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.FHIWORKS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2002</FormationYr>
      <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE MANAGEMENT SUPPORT AND CONSULTATION SERVICES TO HELP THE MATERNAL CHILD HEALTH CONSORTIUM AND OTHER COMMUNITY BASED ORGANIZATIONS STREAMLINE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalVolunteersCnt>8</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2562489</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2762210</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>172418</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>108814</CYProgramServiceRevenueAmt>
      <CYInvestmentIncomeAmt>0</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2734907</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2871024</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>263384</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>244000</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1129422</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>953099</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1735460</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1405391</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3128266</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2602490</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-393359</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>268534</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>847927</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>908175</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>797964</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>560333</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>49963</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>347842</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>OUR MISSION IS TO HELP HOSPITALS, NONPROFITS AND GOVERNMENT IMPROVE THE HEALTH AND WELL BEING OF COMMUNITIES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1657128</ExpenseAmt>
      <GrantAmt>165000</GrantAmt>
      <Desc>PRA/SPECT OUTREACH &amp; EDUCATION: THE NEW JERSEY DEPARTMENT OF HEALTH SUPPORTS EVIDENCED BASED PROGRAMS TO IMPROVE THE HEALTH AND WELL BEING OF PREGNANT WOMEN AND YOUNG CHILDREN IN ALL COUNTIES IN THE STATE. A CORE COMPONENT OF IDENTIFYING THE NEEDS OF FRAGILE FAMILIES IS ACCESS TO THE BEST PROGRAM FOR EACH FAMILY BASED ON THE FAMILY'S NEEDS AND THE COMMUNITY'S RESOURCES. THE PRA SERVES AS AN ENTRY AND MONITORING POINT FOR THESE QUALITY PROGRAMS ACROSS NEW JERSEY. (CONTINUED ON SCHEDULE O)</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>398534</ExpenseAmt>
        <GrantAmt>60000</GrantAmt>
        <Desc>ALMA: MILLIONS OF PREGNANT AND PARENTING PEOPLE ARE DIAGNOSED WITH MOOD DISORDERS, ANXIETY, DEPRESSION, POST-TRAUMATIC STRESS DISORDER, SUBSTANCE MISUSE OR OTHER MENTAL HEALTH ISSUES EVERY YEAR - AND THESE ISSUES ARE MUCH MORE LIKELY TO AFFECT WOMEN OF COLOR. PERINATAL MENTAL HEALTH (PMH) CONDITIONS ARE THE MOST COMMON COMPLICATIONS OF PREGNANCY AND CHILDBIRTH, AFFECTING 1 IN 5 WOMEN (800,000 WOMEN EACH YEAR IN THE UNITED STATES), AND MATERNAL MENTAL HEALTH PROBLEMS ARE A LEADING CAUSE OF MATERNAL DEATH. THE ISSUES KNOW NO GEOGRAPHIC BORDERS AND AFFECT URBAN, SUBURBAN, AND RURAL (CONTINUED ON SCHEDULE O)</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>134096</ExpenseAmt>
        <Desc>SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM - EDUCATION: THE GOAL OF SNAP-ED IS TO IMPROVE THE LIKELIHOOD THAT PERSONS ELIGIBLE FOR SNAP WILL MAKE HEALTHY FOOD CHOICES WITHIN A LIMITED BUDGET AND CHOOSE A PHYSICALLY ACTIVE LIFESTYLE CONSISTENT WITH THE CURRENT DIETARY GUIDELINES FOR AMERICANS AND MYPLATE. THE FOCUS IS TO IMPLEMENT STRATEGIES OR INTERVENTIONS TO HELP THE SNAP-ED TARGET AUDIENCE ESTABLISH HEALTHY EATING HABITS AND ACTIVE LIEFSTYLE. ALSO, PRIMARY PREVENTION OF DISEASE AMONG THE TARGET AUDIENCE THAT EXHIBIT A HIGHER RISK FOR NUTRITION-RELATED CHRONIC DISEASES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>330934</ExpenseAmt>
        <GrantAmt>19000</GrantAmt>
        <RevenueAmt>108814</RevenueAmt>
        <Desc>OTHER PROGRAMS</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>330934</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>19000</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>108814</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>2520692</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">false</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc4">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc4">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc7">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc7">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc7">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc7">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>true</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>false</ConflictOfInterestPolicyInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>false</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>KATHY BARRY</PersonNm>
        <PhoneNum>8566656000</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2500 MCCLELLAN BLVD STE 250</AddressLine1Txt>
          <CityNm>PENNSAUKEN</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08109</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>HELEN HANNIGAN</PersonNm>
        <TitleTxt>PRESIDENT/CE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>224449</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37467</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN GOFFREDO LEFT 2023</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JODINA HICKS JOINED 92023</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW D'ORIA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER HOWARD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID KNOWLTON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD LIBRIZZI</PersonNm>
        <TitleTxt>PAST-CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL LOMBARDO</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN MCEVOY SHIELDS</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIEKARL VILCEUS-TALTY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotReportableCompRltdOrgAmt>224449</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>37467</TotalOtherCompensationAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>2707392</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>54818</AllOtherContributionsAmt>
      <TotalContributionsAmt>2762210</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION PROGRAM REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>108814</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>108814</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>108814</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2871024</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>108814</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>244000</TotalAmt>
        <ProgramServicesAmt>244000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>695214</TotalAmt>
        <ProgramServicesAmt>698486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-3272</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>44696</TotalAmt>
        <ProgramServicesAmt>44696</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>143733</TotalAmt>
        <ProgramServicesAmt>143107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>626</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>69456</TotalAmt>
        <ProgramServicesAmt>69456</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>15201</TotalAmt>
        <ProgramServicesAmt>13758</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1443</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>906371</TotalAmt>
        <ProgramServicesAmt>906371</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>5506</TotalAmt>
        <ProgramServicesAmt>5455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>19326</TotalAmt>
        <ProgramServicesAmt>19326</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>16791</TotalAmt>
        <ProgramServicesAmt>16791</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>565</TotalAmt>
        <ProgramServicesAmt>482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>3665</TotalAmt>
        <ProgramServicesAmt>3490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SERVICES</Desc>
        <TotalAmt>333169</TotalAmt>
        <ProgramServicesAmt>313630</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19539</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATIONS &amp; CONTRIBUTIONS</Desc>
        <TotalAmt>62664</TotalAmt>
        <ManagementAndGeneralAmt>62664</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION MATERIALS</Desc>
        <TotalAmt>20207</TotalAmt>
        <ProgramServicesAmt>20082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>19338</TotalAmt>
        <ProgramServicesAmt>19047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>291</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2588</TotalAmt>
        <ProgramServicesAmt>2515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2602490</TotalAmt>
        <ProgramServicesAmt>2520692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81798</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>630669</BOYAmt>
        <EOYAmt>674309</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>217258</BOYAmt>
        <EOYAmt>231046</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>2820</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <TotalAssetsGrp>
        <BOYAmt>847927</BOYAmt>
        <EOYAmt>908175</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>9059</BOYAmt>
        <EOYAmt>1859</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>788905</BOYAmt>
        <EOYAmt>558474</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>797964</BOYAmt>
        <EOYAmt>560333</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>20617</BOYAmt>
        <EOYAmt>18707</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>29346</BOYAmt>
        <EOYAmt>329135</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>49963</BOYAmt>
        <EOYAmt>347842</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>847927</BOYAmt>
        <EOYAmt>908175</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>268534</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>29345</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3080789</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2165175</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3625274</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2562489</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2762210</CurrentTaxYearAmt>
        <TotalAmt>14195937</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>54356</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>41096</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33800</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>172418</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>108814</CurrentTaxYearAmt>
        <TotalAmt>410484</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>3135145</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2206271</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3659074</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2734907</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2871024</CurrentTaxYearAmt>
        <TotalAmt>14606421</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>14606421</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3135145</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2206271</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3659074</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2734907</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2871024</CurrentTaxYearAmt>
        <TotalAmt>14606421</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, PART III, GROSS RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE WERE RECLASSIFIED TO LINE 2 OF SECTION A. IN PREVIOUS YEARS, THESE AMOUNTS WERE REPORTED AS OTHER INCOME ON LINE 12. THIS CHANGE DOES NOT HAVE A SIGNIFICANT IMPACT ON THE ORGANIZATION'S PUBLIC SUPPORT CALCULATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleD documentId="RetDoc3">
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTY</Desc>
        <Amt>558474</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>558474</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2871024</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>2871024</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2871024</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2602490</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2602490</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2602490</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>FHI IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ALSO, FHI IS EXEMPT FROM NEW JERSEY STATE INCOME TAXES. ACCOUNTING STANDARDS GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (U.S. GAAP) REQUIRES TAX POSITIONS TAKEN BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF DECEMBER 31, 2023 AND 2022, FHI HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ADDITIONALLY, FHI HAD NO INTEREST OR PENALTIES RELATED TO INCOME TAXES. HOWEVER, CERTAIN TAX RETURNS REMAIN SUBJECT TO EXAMINATION BY TAX JURISDICTIONS UNDER BOTH FEDERAL AND STATE STATUTES OF LIMITATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL JERSEY FAMILY HEALTH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CONSORTIUM</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>30 SILVERLINE DR FLOOR 2 STE 1</AddressLine1Txt>
          <CityNm>NORTH BRUNSWICK</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08902</ZIPCd>
        </USAddress>
        <RecipientEIN>223197191</RecipientEIN>
        <CashGrantAmt>165000</CashGrantAmt>
        <PurposeOfGrantTxt>OUTREACH &amp; EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PRAC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>114 EAST MAIN STREET</AddressLine1Txt>
          <CityNm>PENNS GROVE</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08069</ZIPCd>
        </USAddress>
        <RecipientEIN>221970239</RecipientEIN>
        <CashGrantAmt>68500</CashGrantAmt>
        <PurposeOfGrantTxt>ALMA AND PRH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VOLUNTEERS IN MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>423 ROUTE 9 NORTH</AddressLine1Txt>
          <CityNm>CAPE MAY COURHT HOUSE</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08210</ZIPCd>
        </USAddress>
        <RecipientEIN>522257585</RecipientEIN>
        <CashGrantAmt>10500</CashGrantAmt>
        <PurposeOfGrantTxt>PRIMARY RURAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HELEN HANNIGAN</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>224449</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9878</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>27589</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>261916</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4A: CONTINUED IN COLLABORATION WITH MEDICAID MCOS, PRENATAL PROVIDERS, COMMUNITY BASED ORGANIZATIONS AND STATE AGENCIES, FHI WORKS TO USE THE PRA DATA AND SPECT SYSTEM TO SCREEN PREGNANT WOMEN AND TRACK THEIR CARE. FHI WILL WORKS WITH PROVIDERS ACROSS NJ TO IMPROVE INFORMATION SHARED WITH PATIENTS ABOUT THEIR SCREENING RESULTS AND REFERRALS BEING MADE TO NJDOH FUNDED PROGRAMS AS A RESULT OF THESE FINDINGS. SPECT IS ALSO USED TO SUPPORT THE DOCUMENTATION NEEDS OF THE TITLE V IMPROVING BIRTH OUTCOMES PROGRAMS FUNDED BY NJDOH. LINE 4B: CONTINUED MOMS. WOMEN OF COLOR EXPERIENCE POSTPARTUM DEPRESSION AT HIGHER RATES-IN SOME STUDIES DOUBLE THAT OF ALL WOMEN. SUICIDE AND OVERDOSE ARE THE LEADING CAUSES OF DEATH IN THE FIRST YEAR POSTPARTUM, WITH 100% OF THESE DEATHS DEEMED PREVENTABLE. A SYSTEMATIC REVIEW IN THE JOURNAL OF THE AMERICAN MEDICAL ASSOCATION (2022) REPORTS CLINICAL LEVELS OF PERINATAL DEPRESSION HAVE INCREASED FROM 11-17% TO 36% DURING THE PANDEMIC. YET, 75% OF WOMEN WHO EXPERIENCE MATERNAL MENTAL HEALTH SYMPTOMS NEVER RECEIVE TREATMENT. THESE SAME DISTURBING NATIONAL TRENDS ALSO EXIST IN NEW JERSEY. ANALYSES CONDUCTED ON THE 2020 NJ PREGNANCY RISK ASSESSMENT MONITORING SYSTEM REVEALED THAT 12.3% OF BIRTHING PEOPLE WHO TOOK THE SURVEY EXPERIENCED POSTPARTUM DEPRESSION COMPARED TO 10.4% IN 2019 AND 9.9% IN 2012. THIS REPRESENTS AN UPWARD TREND IN POSTPARTUM DEPRESSION AMONG NJ BIRTHING PEOPLE. RACIAL AND ETHNIC DISPARITIES WERE ALSO OBSERVED. IN 2020, ASIAN, NON-HISPANIC BLACK, AND HISPANICS WERE DISPROPORTIONATELY IMPACTED (21.4%, 15.8%, AND 10.8%, RESPECTIVELY) COMPARED TO THEIR WHITE, NON-HISPANIC COUNTERPARTS (9.3%). IN ADDITION, WHILE OVERDOSE RATES CONTINUE TO CLIMB, THE TREATMENT GAP REMAINS PROBLEMATIC FOR NEW JERSEY RESIDENTS SEEKING HELP. THE PERCENTAGE OF UNMET DEMAND FOR SUBSTANCE USE TREATMENT IN 2020 IN NEW JERSEY WAS HIGHEST (&gt;70%) IN SUSSEX, WARREN, MERCER, MONMOUTH, BURLINGTON, SALEM, ESSEX, AND SOMERSET COUNTIES. AMONG THE 2,914 DEATHS DUE TO OVERDOSE IN NJ IN 2019, 414 (14.2%) AND 352 (12.1%) TOOK PLACE IN ESSEX AND CAMDEN COUNTIES, RESPECTIVELY. THE U.S. MATERNAL VULNERABILITY INDEX (MVI; SURGO VENTURES) IS THE FIRST CENSUS TRACT-LEVEL, NATIONAL-SCALE TOOL THAT EXAMINES SUCH A RANGE OF FACTORS INFLUENCING ADVERSE PREGNANCY OUTCOMES - INCLUDING BOTH STRUCTURAL AND INDIVIDUAL LEVEL FACTORS - AND IDENTIFIES PRECISELY WHERE AND WHY MOTHERS ARE MORE VULNERABLE TO POOR MATERNAL HEALTH OUTCOMES. THE MVI COMPRISES 46 INDICATORS ACROSS SIX DIFFERENT THEMES WHICH INCLUDE REPRODUCTIVE HEALTHCARE, PHYSICAL HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE, GENERAL HEALTHCARE, SOCIOECONOMIC DETERMINANTS OF HEALTH, AND PHYSICAL ENVIRONMENT. THE MVI'S MENTAL HEALTH AND SUBSTANCE ABUSE THEME INCLUDES INDICATORS OF MENTAL HEALTH STATUS, ACCESS TO MENTAL HEALTHCARE, AND PREVALENCE OF SUBSTANCE ABUSE ISSUES, INCLUDING TOBACCO AND DRUG OVERDOSE DEATHS. BASED ON THE MAP PROVIDED COURTESY OF SURGO VENTURES, THE FOLLOWING THREE NEW JERSEY COUNTIES SHOW THE HIGHEST OVERALL MATERNAL VULNERABILITY: CUMBERLAND, SALEM, AND CAMDEN. MOREOVER, SPECIFIC TO MENTAL HEALTH AND SUBSTANCE ABUSE, THE FOLLOWING ADDITIONAL COUNTIES ARE IDENTIFIED AS PRIORITIES: CAMDEN, GLOUCESTER, ESSEX, WARREN, OCEAN, ATLANTIC, CAPE MAY, AND BURLINGTON. FINALLY, THE FOLLOWING SEVEN COUNTIES DO NOT HAVE PROVIDERS SPECIALIZING IN MATERNAL HEALTH: CAMDEN, CAPE MAY, GLOUCESTER, SALEM, MORRIS, PASSAIC, AND SUSSEX. PERINATAL MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES STEM FROM BOTH BIOLOGICAL AND SOCIAL FACTORS. TODAY, FAMILIES REELING FROM THE COVID-19 PANDEMIC FACE SIGNIFICANT BARRIERS TO RECEIVING CARE FOR PHYSICAL AND BEHAVIORAL HEALTH INCLUDING RACIAL INEQUITIES, AFFORDABILITY, CULTURALLY ACCEPTABLE OR LINGUISTICALLY APPROPRIATE SERVICES; LACK OF TRANSPORTATION AND/OR CHILDCARE; OR THE FEAT THAT CHILD PROTECTIVE SERVICES OR IMMIGRATION AGENCIES WILL BECOME INVOLVED. MENTAL HEALTH AND SUBSTANCE MISUSE AFFECTS THE OUTCOMES OF MANY OF THE NJDOH'S PRIORITIES INCLUDING FAMILY ECONOMIC SECURITY; WOMEN'S HEALTH, EARLY CHILDHOOD EDUCATION, DEVELOPMENT, AND HEALTH; DOMESTIC VIOLENCE AND TRAUMA; HOUSING INSECURITY; SUBSTANCE MISUSE, AND RACIAL EQUITY, TO NAME A FEW. THERE ARE SOLUTIONS THAT WORK TO ADDRESS PERINATAL MENTAL HEALTH AND SUBSTANCE MISUSE, IMPROVE EARLY RELATIONAL HEALTH, AND INCREASE POSITIVE HEALTH OUTCOMES IN THE LONG RUN INCLUDING TRAINING COMMUNITY-BASED PERINATAL HEALTH PROFESSIONALS SUCH AS DOULAS, PERINATAL COMMUNITY HEALTH WORKERS, AND LACTATION CONSULTANTS. THESE PROFESSIONALS FREQUENTLY PROVIDE CULTURALLY CONGRUENT, EVIDENCE-BASED, AND TRAUMA-INFORMED SERVICES INCLUDING HOME VISITING, PEER SUPPORT, LABOR AND POSTPARTUM DOULA SUPPORT, CHILDBIRTH EDUCATION AND BREASTFEEDING SUPPORT TO ADDRESS PERINATAL MENTAL HEALTH AND SUBSTANCE MISUSE. COMMUNITY-BASED MODELS HAVE PROVEN TO BE EFFECTIVE, ENSURE COMMUNITY CONNECTION, ADDRESS HEALTH DISPARITIES, AND IMPROVE HEALTH OUTCOMES AND MOST OF ALL ARE FREQUENTLY THE TYPE OF SERVICE THAT MANY COMMUNITIES ARE ASKING FOR AND WANT TO ENGAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAMS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION LEASES AND SHARES EMPLOYEES AND SPACE FROM ITS RELATED ORGANIZATION SOUTHERN NEW JERSEY PERINATAL COOPERATIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT AND CEO WILL REVIEW THE 990 AND WILL BE REVIEWED BY THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION WILL BE MADE AVAILABLE IF REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANT EXPENSE 906,371 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY CHANGE IN NET ASSETS 29,345</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTHERN NEW JERSEY PERINATAL COOP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 MCCLELLAN BLVD</AddressLine1Txt>
          <CityNm>PENNSAUKEN</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08109</ZIPCd>
        </USAddress>
        <EIN>222371223</EIN>
        <PrimaryActivitiesTxt>ADMIN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOUTHERN NEW JERSEY PERINATAL COOPE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>38317</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FINANCIAL STATEMENTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOUTHERN NEW JERSEY PERINATAL COOPE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>5799</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FINANCIAL STATEMENTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOUTHERN NEW JERSEY PERINATAL COOPE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>18548</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FINANCIAL STATEMENTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>