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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NESA JOSEPH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET LEIGH</PersonNm>
        <TitleTxt>CDO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>7.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>132492</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1191</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH GIRARDI</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>33.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20491</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LEONARD</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>33.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13375</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN DUNN</PersonNm>
        <TitleTxt>CHIEF PERFORMANCE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>7.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BILL HOLMAN</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>33.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44911</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD MONEY</PersonNm>
        <TitleTxt>REGIONAL DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34473</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM HENDERSON</PersonNm>
        <TitleTxt>CLINICAL DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY PROST</PersonNm>
        <TitleTxt>INFORMATICS SPECIALIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110347</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12618</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1422115</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>132492</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>153944</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FORVIS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE METROPOLITAN SQUARE 211 N BROA</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSOURCED ACCOUNTING</ServicesDesc>
        <CompensationAmt>809933</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARMANINO LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6 CITYPLACE DR SUITE 900</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63141</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSOURCED ACCOUNTING</ServicesDesc>
        <CompensationAmt>221173</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATB TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14567 N OUTER FORTY DR</AddressLine1Txt>
            <CityNm>CHESTERFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>170078</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NIELSON FINANCIAL SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>901 E WASHINGTON ST</AddressLine1Txt>
            <CityNm>ORLANDO</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICARE BILLING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOLUTIONS ADVISORS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3001 EXECUTIVE DR SUITE 270</AddressLine1Txt>
            <CityNm>CLEARWATER</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>63179</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SALES AND MARKETING</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>788409</GovernmentGrantsAmt>
      <TotalContributionsAmt>788409</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>3441187</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3441187</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SASC PARTNERSHIP INCOM</Desc>
        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>41094</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8465</TotalRevenueColumnAmt>
        <ExclusionAmt>8465</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>49520</TotalRevenueColumnAmt>
        <ExclusionAmt>49520</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>25667</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ENTERPRISE REBATE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>13485</ExclusionAmt>
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      <OtherRevenueTotalAmt>88672</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4367827</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3482281</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>97137</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>1500</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>19894</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>83225</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19522</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>10907</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1099277</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>239244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56119</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>54430</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>371136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87057</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>178281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41819</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>9528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2235</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>7450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1747</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>59942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14060</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>8034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1884</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>77109</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18087</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>74866</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17561</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND MEMBERSHIPS</Desc>
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        <ProgramServicesAmt>7920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1858</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES AND FEES</Desc>
        <TotalAmt>459</TotalAmt>
        <ProgramServicesAmt>372</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>308</TotalAmt>
        <ProgramServicesAmt>251</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>3844532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>901449</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>4515</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>637934</EOYAmt>
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        <EOYAmt>267305</EOYAmt>
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        <EOYAmt>2113039</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>4124084</EOYAmt>
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        <EOYAmt>2674</EOYAmt>
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        <EOYAmt>6102</EOYAmt>
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        <EOYAmt>995000</EOYAmt>
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        <EOYAmt>3767986</EOYAmt>
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        <EOYAmt>6436599</EOYAmt>
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        <EOYAmt>4124084</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearAmt>4270690</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>120</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>8465</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>120</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8379</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8465</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>2207</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4162</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>45929</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>88672</CurrentTaxYearAmt>
        <TotalAmt>141924</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3981006</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3534458</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3391345</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3368876</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4367827</CurrentTaxYearAmt>
        <TotalAmt>18643512</TotalAmt>
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      <PublicSupportCY509Pct>0.99130</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98620</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00080</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2022 AMOUNT: $ 4,541. 2023 AMOUNT: $ 49,520. ENTERPRISE/INSURANCE REBATES - 2019 AMOUNT: $ 954. 2020 AMOUNT: $ 2,207. 2021 AMOUNT: $ 4,162. 2022 AMOUNT: $ 41,388. 2023 AMOUNT: $ 39,152.</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <BookValueAmt>249500</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>48242</OtherCostOrOtherBasisAmt>
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      <OtherAssetsOrgGrp>
        <Desc>SKILLED NURSING FACILITY BED LICENSES</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
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        <Amt>503482</Amt>
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        <Amt>1296923</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>1545016</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>NEGATIVE OPERATING ACCOUNT</Desc>
        <Amt>420313</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ENTRANCE FEES</Desc>
        <Amt>2252</Amt>
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      <TotalLiabilityAmt>3767986</TotalLiabilityAmt>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <DeferredCompensationFlngOrgAmt>7589</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37322</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>466525</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH GIRARDI</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>2864</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31609</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>193562</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN DUNN</PersonNm>
        <TitleTxt>CHIEF PERFORMANCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>177930</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3203</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10632</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191765</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN LEONARD</PersonNm>
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        <BaseCompensationFilingOrgAmt>152411</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2743</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10632</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>165786</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT OF THE FORM 990 IS REVIEWED BY THE CFO FOR ACCURACY AND EMAILED TO BOTH THE ADMINISTRATION AND FINANCE COMMITTEE AND THE ENTIRE BOARD OF DIRECTORS. THE FINAL FORM 990 IS EMAILED TO THE ADMINISTRATION AND FINANCE COMMITTEE AND THE ENTIRE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE FINAL FORM 990 IS APPROVED BY THE PRESIDENT AND CEO AND THE CFO SIGNS THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL CONFLICT OF INTEREST DISCLOSURE IS COMPLETED BY EACH BOARD MEMBER, SUBMITTED, AND REVIEWED BY THE ENTIRE BOARD OF DIRECTORS. IF ANY CONFLICTS ARISE WITH ANY MEMBER, THAT MEMBER IS THEN EXCLUDED IN ANY VOTING FOR APPLICABLE SUBJECT AREAS. THERE IS ALSO A CORPORATE COMPLIANCE POLICY WHICH IS REVIEWED WITH ALL EMPLOYEES ANNUALLY AND PERIODICALLY AUDITED WITH RESPECT TO OPERATIONAL COMPLIANCE. A TAX PREPARATION QUESTIONNAIRE IS ALSO COMPLETED BY EACH BOARD MEMBER AND KEY EMPLOYEE BEFORE FILING IN ORDER TO ENSURE THAT DETAILS OF ANY CONFLICTS OR RELATIONSHIPS THAT MIGHT CAUSE CONFLICTS ARE IDENTIFIED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HISTORICALLY THE TOP MANAGEMENT OFFICIAL HAS BEEN COMPENSATED BY A RELATED ORGANIZATION. DURING THE YEAR, THE ORGANIZATION EMPLOYED THE TOP MANAGEMENT OFFICIALS. A MANAGEMENT AGREEMENT WAS ENTERED INTO BETWEEN THE ORGANIZATION AND THE RELATED ORGANIZATION FOR THE REIMBURSEMENT OF THE TOP MANAGEMENT OFFICIAL. THE ORGANIZATION USES THE FOLLOWING FACTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT: OFFICIAL COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING: PROGRAM SERVICE EXPENSES 1,073,870. MANAGEMENT AND GENERAL EXPENSES 251,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,325,766. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 25,407. MANAGEMENT AND GENERAL EXPENSES 5,960. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,367.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
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          <ZIPCd>63146</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1001 CRAIG ROAD SUITE 200</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
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          <ZIPCd>63146</ZIPCd>
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          <CityNm>ST LOUIS</CityNm>
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        <EIN>431250225</EIN>
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