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        <PersonNm>RIISA RAWLINS-EASLEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH COLEMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN HACHEGECHOG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GWENDOLYN HALL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGIA HARRIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GILBERT PEOPLES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID WALTERS</PersonNm>
        <TitleTxt>IMMEDIATE PAST CHAIRMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MITCHELL BARIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EBONY CARTER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TONDALERIA CURRY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA DAVIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HARRY DENGLER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT JACOBSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA LEONARD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JIM LIPPERT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VICKIE LOMAX</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM VAN LUVEN</PersonNm>
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          <USAddress>
            <AddressLine1Txt>1736 WESTPARK CENTER DRIVE</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALL ACCESS INTERPRETERS LLC</PersonNm>
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          <USAddress>
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        <ContractorName>
          <PersonNm>KENNETH NUERENBERGER</PersonNm>
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          <USAddress>
            <AddressLine1Txt>1425 S 18TH STREET</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BKD LLP</PersonNm>
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          <USAddress>
            <AddressLine1Txt>211 N BROADWAY STE 2400</AddressLine1Txt>
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            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63102</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CAPES SOKOL</PersonNm>
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          <USAddress>
            <AddressLine1Txt>8182 MARYLAND AVE</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>23547767</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>10843325</TotalRevenueColumnAmt>
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        <PersonalAmt>0</PersonalAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>342903</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>105191</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>219420</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>3046027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>788415</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>825164</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1253716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160465</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8502</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>25689</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>236014</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>688245</ProgramServicesAmt>
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        <ProgramServicesAmt>14466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165415</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>42381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14246</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>36172</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>196623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142536</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>7675007</ManagementAndGeneralAmt>
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        <EOYAmt>12189247</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1383721</EOYAmt>
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        <EOYAmt>3244971</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S VARIOUS HEALTH CARE PROGRAMS SUCH AS THE DIABETES PROGRAM, BREAST CANCER PROGRAM, AND BEHAVIORAL HEALTH PROGRAM.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ASC 740 DISCLOSURE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <PersonNm>MARY KEEGAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239936</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5904</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>406</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4664</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>950</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251860</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICAELA ONEIL-CALLAHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>243791</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14048</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>406</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5065</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13178</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>276488</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONTROLLER, CFO AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING. COPIES ARE THEN DISTRIBUTED ELECTRONICALLY TO ALL BOARD MEMBERS AFTER FILING THE FORM WITHOUT THE CONFIDENTIAL COMPENSATION INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS OF MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST: ALL BOARD MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT NOTING FULL COMPLIANCE OR ANY EXCEPTIONS. ANY EXCEPTIONS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE BOARD COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING CEO COMPENSATION: CEO COMPENSATION WAS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON PERFORMANCE INDICATORS AND SURVEYS PROVIDED BY AN INDEPENDENT CONSULTING FIRM AND THE MISSOURI PRIMARY CARE ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING KEY EMPLOYEE COMPENSATION: A BI-ANNUAL SALARY SURVEY PROVIDED BY THE MISSOURI PRIMARY CARE ASSOCIATION IS USED IN CONJUNCTION WITH A SURVEY FROM AAIM TO DETERMINE RANGES FOR ALL KEY POSITIONS AND DETERMINE WHETHER SALARIES ARE COMPETITIVE. A COMPENSATION ANALYSIS IS CURRENTLY BEING PERFORMED BY THE CONSULTING FIRM CBIZ.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AS REQUIRED BY FEDERAL REGULATION THAT APPLIES TO COMMUNITY HEALTH CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGE IN NET ASSETS OR FUND BALANCES: CHANGE IN DEFINED BENEFIT PLAN 1,611,888</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
