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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"), EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES AS DEFINED IN THE CODE. ACCORDINGLY, THE ORGANIZATION FILES AS A TAX EXEMPT ORGANIZATION. THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR INCOME TAXES AND HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS, AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY TO COVER ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S RETURNS FOR TAX YEARS 2021 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO 2024, THE ORGANIZATION'S MAJOR PROGRAM SERVICES CONSISTED OF: GATEWAY THE ORGANIZATION SERVED AS FISCAL AGENT FOR FEDERAL GATEWAY PILOT DEMONSTRATION PROJECT. THE PROJECT PROVIDED FINANCIAL STABILITY TO REGIONAL OUTPATIENT HEALTHCARE PROVIDERS FOR THE OTHERWISE UNINSURED IN ST. LOUIS CITY AND COUNTY. THE PROGRAM FULLY CONCLUDED AS OF DECEMBER 31, 2023. CORE THE CORE PROGRAM CONSISTED OF ACTIVITIES TO (1) IMPROVE THE HEALTH CARE DELIVERY SYSTEM FOR PEOPLE WHO ARE MEDICALLY UNDERSERVED, (2) ENHANCE COMMUNITY COLLABORATION AND STRENGTHENING NON-TRADITIONAL HEALTH INFRASTRUCTURES, (3) INTEGRATE AND STRENGTHEN THE HEALTH CARE SAFETY NET, (4) ENGAGE THE COMMUNITY FOR INPUT IN HEALTHCARE PLANNING ACTIVITIES AND (5) PROVIDE REPORTING FOR TRANSPARENCY IN FACTBASED DECISION MAKING FOR THE HEALTHCARE SECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CFO DUTIES ARE OUTSOURCED TO AN INDEPENDENT CONTRACTOR, CHIEF FINANCIAL OFFICER, LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REVIEWS THE 990 AND SENDS IT TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL BEFORE FILING. SUBSEQUENT TO FILING, A COPY IS MADE AVAILABLE TO BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE WITH CONFLICTS OF INTEREST IS ENFORCED BY NOT ALLOWING A BOARD MEMBER AFFILIATED WITH AN ORGANIZATION TO VOTE ON TOPICS SPECIFIC TO THE RELATED ORGANIZATION. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 15A: REVIEW FOR SALARY WAS COMPLETED BY A SALARY SURVEY OF LIKE POSITIONS WITHIN OTHER SIMILAR ORGANIZATIONS. LINE 15B: COMPARABILITY DATA IS REVIEWED WHEN DETERMINING SALARIES OF KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL COMPLY WITH ANY WRITTEN REQUEST TO FURNISH ITS ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 443,419. MANAGEMENT AND GENERAL EXPENSES 4,471. FUNDRAISING EXPENSES 23,806. TOTAL EXPENSES 471,696.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES TO THIS PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>