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        <ManagementAndGeneralAmt>17543</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <InformationTechnologyGrp>
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      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
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        <ManagementAndGeneralAmt>39680</ManagementAndGeneralAmt>
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      <TravelGrp>
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      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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        <ManagementAndGeneralAmt>31212</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>229637</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>30157</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>5038</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>2014949</ProgramServicesAmt>
        <ManagementAndGeneralAmt>478579</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>5662</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>561567</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>171762</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>12159</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>35539</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1889959</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>641875</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>1248084</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1699347</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>145847</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>145847</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>3593745</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>3593745</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>3739592</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>217629</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-125564</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1951</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1310</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3367</CurrentTaxYearAmt>
        <TotalAmt>6628</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>2284835</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2247884</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2483117</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2573589</CurrentTaxYearAmt>
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      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
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      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>2185420</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2284835</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2249835</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2484427</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2576956</CurrentTaxYearAmt>
        <TotalAmt>11781473</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>11781473</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>47182</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46097</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41243</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42728</CurrentTaxYearAmt>
        <TotalAmt>273914</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <Post1975UBTIGrp>
        <TotalAmt>0</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>47182</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46097</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41243</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42728</CurrentTaxYearAmt>
        <TotalAmt>273914</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <TotalAmt>0</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>2282084</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2332017</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2295932</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2525670</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2619684</CurrentTaxYearAmt>
        <TotalAmt>12055387</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97728</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97140</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02272</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02860</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>720</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>720</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING EXPENDITURES THE ORGANIZATION PAYS DUES TO THE MISSOURI HEALTH CARE ASSOCIATION, OF WHICH A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING. IN 2015, THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING WAS $720.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
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        <BookValueAmt>13417</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1439563</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>342045</DepreciationAmt>
        <BookValueAmt>1097518</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>162461</DepreciationAmt>
        <BookValueAmt>42782</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>137369</DepreciationAmt>
        <BookValueAmt>94367</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. IT IS THEN REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD AT A BOARD MEETING FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION THE BOARD OF DIRECTORS REVIEWS THE SALARY OF THE ADMINISTRATOR. THE DISCUSSION AND DECISION IS DOCUMENTED IN THE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENT AVAILABILITY THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>