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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES ANDERSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>YVONNE BUHLINGER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VERONICA RICHARDSON</PersonNm>
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        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>16054</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA TEPE MD</PersonNm>
        <TitleTxt>VP CMO</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICE BOON</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN O FREEMAN</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET BAUM MD</PersonNm>
        <TitleTxt>OB/GYN PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHULAMIT M PORTNOY MD</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMAL ANTOUN MD</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS KUCIEJCZYK-KERNAN MD</PersonNm>
        <TitleTxt>FAMILY PRACTICE PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NALINI MEHTA MD</PersonNm>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUEST DIAGNOSTICS</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 14730</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CENTAUR BUILDING SERVICES</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 66726</AddressLine1Txt>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>WASHINGTON UNIVERSITY</PersonNm>
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          <USAddress>
            <AddressLine1Txt>276 NORTH SKINKER BOULEVARD</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MAXIM STAFFING SOLUTIONS</PersonNm>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALL ACCESS INTERPRETERS LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 191186</AddressLine1Txt>
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            <ZIPCd>63119</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <NoncashContributionsAmt>211927</NoncashContributionsAmt>
      <TotalContributionsAmt>8822553</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>14584453</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>9454334</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <RoyaltiesRevenueGrp>
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      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
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      <NetIncomeOrLossGrp>
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        <ExclusionAmt>232</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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        <ProgramServicesAmt>366850</ProgramServicesAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>15250633</ProgramServicesAmt>
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        <ProgramServicesAmt>1659289</ProgramServicesAmt>
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        <ProgramServicesAmt>1102524</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>30235</TotalAmt>
        <ManagementAndGeneralAmt>30235</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>125885</TotalAmt>
        <ManagementAndGeneralAmt>125885</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3730120</TotalAmt>
        <ProgramServicesAmt>3073245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>656875</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3154608</TotalAmt>
        <ProgramServicesAmt>2880019</ProgramServicesAmt>
        <ManagementAndGeneralAmt>274589</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
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      <OccupancyGrp>
        <TotalAmt>1829932</TotalAmt>
        <ProgramServicesAmt>1604502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>225430</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>63062</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33025</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>129127</TotalAmt>
        <ProgramServicesAmt>83355</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>338569</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>849419</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>23762</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>399631</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>96577</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>6101750</ManagementAndGeneralAmt>
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        <EOYAmt>310907</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>6669362</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>2590826</EOYAmt>
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        <EOYAmt>58299</EOYAmt>
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        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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        <BOYAmt>6760324</BOYAmt>
        <EOYAmt>2649125</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>23954699</BOYAmt>
        <EOYAmt>21750035</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-4111199</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>10164639</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9797266</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11205994</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8890017</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8822553</CurrentTaxYearAmt>
        <TotalAmt>48880469</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
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      </GovtFurnSrvcFcltsVl170Grp>
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        <CurrentTaxYearMinus3YearsAmt>9797266</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11205994</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8890017</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8822553</CurrentTaxYearAmt>
        <TotalAmt>48880469</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>48880469</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1042</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3900</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2371</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>885</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>232</CurrentTaxYearAmt>
        <TotalAmt>8430</TotalAmt>
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      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
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      <OtherIncome170Grp>
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      <TotalSupportAmt>48888899</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>112251483</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99983</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99924</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <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>
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      <HeldWorksArtGrp />
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        <ContributionsAmt>63553</ContributionsAmt>
        <OtherExpendituresAmt>274534</OtherExpendituresAmt>
        <EndYearBalanceAmt>58299</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
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        <ContributionsAmt>12201</ContributionsAmt>
        <OtherExpendituresAmt>132410</OtherExpendituresAmt>
        <EndYearBalanceAmt>269280</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>452988</BeginningYearBalanceAmt>
        <ContributionsAmt>63796</ContributionsAmt>
        <OtherExpendituresAmt>127295</OtherExpendituresAmt>
        <EndYearBalanceAmt>389489</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>102776</BeginningYearBalanceAmt>
        <ContributionsAmt>432757</ContributionsAmt>
        <OtherExpendituresAmt>82545</OtherExpendituresAmt>
        <EndYearBalanceAmt>452988</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>259101</BeginningYearBalanceAmt>
        <ContributionsAmt>151672</ContributionsAmt>
        <OtherExpendituresAmt>307997</OtherExpendituresAmt>
        <EndYearBalanceAmt>102776</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>368949</OtherCostOrOtherBasisAmt>
        <BookValueAmt>368949</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>14644760</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3019487</DepreciationAmt>
        <BookValueAmt>11625273</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1462716</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>174745</DepreciationAmt>
        <BookValueAmt>1287971</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>4248531</DepreciationAmt>
        <BookValueAmt>1925328</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2367110</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1261527</DepreciationAmt>
        <BookValueAmt>1105583</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>16313104</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION COSTS</Desc>
        <Amt>6608232</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATED AGENCY</Desc>
        <Amt>61130</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6669362</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>33580955</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>908033</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>274534</OtherRevenueAmt>
      <RevenueNotReportedAmt>1182567</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>32398388</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>463184</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>463184</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>32861572</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>37481173</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>908033</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>908033</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>36573140</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>399631</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>399631</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>36972771</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990: NET ASSETS RELEASED FROM RESTRICTIONS 274,534</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: TEMPORARILY RESTRICTED CONTRIBUTIONS 63,553 BAD DEBT EXPENSE 399,631 --------- TOTAL 463,184</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: BAD DEBT EXPENSE 399,631</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>JANET VOSS CPA</PersonNm>
        <TitleTxt>VP &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157586</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6850</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>823</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10626</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7869</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183754</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET BAUM MD</PersonNm>
        <TitleTxt>OB/GYN PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>205261</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9954</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>418</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9973</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1584</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>227190</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHULAMIT M PORTNOY MD</PersonNm>
        <TitleTxt>PEDIATRIC NEUROLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>196985</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7497</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1015</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11702</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9502</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226701</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMAL ANTOUN MD</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3948</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2330</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11405</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>189955</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA TEPE MD</PersonNm>
        <TitleTxt>VP CMO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9398</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>435</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8453</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1575</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>232476</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <PersonNm>THOMAS KUCIEJCZYK-KERNAN MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>882</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13579</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11792</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>195127</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NALINI MEHTA MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>4289</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1631</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8826</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>175061</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>6089</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>STOCK QUOTE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>205838</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN B.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS USED FOR REVIEWING FORM 990: THE CONTROLLER, CFO AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING. COPIES ARE THEN DISTRIBUTED ELECRONICALLY TO ALL BOARD MEMBERS PRIOR TO FILING THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS OF MONITORING &amp; 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>PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING CEO COMPENSATION: CEO COMPENSATION WAS DETERMINED IN THE SECOND QUARTER OF 2014 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>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC AVAILABILITY OF CERTAIN DOCUMENTS: 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>PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>FEES FOR SERVICES DETAIL: LAB SERVICES 907,748 CONTRACTED &amp; TEMPORARY STAFF 444,643 OTHER FEES FOR SERVICES 2,377,729 - - - - - - TOTAL FEES FOR SERVICES 3,730,120</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>