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        <ReportableCompFromOrganization>180209</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18526</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>R BRETT MOOREHOUSE</NamePerson>
        <Title>VICE PRESIDENT &amp; COO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>160950</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11030</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN CONGER MD</NamePerson>
        <Title>CLINICAL MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>183787</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18709</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRIAN J KELLY MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>160840</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14606</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CONNIE SIMMONS MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>154847</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7870</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EUGENE EVRA MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>137031</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12730</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEANNIE BATSON</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>113392</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15914</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1632146</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>152482</TotalOtherCompensation>
      <NumberIndividualsGT100K>9</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>THOMPSON COBURN LLP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>ONE USBANK PLAZA</AddressLine1>
            <City>SAINT LOUIS</City>
            <State>MO</State>
            <ZIPCode>63101</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL SERVICES</DescriptionOfServices>
        <Compensation>150719</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>FAVORITE HEALTHCARE STAFFING</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 803356</AddressLine1>
            <City>KANSAS CITY</City>
            <State>MO</State>
            <ZIPCode>64180</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>STAFFING SERVICES</DescriptionOfServices>
        <Compensation>156852</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MEDICAL STAFFING NETWORK</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 840416</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>752840416</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>STAFFING SERVICES</DescriptionOfServices>
        <Compensation>200073</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>BKD TECHNOLOGIES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>910 EAST ST LOUIS SUITE 200</AddressLine1>
            <City>SPRINGFIELD</City>
            <State>MO</State>
            <ZIPCode>65801</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>COMPUTER PROGRAMMING</DescriptionOfServices>
        <Compensation>137666</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>APEXIT</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>7834 BIG BEND ROAD</AddressLine1>
            <City>WEBSTER GROVES</City>
            <State>MO</State>
            <ZIPCode>63119</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>COMPUTER CONSULTANTS</DescriptionOfServices>
        <Compensation>137500</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <FundraisingEvents>199213</FundraisingEvents>
      <AllOtherContributions>1339185</AllOtherContributions>
      <TotalContributions>1538398</TotalContributions>
      <ProgramServiceRevenue>
        <Description>INSURANCE &amp; PRIVATE PAYMENTS</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>2812662</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2812662</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID PAYMENTS</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>13505519</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13505519</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>FEES FROM GOV'T AGENCIES</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>5359906</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5359906</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>21678087</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>284915</TotalRevenueColumn>
        <ExclusionAmount>284915</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>10472840</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>10161315</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>311525</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>311525</TotalRevenueColumn>
        <ExclusionAmount>311525</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>160370</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>199213</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>200182</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-39812</TotalRevenueColumn>
        <ExclusionAmount>-39812</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>330093</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>330093</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>330093</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>24103206</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>22008180</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>556628</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1111751</Total>
        <ProgramServices>277938</ProgramServices>
        <ManagementAndGeneral>686383</ManagementAndGeneral>
        <Fundraising>147430</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>11188212</Total>
        <ProgramServices>8785449</ProgramServices>
        <ManagementAndGeneral>2262284</ManagementAndGeneral>
        <Fundraising>140479</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>226555</Total>
        <ProgramServices>193952</ProgramServices>
        <ManagementAndGeneral>32964</ManagementAndGeneral>
        <Fundraising>-361</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1395335</Total>
        <ProgramServices>1060796</ProgramServices>
        <ManagementAndGeneral>301613</ManagementAndGeneral>
        <Fundraising>32926</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>858274</Total>
        <ProgramServices>745453</ProgramServices>
        <ManagementAndGeneral>95249</ManagementAndGeneral>
        <Fundraising>17572</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>128539</Total>
        <ManagementAndGeneral>128539</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>93571</Total>
        <ManagementAndGeneral>93571</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1061114</Total>
        <ProgramServices>773333</ProgramServices>
        <ManagementAndGeneral>287781</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>127536</Total>
        <ProgramServices>109915</ProgramServices>
        <ManagementAndGeneral>2405</ManagementAndGeneral>
        <Fundraising>15216</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>1949555</Total>
        <ProgramServices>1687831</ProgramServices>
        <ManagementAndGeneral>204056</ManagementAndGeneral>
        <Fundraising>57668</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>273472</Total>
        <ProgramServices>260655</ProgramServices>
        <ManagementAndGeneral>3204</ManagementAndGeneral>
        <Fundraising>9613</Fundraising>
      </Occupancy>
      <Travel>
        <Total>54857</Total>
        <ProgramServices>17161</ProgramServices>
        <ManagementAndGeneral>34408</ManagementAndGeneral>
        <Fundraising>3288</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>109615</Total>
        <ProgramServices>56151</ProgramServices>
        <ManagementAndGeneral>52490</ManagementAndGeneral>
        <Fundraising>974</Fundraising>
      </ConferencesMeetings>
      <Interest>
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        <ManagementAndGeneral>998427</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
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        <Total>896642</Total>
        <ProgramServices>810340</ProgramServices>
        <ManagementAndGeneral>47548</ManagementAndGeneral>
        <Fundraising>38754</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>328392</ProgramServices>
        <ManagementAndGeneral>3357</ManagementAndGeneral>
        <Fundraising>10070</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>FED REIMBURSEMENT ALLOW.</Description>
        <Total>1177512</Total>
        <ProgramServices>1177512</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT</Description>
        <Total>321254</Total>
        <ProgramServices>260212</ProgramServices>
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      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>203468</Total>
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        <Fundraising>4167</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CHARITY CARE</Description>
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        <ProgramServices>161981</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
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        <ProgramServices>4110</ProgramServices>
        <ManagementAndGeneral>90197</ManagementAndGeneral>
        <Fundraising>1792</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>124286</Total>
        <ProgramServices>74732</ProgramServices>
        <ManagementAndGeneral>32778</ManagementAndGeneral>
        <Fundraising>16776</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>22899874</Total>
        <ProgramServices>16983825</ProgramServices>
        <ManagementAndGeneral>5401934</ManagementAndGeneral>
        <Fundraising>514115</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>48222</BOY>
        <EOY>27751</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>87691</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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        <EOY>194134</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
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        <EOY>2940698</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
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        <EOY>524380</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>27286056</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>4392627</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>22193373</BOY>
        <EOY>22893429</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>21473960</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>370126</BOY>
        <EOY>358187</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>47366580</BOY>
        <EOY>48500230</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1329618</BOY>
        <EOY>1459986</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>51745</BOY>
        <EOY>44875</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>20495610</BOY>
        <EOY>20116212</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>403050</BOY>
        <EOY>352450</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>22280023</BOY>
        <EOY>21973523</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>24802074</BOY>
        <EOY>26362001</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>284483</BOY>
        <EOY>164706</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>25086557</BOY>
        <EOY>26526707</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>47366580</BOY>
        <EOY>48500230</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
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      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>6925</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <TotalLobbyingExpendituresIIB>6925</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER ACTIVITIES</Identifier>
        <ReturnReference>PART II-B, LINE 1i</ReturnReference>
        <Explanation>Lobbying expenses are only incurred through associations with national organizations of which the organization is a member.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>14096841</BeginningOfYearBalance>
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        <InvestmentEarningsOrLosses>372077</InvestmentEarningsOrLosses>
        <OtherExpenditures>1863222</OtherExpenditures>
        <AdministrativeExpenses>44536</AdministrativeExpenses>
        <EndOfYearBalance>16061654</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>11483755</BeginningOfYearBalance>
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        <AdministrativeExpenses>36909</AdministrativeExpenses>
        <EndOfYearBalance>14096811</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.98974</BoardDesignatedEOYBalance>
      <TermEndowmentEOYBalance>0.01026</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <InvestmentCostOrOtherBasis>759000</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>1600177</OtherCostOrOtherBasis>
        <BookValue>2359177</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>20097392</OtherCostOrOtherBasis>
        <Depreciation>2704899</Depreciation>
        <BookValue>17392493</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2635358</OtherCostOrOtherBasis>
        <Depreciation>1569498</Depreciation>
        <BookValue>1065860</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2194129</OtherCostOrOtherBasis>
        <Depreciation>118230</Depreciation>
        <BookValue>2075899</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>22893429</TotalOfBookValueLandBuildings>
      <TotalRevenue>24103206</TotalRevenue>
      <TotalExpenses>22899874</TotalExpenses>
      <ExcessOrDeficitForYear>1203332</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>236818</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>236818</TotalAdjustments>
      <ExcessOrDeficitPerFS>1440150</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>24340024</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>236818</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>236818</RevenueNotRptdF990>
      <RevenueSubtotal>24103206</RevenueSubtotal>
      <TotalRevenuePerForm990>24103206</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>22899874</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>22899874</ExpensesSubtotal>
      <TotalExpensesPerForm990>22899874</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>USE OF ENDOWMENT FUNDS</Identifier>
        <ReturnReference>PART V, LINE 4</ReturnReference>
        <Explanation>The funds are to be used for debt service reserve, future capital improvements and purchase of equipment or use in organization's operations.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <EventsInformation>
        <NameOfEvent1>DINNER AUCTION</NameOfEvent1>
        <GrossReceiptsEvent1>152300</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>98808</CharitableContributionsEvent1>
        <GrossRevenueEvent1>53492</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>29578</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>22134</FoodAndBeverageEvent1>
        <EntertainmentEvent1>2775</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>14818</OtherDirectExpensesEvent1>
        <NameOfEvent2>GOLF TOURNAMENT</NameOfEvent2>
        <GrossReceiptsEvent2>95376</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>47795</CharitableContributionsEvent2>
        <GrossRevenueEvent2>47581</GrossRevenueEvent2>
        <RentFacilityCostsEvent2>26293</RentFacilityCostsEvent2>
        <FoodAndBeverageEvent2>15430</FoodAndBeverageEvent2>
        <EntertainmentEvent2>250</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>10747</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>5</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>111906</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>52610</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>59296</GrossRevenueOtherEvents>
        <RentFacilityCostsOtherEvents>45704</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>2630</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>1530</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>28292</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>359582</GrossReceiptsTotal>
        <CharitableContributionsTotal>199213</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>160369</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>101575</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>40194</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>4555</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>53857</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>200181</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-39812</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>false</FPGReferenceFreeCare>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>123850</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>123850</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00540</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>20485259</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>18201689</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2283570</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10050</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>20609109</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>18201689</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2407420</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10590</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>114</NumberOfActivitiesOrPrograms>
        <PersonsServed>2066</PersonsServed>
        <TotalCommunityBenefitExpense>74675</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>74675</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00330</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>65</PersonsServed>
        <TotalCommunityBenefitExpense>25106</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6357</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>18749</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>25</NumberOfActivitiesOrPrograms>
        <PersonsServed>3265</PersonsServed>
        <TotalCommunityBenefitExpense>208671</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>208671</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00920</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>141</NumberOfActivitiesOrPrograms>
        <PersonsServed>5396</PersonsServed>
        <TotalCommunityBenefitExpense>308452</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6357</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>302095</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01330</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>141</NumberOfActivitiesOrPrograms>
        <PersonsServed>5396</PersonsServed>
        <TotalCommunityBenefitExpense>20917561</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>18208046</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2709515</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11920</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>3</PersonsServed>
        <TotalCommunityBuildingExpense>8168</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>8168</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <Total>
        <NumberOfActivitiesOrPrograms>31</NumberOfActivitiesOrPrograms>
        <PersonsServed>2843</PersonsServed>
        <TotalCommunityBuildingExpense>8168</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>8168</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>99520</BadDebtExpenseAmount>
      <AmountAttributableTo>99520</AmountAttributableTo>
      <AmountReimbursedByMedicare>8925</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>80942</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-72017</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>The Ranken Jordan Home for Convalescent</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>11365 Dorsett Road</AddressLine1>
          <City>Maryland Heights</City>
          <State>MO</State>
          <ZIPCode>63043</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <Other>Pediatric Specialty Hospital</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>If the patient does not have commercial insurance and does not qualify for Medicaid they would be eligible for Charity Care.</IncomeBasedCriteria>
        <CostingMethodUsed>The costs reported in the table in Part I, Line 7 used a ratio of patient care costs to charges as computed in Worksheet 2 of the form instructions. This methodology was used for all patient segments.</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>The organization had bad debt expense in the amount of $169,499 reported on Part IX, line 25, however, it has been subtracted for purposes of calculating the percentage in this column.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Part III, Line 4a The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Hospital provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Hospital bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinguent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Part III, Line 4b Bad debt at cost is determined by taking the actual costs less any contractual allowance agreement with the payor. Bad debt is then recorded at the net realizable amount. The amounts should be included in community benefit because efforts were not made to collect the amount from the patients family.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>The cost on line 6 is determined by taking the $1,800 per day charge for basic medical care with the addition of anciliary costs to determine total cost.</ShortfallAsCommunityBenefit>
        <NeedsAssessment>Ranken Jordan is a member of the Missouri Hospital Association, American Hospital Association, and National Association of Children's Hospitals. Through these affiliations Ranken Jordan is able to monitor and participate in programs that have been determined to meet the needs of the community. On the local level Ranken Jordan partners with DASA, St Louis ARC, and the City of Maryland Heights to provide programming that meets the needs of children with complex medical issues.</NeedsAssessment>
        <PatientEducationAssistance>All Ranken Jordan patients and families are assigned a social worker upon admission. That person works directly with the patient and their family to make sure that their financial responsibilities are fully explained. Ranken Jordan has the ability to assist families in applying for Medicaid coverage if they have not already done so. Due to the special nature of the patients Ranken Jordan serves and the mission of the organization, no inpatient receives a bill for care received. Ranken Jordan does not work with or turn any patient accounts over for collection.</PatientEducationAssistance>
        <CommunityInformation>Ranken Jordan serves the Metropolitan St. Louis area. Patients are accepted from beyond the St. Louis area based on admission criteria for specialty hositals. The services provided are unique in that they are only available in a limited amount of locations throughout the country. Care is provided for children with complex medical needs, with the goal of seeing them return to a safe home environment.</CommunityInformation>
        <CommunityBuildingActivities>Ranken Jordan provides the community with many opportunities for children with complex medical needs and their families to be able to become active in the community. Programs are offered such as Challenger Baseball and Power Soccer that allow children to participate in sports despite their physical limitations. Educational opportunities are provided for these children that include cooking, martial arts, camp, and social gathering programs.</CommunityBuildingActivities>
        <OtherInformation>Ranken Jordan's mission is to take care of medically complex children, regardless of their ability to pay. When a parent has experienced a traumatic event in their child's life, they are often at a loss for dealing with simple everyday tasks, such as dealing with insurance companies or arranging for home health care. This does not even begin to address the educational needs they have when taking a child in a wheelchair or on a vent home. When situations seem hopeless, that is when Ranken Jordan is able to step in and assist the patients and families with all aspects of "putting the family back together". Our goal with each patient is to send healthy, happy children home to a safe environment. All of this is possible with the help of a dedicated staff of medical professionals, a board of directors that takes a hands-on approach to achieving that mission, and a community that supports the need for this crucial service.</OtherInformation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LAUREEN K TANNER</NamePerson>
        <BaseCompensationFilingOrg>224534</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>20069</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>23112</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11194</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>308909</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEAN L BARDWELL</NamePerson>
        <BaseCompensationFilingOrg>139110</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>21099</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7306</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11221</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>198736</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>R BRETT MOOREHOUSE</NamePerson>
        <BaseCompensationFilingOrg>135462</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5488</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6455</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4575</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>171980</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NICHOLAS HOLEKAMP MD</NamePerson>
        <BaseCompensationFilingOrg>235699</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>788</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18503</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>288</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>285278</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUSAN CONGER MD</NamePerson>
        <BaseCompensationFilingOrg>183787</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7480</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11229</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>202496</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRIAN J KELLY MD</NamePerson>
        <BaseCompensationFilingOrg>160840</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3362</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11244</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>175446</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CONNIE SIMMONS MD</NamePerson>
        <BaseCompensationFilingOrg>154847</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3202</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4668</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>162717</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES</Identifier>
        <ReturnReference>PART I, LINE 1(A)</ReturnReference>
        <Explanation>There is a membership to Norwood Hills Country Club that is in Laureen K. Tanner's (CEO) name. The membership is paid for by Ranken Jordan. Any personal expenses charged to the account are reimbursed to Ranken Jordan.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>Laureen Tanner and Nick Holenkamp are participants in a 457(f) plan.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS</Identifier>
        <ReturnReference>PART 1, LINE 7</ReturnReference>
        <Explanation>Bonuses paid by the organization are discretionary. The board determines if/when bonuses will be paid at the end of the fiscal year. They research current executive salaries of like organizations, results of the year, and benefits packages, to come to a determination. There is no written agreement or guarantee bonuses will be paid anually. The following individuals received the non-fixed payment: Laureen K. Tanner Jean L. Bardwell R Brett Moorehouse Nicholas Holekamp, MD</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IDA OF THE COUNTY OF ST LOUIS MHFRRB</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431170145</IssuerEIN>
        <CUSIPNumber>79130GGK1</CUSIPNumber>
        <DateIssued>2007-04-12</DateIssued>
        <IssuePrice>200000</IssuePrice>
        <DescriptionOfPurpose>Refunding orig issue Series2003A-C</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IDA OF THE COUNTY OF ST LOUIS MHFRRB</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431170145</IssuerEIN>
        <CUSIPNumber>79130GGL9</CUSIPNumber>
        <DateIssued>2007-04-12</DateIssued>
        <IssuePrice>365000</IssuePrice>
        <DescriptionOfPurpose>Refunding orig issue Series2003A-C</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IDA OF THE COUNTY OF ST LOUIS MHFRRB</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431170145</IssuerEIN>
        <CUSIPNumber>79130GGM7</CUSIPNumber>
        <DateIssued>2007-04-12</DateIssued>
        <IssuePrice>380000</IssuePrice>
        <DescriptionOfPurpose>Refunding orig issue Series2003A-C</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IDA OF THE COUNTY OF ST LOUIS MHFRRB</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431170145</IssuerEIN>
        <CUSIPNumber>79130GGN5</CUSIPNumber>
        <DateIssued>2007-04-12</DateIssued>
        <IssuePrice>395000</IssuePrice>
        <DescriptionOfPurpose>Refunding orig issue Series2003A-C</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IDA OF THE COUNTY OF ST LOUIS MHFRRB</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431170145</IssuerEIN>
        <CUSIPNumber>79130GGP0</CUSIPNumber>
        <DateIssued>2007-04-12</DateIssued>
        <IssuePrice>415000</IssuePrice>
        <DescriptionOfPurpose>Refunding orig issue Series2003A-C</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>200000</TotalProceeds>
        <CapitalExpenditures>200000</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>365000</TotalProceeds>
        <CapitalExpenditures>365000</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>380000</TotalProceeds>
        <CapitalExpenditures>380000</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
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        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>395000</TotalProceeds>
        <CapitalExpenditures>395000</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>415000</TotalProceeds>
        <CapitalExpenditures>415000</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>THOMPSON COBURN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER THOMAS J</Relationship>
        <AmountOfTransaction>186914</AmountOfTransaction>
        <DescriptionOfTransaction>LEGAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LLP</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>MINOGUE IS CHAIRMAN</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LISA MONTELEONE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER GEORGE</Relationship>
        <AmountOfTransaction>83131</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EMPLOYEE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>EDINGER IS FATHER</Relationship>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</ReturnReference>
        <Explanation>PROGRAM SERVICE #1 - INPATIENT SERVICES TO CHILDREN WITH COMPLEX MEDICAL NEEDS DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 10,599 DAYS OF MEDICAL CARE FOR INPATIENTS. OF THOSE DAYS, 84% WERE FOR CHILDREN THAT WERE ELIGIBLE TO RECEIVE SOME FORM OF MEDICAID ASSISTANCE. NO INPATIENT EVER LEAVES RANKEN JORDAN WITH A PATIENT RESPONSIBILITY DUE. IT IS THE GOAL OF THE ENTIRE STAFF AT RANKEN JORDAN TO ASSURE THAT WHEN A CHILD LEAVES OUR CARE, THEIR ENTIRE FAMILY HAS BEEN WELL TRAINED AND THEY HAVE A SAFE ENVIRONMENT TO GO HOME TO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</ReturnReference>
        <Explanation>PROGRAM SERVICE #2 - OUTPATIENT SERVICES TO CHILDREN WITH COMPLEX MEDICAL NEEDS DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 22,511 UNITS OF OUTPATIENT SERVICES TO CHILDREN REQUIRING INTENSIVE THERAPY. RANKEN JORDAN PROVIDES PHYSICAL, OCCUPATIONAL, SPEECH, AND AQUA THERAPIES ON AN OUTPATIENT BASIS. RANKEN JORDAN ALSO OFFERS A MEDICAL DAY PROGRAM THAT PROVIDES INTENSIVE THERAPY THROUGHOUT THE DAY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</ReturnReference>
        <Explanation>PROGRAM SERVICE #3 - COMMUNITY PROGRAM A VARIETY OF COMMUNITY PROGRAMS ARE ALSO PROVIDED TO SUPPORT CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES. THESE PROGRAMS ARE ALWAYS OFFERED FREE OF CHARGE AND OPENED TO THE GENERAL PUBLIC. THIS PROGRAM INCLUDES (BUT IS NOT LIMITED TO) SUPPORT GROUPS, SPORTS RELATED ACTIVITIES FOR CHILDREN WITH SPECIAL NEEDS, AND SOCIAL ENRICHMENT ACTIVITIES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, QUESTION 2</ReturnReference>
        <Explanation>JOHN PROSPERI (BOARD MEMBER) AND ELIZABETH PROSPERI (BOARD MEMBER) HAVE A FAMILY RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, QUESTION 11B</ReturnReference>
        <Explanation>THE INITIAL FORM 990 WILL BE PRESENTED TO THE FINANCE COMMITTEE BY OUR INDEPENDENT AUDITORS IN FEBRUARY 2011. ONCE APPROVED BY THE FINANCE COMMITTEE, IT WILL BE MADE AVAILABLE TO THE FULL BOARD ELECTRONICALLY, WITH A PERIOD FOR QUESTIONS. ONCE THE QUSTION PERIOD HAS PASSED, THE FORM 990 WILL BE FILED ELECTRONICALLY BY OUR INDEPENDENT AUDITORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPLIANCE WITH CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES, OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION. THE CORPORATE COMPLIANCE COMMITTEE HAS OVERSIGHT RESPONSIBILITY FOR THE PROGRAM AND SHALL REPORT TO THE BOARD PERIODICALLY, AS DETERMINED BY THE BOARD, BUT NOT LESS THAN ANNUALLY. THE COMPLIANCE OFFICER CONDUCTS THE DAY-TO-DAY OPERATIONS OF THE PROGRAM, INCLUDING COORDINATION OF THE RECEIPT OF REPORTS OF NONCOMPLIANCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A/B</ReturnReference>
        <Explanation>THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, UNDER THE ADVISEMENT OF ALEXANDER-SIEFERT CONSULTING GROUP, LLC, MEETS ANNUALLY TO REVIEW THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. THE MEETINGS ARE HELD ANNUALLY IN MAY. THE EXECUTIVE COMPENSATION COMMITTEE FINDINGS ARE APPROVED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BOND ISSUES</Identifier>
        <ReturnReference>FORM 990, SCHEDULE K</ReturnReference>
        <Explanation>THE FOLLOWING CUSIP NUMBERS RELATE TO THE SUMMARY BOND ENTRY, ISSUED BY THE IDA OF THE COUNTY OF ST. LOUIS, MHFRRB FOR THE 2003 ORIGINAL BOND ISSUE FOR CONSTRUCTION OF THE DORSETT ROAD BUILDING, ENTERED ON SCHEDULE K. THE TOTAL ISSUE PRICE OF THE BONDS IS $19,545,000. CUSIP #'S: 79130GET4 79130GEU1 79130GEV9 79130GEW7 79130GEX5 79130GEY3 79130GEZ0 79130GFA4 79130GFB2 79130GFC0 79130GFD8 79130GFE6 79130GFH9 79130GFF3 79130GFG1</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>