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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WALLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICK FRANCIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT CROUCH</PersonNm>
        <TitleTxt>VICE-PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.04</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHAWN SANDO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STUART GIPSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN CURFMAN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM SHRYACK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONIANN RICHARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WIL FRANKLIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERON RAVIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.04</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET VOSS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>82367</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5766</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH PIERLE</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.04</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>476387</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>107175</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDSEY HASLAG</PersonNm>
        <TitleTxt>ORGANIZATION AND OPERATIONS LIAISON</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>177346</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50309</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL JOSEPH</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>286041</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58918</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TINA BRADSHAW</PersonNm>
        <TitleTxt>VICE PRESIDENT OF PAYER RELATIONS</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>150962</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21787</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA KEILHOLZ</PersonNm>
        <TitleTxt>CHIEF OF OPERATIONS AND PROGRAMS</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>137800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23266</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA HERMAN-NESTOR</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF HEALTH CARE TRNASFORMATION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18070</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN EIKEN</PersonNm>
        <TitleTxt>VICE PRESIDENT OF EXTERNAL AFFAIRS</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>21476</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA RANKIN</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131854</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19334</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RODNEY M HUMMER</PersonNm>
        <TitleTxt>VICE PRESIDENT OF STRATEGY</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110237</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22618</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1794321</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>348719</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY CARE HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 HOLLY HILLS AVE</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63111</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUBRECIPIENT</ServicesDesc>
        <CompensationAmt>3396151</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JORDAN VALLEY COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5681</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUBRECIPIENT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPASS HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1800 COMMUNITY DRIVE</AddressLine1Txt>
            <CityNm>CLINTON</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64735</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUBRECIPIENT</ServicesDesc>
        <CompensationAmt>2842367</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEAST MISSOURI HEALTH NETWORK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6738 STATE HWY 77</AddressLine1Txt>
            <CityNm>BENTON</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63736</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUBRECIPIENT</ServicesDesc>
        <CompensationAmt>2741895</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SAMUEL U RODGERS COMMUNITY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>825 EUCLID</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64124</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUBRECIPIENT</ServicesDesc>
        <CompensationAmt>2672263</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>46</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>571377</MembershipDuesAmt>
      <GovernmentGrantsAmt>56924657</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3892876</AllOtherContributionsAmt>
      <TotalContributionsAmt>61388910</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>FEES FOR SERVICE REV</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2615277</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2615277</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REIMBURSED FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1470342</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1470342</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REGISTRATION/WORKSHOP FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>234215</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>234215</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EVENT SPONSORSHIP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>115887</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>115887</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4435721</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>415668</TotalRevenueColumnAmt>
        <ExclusionAmt>415668</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>930</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>444</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>486</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>486</TotalRevenueColumnAmt>
        <ExclusionAmt>486</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>66240785</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4435721</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>416154</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1486791</TotalAmt>
        <ProgramServicesAmt>1361413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116121</ManagementAndGeneralAmt>
        <FundraisingAmt>9257</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>2621870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>223632</ManagementAndGeneralAmt>
        <FundraisingAmt>17828</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>284876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24298</ManagementAndGeneralAmt>
        <FundraisingAmt>1937</FundraisingAmt>
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        <TotalAmt>268929</TotalAmt>
        <ProgramServicesAmt>246251</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21004</ManagementAndGeneralAmt>
        <FundraisingAmt>1674</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>275901</TotalAmt>
        <ProgramServicesAmt>252635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21548</ManagementAndGeneralAmt>
        <FundraisingAmt>1718</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>134935</TotalAmt>
        <ProgramServicesAmt>122761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11970</ManagementAndGeneralAmt>
        <FundraisingAmt>204</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>54986</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5361</ManagementAndGeneralAmt>
        <FundraisingAmt>91</FundraisingAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>72833</TotalAmt>
        <ProgramServicesAmt>66262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6461</ManagementAndGeneralAmt>
        <FundraisingAmt>110</FundraisingAmt>
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        <ProgramServicesAmt>49268611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>335022</ManagementAndGeneralAmt>
        <FundraisingAmt>5698</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>134830</TotalAmt>
        <ProgramServicesAmt>134741</ProgramServicesAmt>
        <FundraisingAmt>89</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>53360</TotalAmt>
        <ProgramServicesAmt>53309</ProgramServicesAmt>
        <FundraisingAmt>51</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>485435</TotalAmt>
        <ProgramServicesAmt>417617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63320</ManagementAndGeneralAmt>
        <FundraisingAmt>4498</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>195935</TotalAmt>
        <ProgramServicesAmt>167860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27994</ManagementAndGeneralAmt>
        <FundraisingAmt>81</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>358011</TotalAmt>
        <ProgramServicesAmt>295730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62259</ManagementAndGeneralAmt>
        <FundraisingAmt>22</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>6571</TotalAmt>
        <FundraisingAmt>6571</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>110995</TotalAmt>
        <ProgramServicesAmt>107751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2722</ManagementAndGeneralAmt>
        <FundraisingAmt>522</FundraisingAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>GRANT MATCH</Desc>
        <TotalAmt>250000</TotalAmt>
        <ProgramServicesAmt>250000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>210432</TotalAmt>
        <ProgramServicesAmt>141800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68472</ManagementAndGeneralAmt>
        <FundraisingAmt>160</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRIBUTIONS &amp; GIFTS</Desc>
        <TotalAmt>156528</TotalAmt>
        <ProgramServicesAmt>156528</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE MORALE</Desc>
        <TotalAmt>32678</TotalAmt>
        <ProgramServicesAmt>32678</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>59526</TotalAmt>
        <ProgramServicesAmt>44446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15059</ManagementAndGeneralAmt>
        <FundraisingAmt>21</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>57137900</TotalAmt>
        <ProgramServicesAmt>56082125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1005243</ManagementAndGeneralAmt>
        <FundraisingAmt>50532</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>11845902</BOYAmt>
        <EOYAmt>15381952</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>600000</BOYAmt>
        <EOYAmt>600000</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>4018660</BOYAmt>
        <EOYAmt>5912018</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3873</BOYAmt>
        <EOYAmt>5010</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>703483</BOYAmt>
        <EOYAmt>309821</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTOR BUSINESS RELATIONSHIPS: ORGANIZATION DIRECTORS AND OFFICERS DON MCBRIDGE, DR. KENDRA HOLMES, BROCK LOUGH, DWANYE BUTLER, ANGELA CLABON, KELLY MILLER, MATHEW GASS, SHAWN SANDO, SUSAN CURFMAN, DR. ARAMIDE ARAYINDE, DAVID STEINMANN, STUART GIPSON, GREG ROEBACK, TONIANN RICHARD, WIL FRANKLIN, MICHAEL WALLER, KAREN WHITE, CHRIS JONES, TIM SHRYACK, SCOTT CROUCH, BOB THEIS, BRYAN ADCOCK, JERON RAVIN, ALL SHARE A BUSINESS RELATIONSHIP. ORGANIZATION DIRECTORS AND OFFICERS DON MCBRIDGE, DR. KENDRA HOLMES, BROCK LOUGH, DWANYE BUTLER, ANGELA CLABON, KELLY MILLER, MATHEW GASS, SHAWN SANDO, SUSAN CURFMAN, DAVID STEINMANN, STUART GIPSON,TONIANN RICHARD, WIL FRANKLIN, MICHAEL WALLER, TIM SHRYACK, SCOTT CROUCH, BOB THEIS, ALL SHARE A BUSINESS RELATIONSHIP IN ADDITION TO THE ABOVE RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: MEMBERSHIP IN THE CORPORATION SHALL BE LIMITED, NOT AS TO NUMBER, BUT AS TO PERSONS REPRESENTING ORGANIZATIONS AND INTEREST PERTINENT TO THE INTEREST/BUSINESS OR GOVERNANCE OF PRIMARY CARE ORGANIZATIONS OR AS OTHERWISE DEFINED IN THE BYLAWS OF THE CORPORATION. ORGANIZATIONAL OR VOTING MEMBERSHIP SHALL INCLUDE ONE REPRESENTATIVE FROM EACH OF THE SECTION 330 FEDERALLY FUNDED HEALTH CENTERS IN THE STATE OF MISSOURI THAT DESIRES TO BE A MEMBER OF THE ORGANIZATION. EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF MEMBERS. EACH OF THE MEMBERS MAY APPOINT ONE DIRECTOR TO THE BOARD OF DIRECTORS TO SERVE A ONE YEAR TERM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 7A &amp; 7B -- MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: MEMBERSHIP IN THE CORPORATION SHALL BE LIMITED, NOT AS TO NUMBER, BUT AS TO PERSONS REPRESENTING ORGANIZATIONS AND INTEREST PERTINENT TO THE INTEREST/BUSINESS OR GOVERNANCE OF PRIMARY CARE ORGANIZATIONS OR AS OTHERWISE DEFINED IN THE BYLAWS OF THE CORPORATION. ORGANIZATIONAL OR VOTING MEMBERSHIP SHALL INCLUDE ONE REPRESENTATIVE FROM EACH OF THE SECTION 330 FEDERALLY FUNDED HEALTH CENTERS IN THE STATE OF MISSOURI THAT DESIRES TO BE A MEMBER OF THE ORGANIZATION. EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF MEMBERS. EACH OF THE MEMBERS MAY APPOINT ONE DIRECTOR TO THE BOARD OF DIRECTORS TO SERVE A ONE YEAR TERM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE DIRECTOR OF FINANCE, CFO AND CEO REVIEW THE FORM 990 AND THE CEO SIGNS THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, MEMBERS AND EMPLOYEES ARE REQUIRED TO SIGN A DISCLOSURE CONCERNING CONFLICT OF INTEREST FORM. IF THERE IS A CONFLICT OF INTEREST, AN ATTACHED STATEMENT IS TO BE MADE WITH THE DISCLOSURE FORM. DISCLOSURE FORMS ARE REVIEWED BY THE CEO OR HIS DESIGNEE, OR THE BOARD PRESIDENT IN SPECIAL SITUATIONS, TO DETERMINE WHETHER ANY CONFLICTS OF INTEREST ARE DISCLOSED. IN THE EVENT CONFLICTS ARE DISCLOSED, THE DISCLOSURE CONCERNING CONFLICT OF INTEREST FORMS LAYS OUT COURSES OF ACTION TO TAKE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO INCLUDES AN ANNUAL REVIEW IN JUNE BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE TAKES INTO ACCOUNT JOB PERFORMANCE FOR THE PREVIOUS YEAR AS WELL AS DATA OF OTHER COMPARABLE-SIZED ORGANIZATIONS. THE EXECUTIVE COMMITTEE'S DELIBERATION AND DECISION ARE CONTEMPORANEOUSLY SUBSTANTIATED AND A RECOMMENDATION IS MADE TO THE BOARD. THE COMPENSATION PACKAGE IS ULTIMATELY APPROVED BY THE ENTIRE BOARD. ADDITIONALLY, IN FEBRUARY 2020, THE BOARD ENGAGED A CONSULTING FIRM TO RESEARCH EXECUTIVE COMPENSATION AND MAKE A RECOMMENDATION FOR A SALARY RANGE FOR MPCA'S CHIEF EXECUTIVE AS WELL AS ITS OPERATING OFFICER, FINANCE OFFICER, AND ONE OTHER UPPER LEVEL MANAGEMENT POSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 62,233. MANAGEMENT AND GENERAL EXPENSES 6,068. FUNDRAISING EXPENSES 103. TOTAL EXPENSES 68,404. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,818. FUNDRAISING EXPENSES 184. TOTAL EXPENSES 11,002. CONSULTANT: PROGRAM SERVICE EXPENSES 3,197,709. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,197,709. CONSULTING &amp; TECH SVC: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 311,792. FUNDRAISING EXPENSES 5,303. TOTAL EXPENSES 317,095. OTHER PURCAHSED SERVICES: PROGRAM SERVICE EXPENSES 110,948. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,948. SPEAKER/ TRAINER: PROGRAM SERVICE EXPENSES 65,066. MANAGEMENT AND GENERAL EXPENSES 6,344. FUNDRAISING EXPENSES 108. TOTAL EXPENSES 71,518. SUBRECIPIENT COST - SEE SCH O FOR D: PROGRAM SERVICE EXPENSES 45,832,655. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,832,655.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO CHANGE IN THE RESPONSIBILITY ASSUMED FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS OR THE SELECTION OF THE INDEPENDENT ACCOUNTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES FOR SERVICES -- THE BREAKOUT OF SUBRECIPIENT/CONSORTIA COSTS IS AS FOLLOWS: BEHAVIORAL HEALTHCARE = $570,588 CMS NATIGATOR GRANT = $2,610,453 COMMUNITY HEALTH WORKER = $4,540,898 EPIDEMIOLOGY AND LAB CAPACITY FQHCS (COVID CHWS) = $1,144,989 FQHC CAPITAL FUNDING (DMH) = $20,279,659 FQHC CAPITAL FUNDING (DSS) = $9,945 INCREASING VACCINATIONS IN ALL POPULATIONS = $2,466,265 MEDICATION ASSISTED TREATMENT = $952,380 PATIENT ENGAGEMENT INITIATIVE = $3,494,364 SUBSTANCE USE DISORDER NETWORK = $5,432,850 SUBSTANCE USE DISORDER TREATMENT = $595,553 WOMEN &amp; MINORITY HEALTH = $3,734,711</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>3450 W EDGEWOOD DR</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65109</ZIPCd>
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        <EIN>272883394</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
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          <BusinessNameLine1Txt>MISSOURI COMMUNITY HEALTH FOUNDATION INC</BusinessNameLine1Txt>
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        <InvolvedAmt>268792</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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