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        <ExplanationTxt>THE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN UNDER IRC SECTION 457(F). ROBERT MASSIE IS A PARTICIPANT IN THE PLAN. NO CONTRIBUTIONS TO THE PLAN WERE MADE BY HIM OR ON HIS BEHALF DURING THE YEAR.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH WRITTEN COMMUNICATION WITH ALL EMPLOYEES, AND DISCUSSIONS AT QUARTERLY STAFF MEETINGS WITH INDIVIDUAL DIRECTORS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES. EVERYONE ABOVE COMPLETES A QUESTIONNAIRE RELATED TO LOANS, GRANTS OR ASSISTANCE, BUSINESS AND FAMILY RELATIONSHIPS/RELATED PERSONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION, INCLUDING BENEFITS, WAS REVIEWED BY THE EXECUTIVE COMMITTEE WITH A RECOMMENDATION GOING TO THE BOARD OF DIRECTORS FOR APPROVAL. THE PACKAGE IS BASED ON CURRENT TRENDS AND COMPARED TO OTHER HEALTH CENTERS IN THE ST. LOUIS AREA AND PROPOSED GOALS FOR THE YEAR. THE CEO REVIEWS THE COMPENSATION INCLUDING BENEFITS OF KEY EMPLOYEES-COO, CFO AND CMO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE PROVIDED UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTED SERVICES/STAFF TOTAL FEES:2248526</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
