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        <CurrentTaxYearMinus2YearsAmt>76491</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>112250</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>-34157</CurrentTaxYearAmt>
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      <GrossReceiptsRltdActivitiesAmt>52899969</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97209</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96398</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO ATTENDED A MEETING OF MEMBERS OF THE MISSOURI PRIMARY CARE ASSOCIATION WITH MISSOURI STATE LEGISLATORS TO DISCUSS ISSUES AFFECTING THEIR INDUSTRY.</ExplanationTxt>
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        <ContributionsAmt>689787</ContributionsAmt>
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        <EndYearBalanceAmt>5090847</EndYearBalanceAmt>
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        <ContributionsAmt>813512</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>52396</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1542981</OtherExpendituresAmt>
        <EndYearBalanceAmt>6139558</EndYearBalanceAmt>
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        <Amt>853184</Amt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USES OF THE ENDOWMENT FUNDS: THE ORGANIZATION'S ENDOWMENT FUNDS ARE INTENDED FOR FUTURE CAPITAL IMPROVEMENTS AND BUILDING PROJECTS, DEFERRED COMPENSATION, DEBT SERVICE, AND FQHC SECTION 330 RESERVES OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE SEYER</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JARON ASHER</PersonNm>
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        <DeferredCompensationFlngOrgAmt>10747</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID GLICK</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>11878</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215407</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARRYL ZINCK</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>4405</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>190432</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DEFERRED COMPENSATION: 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <BoatsAndPlanesGrp />
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      <SecuritiesCloselyHeldStockGrp />
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>DRUGS AND MEDICAL SUPPLIES: PART I, COLUMN B REPORTS THE NUMBER OF DONATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW FORM 990: THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND DISCUSSION, THEN PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY: THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH THE CORPORATE COMPLIANCE COMMITTEE ACTIVITIES, WRITTEN COMMUNICATION WITH ALL NEW EMPLOYEES, AND DISCUSSIONS AT QUARTERLY STAFF MEETINGS. INDIVIDUAL DIRECTORS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES ALSO COMPLETE A QUESTIONNAIRE RELATED TO LOANS, GRANTS OR ASSISTANCE, BUSINESS AND FAMILY RELATIONSHIPS, AND RELATED PERSONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW: 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, CMO AND CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC ACCESS TO ORGANIZATION'S INFORMATION: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE PROVIDED UPON WRITTEN REQUEST.</ExplanationTxt>
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</Return>