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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH NOVINGER DO</PersonNm>
        <TitleTxt>FAMILY PRACTICE PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14273</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE GRGURICH DO</PersonNm>
        <TitleTxt>FAMILY PRACTICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>21819</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROXANA IONAS MD</PersonNm>
        <TitleTxt>PEDIATRICIAN PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27162</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAKILA MATHEW DO</PersonNm>
        <TitleTxt>PEDIATRICIAN PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14589</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1894214</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>174725</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>SYSTEMS</AddressLine1Txt>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SPARKS</PersonNm>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BRIGGS</PersonNm>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SERVICE MASTERS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MO</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>120516</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MCKESSON</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23233</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3608837</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>304912</NoncashContributionsAmt>
      <TotalContributionsAmt>4098763</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>10216122</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10216122</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>71926</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>43897</ExclusionAmt>
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        <ManagementAndGeneralAmt>11093</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>1342333</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>364718</ProgramServicesAmt>
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      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>4882462</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>2430436</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>11357919</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14471078</CurrentTaxYearAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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      <TotalExemptPurposeExpendGrp />
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      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
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        <ExplanationTxt>OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. IN ADDITION, SCHREIMANN, RACKERS, FRANCKA, &amp; BLUNT WERE PAID $39,593 FOR AN ARRAY OF GOVERNMENTAL OUTREACH SERVICES AND EDUCATIONAL FUNCTIONS, INCLUDING LOBBYING ON SPECIFIC PUBLIC HEALTH RELATED LEGISLATIVE ISSUES. NMHC PAID THE FULL AMOUNT AND WAS REIMBURSED BY JORDAN VALLEY COMMUNITY HEALTH CENTER FOR $17,738 OF THE FEES.</ExplanationTxt>
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      <CYMinus4YrEndwmtFundGrp />
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        <DepreciationAmt>1329892</DepreciationAmt>
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      <LeaseholdImprovementsGrp />
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        <DepreciationAmt>1813007</DepreciationAmt>
        <BookValueAmt>525705</BookValueAmt>
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      <TotalLiabilityAmt>3200000</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13784697</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>25250</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-335099</OtherRevenueAmt>
      <RevenueNotReportedAmt>-309849</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14094546</RevenueSubtotalAmt>
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        <ExplanationTxt>AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $( 364,718) BAD DEBT EXPENSE 29,619 NET ASSETS RELEASED FROM RESTRICTION ----------- $( 335,009)</ExplanationTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1307</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY HERBST DDS</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>2949</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>4940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8977</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262186</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY SPENDING ACCOUNT &amp; HEALTH CLUB DUES: DIRECTOR LEVEL POSITIONS INCLUDING STOCKS, SPEAK, LYONS, IONAS, &amp; HERBST RECEIVE A FIXED MONTHLY STIPEND FOR CELL PHONE EXPENSE REIMBURSEMENT. THE AMOUNTS ARE INCLUDED IN THE EMPLOYEES' TAXABLE INCOME. THESE POSITIONS ARE REQUIRED TO HAVE ACCESS TO PHONE AND EMAIL AT ALL TIMES AND THEREFORE MUST PERSONALLY MAINTAIN AN APPROPRIATE CELL PHONE AND DATA PLAN. COUNTRY CLUB DUES WERE PAID FOR ANDY GRIMM, TIMOTHY HERBST, EMILY LYONS, AND JOSEPH NOVINGER, DO. THIS AMOUNT WAS INCLUDED IN TAXABLE WAGES. WAGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS: NMHC'S DENTAL DIRECTOR IS PAID ON A PER PROCEDURE BASIS FOR PROVIDING ORAL SURGERIES TO CHILDREN IN THE HOSPITAL SETTING. ALL OTHER BONUSES PAID ARE BASED ON A WRVU SYSTEM. THESE AMOUNTS ARE REPORTED AS "BONUS AND INCENTIVE" PAY ACCORDINGLY ON SCHEDULE J, PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>304912</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF CONTRIBUTORS. CONTRIBUTIONS OF MEDICAL SUPPLIES AND DRUGS INCLUDES 5,610 VACCINES CONTRIBUTED DURING FY15 FROM 1 CONTRIBUTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION MISSION: THE NORTHEAST MISSOURI HEALTH COUNCIL, INC. WAS ESTABLISHED TO MEET THE PRIMARY HEALTHCARE NEEDS OF THE RESIDENTS OF NORTHEAST MISSOURI THROUGH A NOT-FOR-PROFIT COMMUNITY-RESPONSIBLE APPROACH WHICH CONSISTS OF THE FOLLOWING: -IDENTIFICATION OF HEALTH CARE AND SOCIAL SERVICES NEEDS AND PROGRAMS WITHIN THE REGION. -BROAD ACCESS FOR THE PROVISION OF QUALITY HEALTH AND DENTAL CARE, AND HEALTH EDUCATION. -FIDUCIARY RESPONSIBILITY OPTIMIZING RESOURCES TO PROVIDE THE MOST COST EFFECTIVE PROGRAM TO MAINTAIN AFFORDABILITY TO PATIENTS AND LONG-TERM CORPORATE VIABILITY. -DEVELOP AND MAINTAIN PROGRAM LINKAGES WITH OTHER HEALTH CARE PROVIDERS TO PREVENT DUPLICATION OF SERVICES, OBTAINING THE GREATEST UTILIZATION OF LIMITED RESOURCES WITHIN THE SERVICE AREA, AND PROMOTING THE UTILIZATION OF THOSE AVAILABLE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES: NMHC OPERATES 9 HEALTHCARE CLINICS, WHICH EXTEND AFFORDABLE AND QUALITY HEALTHCARE SERVICES TO CITIZENS THROUGHOUT AN 11 COUNTY SERVICE AREA. IN ADDITION TO OFFERING HIGH-QUALITY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY, NMHC ALS PROVIDES PEDIATRICS, OB/GYN, AND OPERATES A VETERAN'S MEDICAL AND BEHAVIORAL HEALTH CLINIC. NMHC OFFERS A SLIDING FEE SCALE THAT PROVIDES SIGNIFICANT DISCOUNTS TO PATIENTS WHO QUALIFY, BASED ON INCOME AND FEDERAL POVERTY GUIDELINES. THOSE WHO ARE UNINSURED AND MEET THE GUIDELINES MAY ALSO BENEFIT FROM THE ORGANIZATION'S TELEHEALTH AND VACCINE CHILDREN PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 REVIEW PROCESS: 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. PRIOR TO FILING, THE CEO AND CFO REVIEW THE 990 IN DETAIL WITH THE INDEPENDENT ACCOUNTING FIRM PREPARING THE FORM 990. ONCE A FINAL DRAFT IS READY, THE CEO AND CFO PRESENT THE FORM 990 TO BOARD MEMBERS AT A BOARD MEETING PROVIDING A BRIEF EXPLANATION OF THE CONTENT. BOARD MEMBERS MAY COMMENT AT THIS TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST: ALL DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN IT ANNUALLY. ACCORDING TO THE ORGANIZATION'S BYLAWS, NO DIRECTOR SHALL VOTE UPON ANY ISSUE TO COME BEFORE THE BOARD REGARDING WHICH HE/SHE HAS A CONFLICT OF INTEREST. ANY SUCH CONFLICT SHALL BE REVEALED TO THE BOARD PRIOR TO VOTING AND THE DIRECTORS SHALL REQUEST THAT THE RECORDS REFLECT HIS/HER DISQUALIFICATION FROM VOTING ON THE SUBJECT ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW: THE REVIEW FOR THE CURRENT CEO WAS CONDUCTED BY THE BOARD OF DIRECTORS DURING THE SEPTEMBER 2016 BOARD MEETING. THE BOARD ESTABLISHED THE COMPENSATION BY REVIEWING COMPENSATION SURVEYS RELEASED BY THE MISSOURI PRIMARY CARE ASSOCIATION, WHICH REPORTS SALARY INFORMATION ON ALL OTHER MISSOURI FQHCS, AND OTHER SALARY INFORMATION RELEVANT TO THE HEALTHCARE INDUSTRY. THE OCCURRENCE OF THIS REVIEW WAS NOTED IN BOARD MINUTES. EACH YEAR, THE HUMAN RESOURCES DIRECTOR AND CEO EXAMINE COMPENSATION OF ALL OTHER STAFF AND COMPARE IT TO INDUSTRY AND LOCAL AVERAGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST. COPIES WILL BE MAILED TO THOSE REQUESTING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>