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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
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      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
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      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER LOBBYING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO MISSOURI PRIMARY CARE ASSOCIATION AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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      <CYMinus4YrEndwmtFundGrp />
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      <OtherAssetsOrgGrp>
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        <BookValueAmt>150000</BookValueAmt>
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      <TotalRevEtcAuditedFinclStmtAmt>3177203</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueSubtotalAmt>2760828</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>319067</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3079895</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3129087</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>25438</DonatedServicesUseFcltsAmt>
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      <ExpensesSubtotalAmt>3103649</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>35398</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCERTAIN TAX POSITIONS: 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 426,335 NET ASSETS RELEASED FROM RESTRICTION (35,398) BAD DEBT EXPENSE ----------- $ 390,937</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 319,067 TEMPORARILY RESTRICTED CONTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 35,398 BAD DEBT EXPENSE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RURAL HEALTH NETWORK DEVELOPMENT: THE PROJECT IS DESIGNED TO ASSURE THAT INDIVIDUALS ARE RECEIVING CARE IN THE APPROPRIATE SETTING, AT THE APPROPRIATE TIME, AT AN APPROPRIATE COST. IT IS EXPECTED TO RESULT IN THE FOLLOWING OUTCOMES: IMPROVED QUALITY, REDUCED HOSPITAL READMISSIONS; REDUCED USE OF HOSPITAL EMERGENCY DEPARTMENT FOR PRIMARY CARE CONDITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>RURAL HEALTHCARE FOUNDATION PROGRAMS: THROUGH INVOLVEMENT IN THE RHI, COMMUNITY NETWORK MEMBERS HAVE COME AWAY WITH A BROADER KNOWLEDGE OF THE CORRELATION BETWEEN PHYSICAL HEALTH, MENTAL HEALTH AND OTHER SOCIAL ISSUES, I.E. POVERTY, ILLITERACY, DOMESTIC VIOLENCE. THIS KNOWLEDGE HAS LED TO EXPANSION OF TRAININGS TO INCLUDE SCREENING FOR ISSUES AND REFERRALS TO SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OR STOCKHOLDERS: HEALTHCARE, COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS ARE MEMBERS OF HCC. DUES RANGE FROM $50-$500 PER YEAR.</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, A DRAFT VERSION OF FORM 990 IS REVIEWED BY MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: A CONFLICT OF INTEREST TRANSACTION IS APPROVED IF IT RECEIVED THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS ON THE BOARD, OR ON THE COMMITTEE, WHO HAVE NO DIRECT OR INDIRECT FINANCIAL AND/OR INSTITUTIONAL INTEREST IN THE TRANSACTION VOTE TO APPROVE THE TRANSACTION, A QUORUM IS DEEMED PRESENT FOR THE PURPOSE OF THE VOTE. IF THE TRANSACTION IS APPROVED, THE MINUTES OF THE MEETING SHALL REFLECT THE NAMES OF THE PERSON WHO DISCLOSED FINANCIAL OR INSTITUTIONAL INTEREST; THE NATURE OF SUCH INTEREST AND WHETHER THE BOARD DETERMINED THERE WAS A CONFLICT, THE NAMES OF THE PERSONS PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTIONS; THE CONTENT OF THE DISCUSSIONS, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION; AND A ROLL CALL OF THE VOTE. BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF EXECUTIVE DIRECTOR'S COMPENSATION: THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION. EXECUTIVE REVIEW WAS HELD IN MAY 2015. HCC COMPARES SALARY WITH TWO INDEPENDENT SALARY SURVEYS AND THE EXECUTIVE COMMITTEE MAKES RECOMMENDATIONS TO THE ENTIRE BOARD FOR SALARY RECOMMENDATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW DIRECTOR OF OPERATIONS COMPENSATION: THE BOARD OF DIRECTORS AND THE EXECUTIVE DIRECTOR REVIEWED AND APPROVED COMPENSATION. THE REVIEW WAS HELD IN MAY 2015. HCC COMPARES SALARY WITH TWO INDEPENDENT SALARY SURVEYS AND THE EXECUTIVE COMMITTEE MAKES RECOMMENDATIONS TO THE ENTIRE BOARD FOR SALARY RECOMMENDATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF GOVERNING DOCUMENTS: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF HCC ARE MADE AVAILABLE AS REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES FOR SERVICES: $ 309,905 CONTRACT FEES 117,514 CONSULTING 20,274 MISCELLANEOUS 15,277 PATIENT CARE COORDINATION 6,562 TRAINING ----------- $ 469,532 TOTAL OTHER FEES FOR SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>