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      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>4</NumberOfContributions>
        <NoncashContribsRptdF990>4887</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>STOCK QUOTE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies>
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      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
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      <ThirdPartiesUsed>true</ThirdPartiesUsed>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
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        <Explanation>THE CONTROLLER, CFO AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING. COPIES ARE THEN DISTRIBUTED ELECRONICALLY TO ALL BOARD MEMBERS PRIOR TO FILING THE FORM.</Explanation>
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      <GeneralExplanation>
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        <Explanation>ALL BOARD MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT NOTING FULL COMPLIANCE OR ANY EXCEPTIONS. ANY EXCEPTIONS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE BOARD COMMITTEE.</Explanation>
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      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING CEO COMPENSATION</Identifier>
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        <Explanation>CEO COMPENSATION WAS DETERMINED IN THE FIRST QUARTER OF 2012 BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON PERFORMANCE INDICATORS AND SURVEYS PROVIDED BY AN INDEPENDENT CONSULTING FIRM AND THE MISSOURI PRIMARY CARE ASSOCIATION.</Explanation>
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      <GeneralExplanation>
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        <Explanation>A BI-ANNUALLY SALARY SURVEY PROVIDED BY THE MISSOURI PRIMARY CARE ASSOCIATION IS USED IN CONJUNCTION WITH A SURVEY FROM AAIM TO DETERMINE RANGES FOR ALL KEY POSITIONS AND DETERMINE WHETHER SALARIES ARE COMPETITIVE.</Explanation>
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      <GeneralExplanation>
        <Identifier>PUBLIC AVAILABILITY OF CERTAIN DOCUMENTS</Identifier>
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        <Explanation>LAB SERVICES 1,354,405 CONTRACTED &amp; TEMPORARY STAFF 820,314 DELIVERY SERVICES 244,977 OTHER FEES FOR SERVICES 1,680,543 - - - - - - TOTAL FEES FOR SERVICES 4,100,239</Explanation>
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</Return>