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    <Timestamp>2011-11-14T07:39:25-08:00</Timestamp>
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        <BusinessNameLine1>RANDALL C FIENE CPA</BusinessNameLine1>
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        <BusinessNameLine1>HEALTH CARE COALITION OF LAFAYETTE COUNTY</BusinessNameLine1>
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        <City>LEXINGTON</City>
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      <Name>RANDALL C FIENE</Name>
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        <City>LEXINGTON</City>
        <State>MO</State>
        <ZIPCode>64067</ZIPCode>
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      <StateLegalDomicile>MO</StateLegalDomicile>
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        <Revenue>330601</Revenue>
        <Description>SOCIAL INNOVATION FOR MISSOURI: PROJECT WILL INCREASE OVERALL COMMUNITY HEALTH IN LAFAYETTE COUNTY BY DECREASING OVERALL COMMUNITY HEALTH IN LAFAYETTE COUNTY BY DECREASING OVERALL COMMUNITY HEALTH IN LAFAYETTE COUNTY BY DECREASING OVERALL COMMUNITY HEALTH IN LAFAYETTE COUNTY BY DECREASING OVERALL COMMUNITY HEALTH IN LAFAYETTE COUNTY BY DECREASING</Description>
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        <Description>SPECIAL INITIATIVE: A THREE YEAR FINANCIAL FORECAST FOR THE FQHC IN LEXINGTON, MO. THIS STUDY WILL MODEL FOR THE FQHC IN LEXINGTON, MO. THIS STUDY WILL MODEL FOR THE FQHC IN LEXINGTON, MO. THIS STUDY WILL MODEL</Description>
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      <PublicSupportTotal170>1175514</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus2Years>212</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>206</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>244</CurrentTaxYear>
        <Total>662</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus2Years>21717</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25549</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>28669</CurrentTaxYear>
        <Total>75935</Total>
      </OtherIncome170>
      <TotalSupport>1252111</TotalSupport>
      <First5Years170>X</First5Years170>
      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
      <FactsAndCircumstancesTest>OTHER INCOME PART II, LINE 10; DESCRIPTION: INDIRECT INCOME; 2008: 13963.; 2009: 5115.; 2010: 3012.; DESCRIPTION: MANAGEMENT SERVICES; 2008: 7754.; 2009: 20434.; 2010: 22031.; DESCRIPTION: REFERRAL FEE; 2008: 0.; 2009: 0.; 2010: 3626.;</FactsAndCircumstancesTest>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="10000104">
      <TotalRevenue>580550</TotalRevenue>
      <TotalExpenses>342218</TotalExpenses>
      <ExcessOrDeficitForYear>238332</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>238332</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>580550</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>580550</RevenueSubtotal>
      <TotalRevenuePerForm990>580550</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>342218</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>342218</ExpensesSubtotal>
      <TotalExpensesPerForm990>342218</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="00000004" softwareId="10000104">
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>REVIEWED BY MANAGEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt III, Line 2</Identifier>
        <Explanation>PROJECT WILL INCREASE OVERALL COMMUNITY HEALTH IN LAFAYETTE COUNTY</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt III, Line 2</Identifier>
        <Explanation>BY DECREASING TOBACCO USE AND EXPOSURE TO TOBACCO BY PERSONS OF ALL</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt III, Line 2</Identifier>
        <Explanation>AGES, INCREASING ACCESS TO HEALTHY, FRESH FOOD, AND PROVIDING AN</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt III, Line 2</Identifier>
        <Explanation>ENVIRONMENT THAT ENCOURAGES ACTIVE AND HEALTHY LIFESTYLES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part I, Line 16</Identifier>
        <Explanation>TRAVEL OFFICE EXPENSE AUDIT/ACCOUNTING SERVICES CONTINUING EDUCATION INSURANCE DIRECT EXPENSE INDIRECT EXPENSE CONTRACTS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part II, Line 24</Identifier>
        <Explanation>GRANT AWARDS RECEIVABLE 290684.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <Explanation>SOCIAL INNOVATION FOR MISSOURI: PROJECT WILL INCREASE 38236. 0. 330601. SPECIAL INITIATIVE: A THREE YEAR FINANCIAL FORECAST 15526. 0. 0.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>MISCELLANEOUS 1175. 1175. 0. 0.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>