<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-11-02T14:27:05-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-03-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>261136632</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SEAVER &amp; FORCK CPAS</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>3523 AMAZONAS DR</AddressLine1Txt>
        <CityNm>JEFFERSON CITY</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>65109</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-04-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>431266696</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MISSOURI FAMILY HEALTH COUNCIL INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>MISS</BusinessNameControlTxt>
      <PhoneNum>5736364060</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 104475</AddressLine1Txt>
        <CityNm>JEFFERSON CITY</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>651104475</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MICHELLE TRUPIANO</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>5736364060</PhoneNum>
      <SignatureDt>2023-10-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>MICHELLE</PersonFirstNm>
        <PersonLastNm>TRUPIANO</PersonLastNm>
      </PersonFullName>
      <SSN>888008888</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JAMIE SEAVER</PreparerPersonNm>
      <PTIN>P00295629</PTIN>
      <PhoneNum>5736365507</PhoneNum>
      <PreparationDt>2023-11-01</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc7">
      <PrincipalOfficerNm>KATHERINE PATTERSON-PARONTO</PrincipalOfficerNm>
      <GrossReceiptsAmt>8714024</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.MFHC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1981</FormationYr>
      <LegalDomicileStateCd>MO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO CHAMPION ACCESS FOR EVERY INDIVIDUAL TO CULTURALLY SENSITIVE, QUALITY,SEXUAL AND REPRODUCTIVE HEALTH EDUCATION AND SERVICES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>14</TotalEmployeeCnt>
      <TotalVolunteersCnt>39</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>8437988</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>8643117</CYContributionsGrantsAmt>
      <CYProgramServiceRevenueAmt>10108</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>10063</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>4158</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>20238</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>23971</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>8468289</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>8681354</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>6647851</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>6822662</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1078251</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1252820</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>693744</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>588790</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>8419846</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>8664272</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>48443</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>17082</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1043703</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1286399</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>327022</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>571632</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>716681</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>714767</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO CHAMPION ACCESS FOR EVERY INDIVIDUAL TO CULTURALLY SENSITIVE, QUALITY,SEXUAL AND REPRODUCTIVE HEALTH EDUCATION AND SERVICES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>8482186</ExpenseAmt>
      <GrantAmt>6822662</GrantAmt>
      <Desc>TO ENSURE REPRODUCTIVE HEALTH CARE AND EDUCATION ARE AVAILABLE AND ACCESSIBLE TO MISSOURIANS, ESPECIALLY THOSE WHO ARE ECONOMICALLY DISADVANTAGED AND GROUPS THAT ARE UNDERSERVED. MISSOURI FAMILY HEALTH COUNCIL, INC. SERVED 36,596 CLIENTS IN THE FISCAL YEAR ENDING MARCH 31, 2023.</Desc>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>104253</ExpenseAmt>
        <Desc>MISSOURI FAMILY HEALTH COUNCIL PROVIDES PROGRAMMING FOCUSED ON REMOVING COST BARRIERS, IMPROVING ACCESS, CONTRACEPTIVE EQUITY, AND SUPPORTING HEALTH CENTERS THROUGH QUALITY TRAINING, ANALYSIS, AND COLLABORATION, INCLUDING STAKEHOLDER ENGAGEMENT AND MOBILIZATION.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>104253</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>8586439</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc6">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc6">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>12</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>14</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>LINDA TROWER</PersonNm>
        <PhoneNum>5736364060</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1909 SOUTHRIDGE DR</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65109</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE TRUPIANO</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>133227</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRACEY ALLEN-EHRHART</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATE BRENNAN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY FRUEH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VANIA GLADNEY</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIANNELLA HALSALL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH LANDAU</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEA LEE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE PATTERSON-PARONTO</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUSTYN PIPPINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHIMENE SCHWACH</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE VOLKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAM XAVERIUS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>133227</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>5472500</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3170617</AllOtherContributionsAmt>
      <TotalContributionsAmt>8643117</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>TRAINING &amp; OTHER PROGRAM REV</Desc>
        <TotalRevenueColumnAmt>10108</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10108</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>10108</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4624</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4402</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>222</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>32204</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>32670</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-466</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-466</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-466</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>EXPENSE REIMBURSEMENTS FPCA</Desc>
        <TotalRevenueColumnAmt>23971</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23971</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>23971</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8681354</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38015</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>222</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>6822662</TotalAmt>
        <ProgramServicesAmt>6822662</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>994698</TotalAmt>
        <ProgramServicesAmt>982674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12024</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>27068</TotalAmt>
        <ProgramServicesAmt>26564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>504</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>152113</TotalAmt>
        <ProgramServicesAmt>150598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1515</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>78941</TotalAmt>
        <ProgramServicesAmt>77689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1252</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>25512</TotalAmt>
        <ProgramServicesAmt>25512</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21085</TotalAmt>
        <ProgramServicesAmt>21085</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>306027</TotalAmt>
        <ProgramServicesAmt>306027</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>39729</TotalAmt>
        <ProgramServicesAmt>35719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4010</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>44862</TotalAmt>
        <ProgramServicesAmt>23164</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21698</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>40326</TotalAmt>
        <ProgramServicesAmt>27044</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13282</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>11952</TotalAmt>
        <ProgramServicesAmt>7557</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4395</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>21350</TotalAmt>
        <ProgramServicesAmt>16007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5343</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>12943</TotalAmt>
        <ProgramServicesAmt>7457</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5486</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>7488</TotalAmt>
        <ManagementAndGeneralAmt>7488</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>10932</TotalAmt>
        <ProgramServicesAmt>10823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES/MEMBERSHIPS/SUB</Desc>
        <TotalAmt>35801</TotalAmt>
        <ProgramServicesAmt>35715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STAFF TRAINING/RECRUITMEN</Desc>
        <TotalAmt>5889</TotalAmt>
        <ProgramServicesAmt>5649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INTERN PROGRAM</Desc>
        <TotalAmt>3700</TotalAmt>
        <ProgramServicesAmt>3700</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>685</TotalAmt>
        <ProgramServicesAmt>554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>509</TotalAmt>
        <ProgramServicesAmt>239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>270</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>8664272</TotalAmt>
        <ProgramServicesAmt>8586439</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77833</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>406497</BOYAmt>
        <EOYAmt>643027</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>52120</BOYAmt>
        <EOYAmt>52342</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>43989</BOYAmt>
        <EOYAmt>115135</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>35612</BOYAmt>
        <EOYAmt>2940</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>21359</BOYAmt>
        <EOYAmt>11596</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>357574</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>131072</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>233990</BOYAmt>
        <EOYAmt>226502</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>250136</BOYAmt>
        <EOYAmt>234857</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>1043703</BOYAmt>
        <EOYAmt>1286399</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>102463</BOYAmt>
        <EOYAmt>198516</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>224559</BOYAmt>
        <EOYAmt>373116</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>327022</BOYAmt>
        <EOYAmt>571632</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>716681</BOYAmt>
        <EOYAmt>714767</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>716681</BOYAmt>
        <EOYAmt>714767</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1043703</BOYAmt>
        <EOYAmt>1286399</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>17082</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-18996</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5910590</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6463447</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7231274</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8437988</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8643117</CurrentTaxYearAmt>
        <TotalAmt>36686416</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5910590</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6463447</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7231274</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8437988</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8643117</CurrentTaxYearAmt>
        <TotalAmt>36686416</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>36686416</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1039</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1017</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>104</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>104</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>222</CurrentTaxYearAmt>
        <TotalAmt>2486</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus3YearsAmt>7694</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9764</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19238</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>36696</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>36725598</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>42225</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99890</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99880</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc4">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>551</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>5352</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>5903</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>8656812</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>8662715</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>583136</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>145784</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>476043</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>510302</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>571217</CurrentYearMinus1Amt>
        <CurrentYearAmt>583136</CurrentYearAmt>
        <TotalAmt>2140698</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>3211047</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>313048</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1152</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1470</CurrentYearMinus1Amt>
        <CurrentYearAmt>5903</CurrentYearAmt>
        <TotalAmt>321573</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>119011</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>127576</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>142804</CurrentYearMinus1Amt>
        <CurrentYearAmt>145784</CurrentYearAmt>
        <TotalAmt>535175</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>802763</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>36048</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>848</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1022</CurrentYearMinus1Amt>
        <CurrentYearAmt>551</CurrentYearAmt>
        <TotalAmt>38469</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>80000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>80000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6625</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1814</DepreciationAmt>
        <BookValueAmt>4811</BookValueAmt>
      </BuildingsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>270949</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>129258</DepreciationAmt>
        <BookValueAmt>141691</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>226502</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8681354</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>8681354</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>8681354</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8664272</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>8664272</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>8664272</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BETTY JEAN KERR PEOPLES</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>HEALTH CENTER</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5701 DELMAR BLVD</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63112</ZIPCd>
        </USAddress>
        <RecipientEIN>431036785</RecipientEIN>
        <CashGrantAmt>25908</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOONE COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1005 WEST WORLEY STREET</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65203</ZIPCd>
        </USAddress>
        <RecipientEIN>436000810</RecipientEIN>
        <CashGrantAmt>179097</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BUTLER COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1619 N MAIN</AddressLine1Txt>
          <CityNm>POPLAR BLUFF</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63901</ZIPCd>
        </USAddress>
        <RecipientEIN>431070380</RecipientEIN>
        <CashGrantAmt>281681</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONTRACEPTIVE CHOICE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4533 CLAYTON AVE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
        </USAddress>
        <RecipientEIN>430653611</RecipientEIN>
        <CashGrantAmt>371394</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST MO ACTION AGENCY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 308</AddressLine1Txt>
          <AddressLine2Txt>403 PARKWAY DRIVE</AddressLine2Txt>
          <CityNm>PARK HILLS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63601</ZIPCd>
        </USAddress>
        <RecipientEIN>430838255</RecipientEIN>
        <CashGrantAmt>345106</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY CARE HEALTH CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 HOLLY HILLS AVENUE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63111</ZIPCd>
        </USAddress>
        <RecipientEIN>237076112</RecipientEIN>
        <CashGrantAmt>281391</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FORDLAND CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1059 BARTON DR</AddressLine1Txt>
          <CityNm>FORDLAND</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65652</ZIPCd>
        </USAddress>
        <RecipientEIN>431791656</RecipientEIN>
        <CashGrantAmt>84917</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREEN HILLS COMMUNITY ACTION AGENCY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1506 OKLAHOMA AVENUE</AddressLine1Txt>
          <CityNm>TRENTON</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64683</ZIPCd>
        </USAddress>
        <RecipientEIN>430828205</RecipientEIN>
        <CashGrantAmt>158850</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JEFFERSON COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>405 MAIN STREET</AddressLine1Txt>
          <CityNm>HILLSBORO</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63050</ZIPCd>
        </USAddress>
        <RecipientEIN>431390883</RecipientEIN>
        <CashGrantAmt>312003</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KATY TRAIL COMMUNITY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>821 WESTWOOD</AddressLine1Txt>
          <CityNm>SEDALIA</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65301</ZIPCd>
        </USAddress>
        <RecipientEIN>431879853</RecipientEIN>
        <CashGrantAmt>30296</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OZARKS AREA COMMUNITY ACTION CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>215 SOUTH BARNES AVENUE</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65802</ZIPCd>
        </USAddress>
        <RecipientEIN>430836672</RecipientEIN>
        <CashGrantAmt>387564</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLANNED PARENTHOOD OF ST LOUIS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4251 FOREST PARK AVENUE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63108</ZIPCd>
        </USAddress>
        <RecipientEIN>430652666</RecipientEIN>
        <CashGrantAmt>1813113</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLANNED PARENTHOODGREAT PLAINS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4401 W 109TH STREET</AddressLine1Txt>
          <AddressLine2Txt>SUITE 200</AddressLine2Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
        </USAddress>
        <RecipientEIN>440565390</RecipientEIN>
        <CashGrantAmt>981906</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOCIAL WELFARE BOARD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>907 S TENTH STREET</AddressLine1Txt>
          <AddressLine2Txt>SUITE A</AddressLine2Txt>
          <CityNm>ST JOSEPH</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64503</ZIPCd>
        </USAddress>
        <RecipientEIN>446000455</RecipientEIN>
        <CashGrantAmt>209471</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST LOUIS COUNTY DEPT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6121 N HANLEY</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63134</ZIPCd>
        </USAddress>
        <RecipientEIN>436003242</RecipientEIN>
        <CashGrantAmt>346843</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STODDARD COUNTY PUBLIC HEALTH CENTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 277</AddressLine1Txt>
          <CityNm>BLOOMFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63825</ZIPCd>
        </USAddress>
        <RecipientEIN>436000593</RecipientEIN>
        <CashGrantAmt>381023</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CHILDREN'S MERCY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2401 GILLHAM ROAD</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64108</ZIPCd>
        </USAddress>
        <RecipientEIN>440605373</RecipientEIN>
        <CashGrantAmt>221060</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRI-RIVERS FAMILY PLANNING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1032 KINGSHIGHWAY</AddressLine1Txt>
          <CityNm>ROLLA</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65401</ZIPCd>
        </USAddress>
        <RecipientEIN>430965532</RecipientEIN>
        <CashGrantAmt>125000</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIG SPRINGS MEDICAL ASSOCATION INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MISSOURI HIGHLANDS HEALTHCARE</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 S SECOND STREET</AddressLine1Txt>
          <CityNm>ELLINGTON</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63638</ZIPCd>
        </USAddress>
        <RecipientEIN>431068291</RecipientEIN>
        <CashGrantAmt>68027</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PIKE COUNTY MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2305 GEORGIA STREET</AddressLine1Txt>
          <CityNm>LOUISIANA</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63353</ZIPCd>
        </USAddress>
        <RecipientEIN>436002764</RecipientEIN>
        <CashGrantAmt>80730</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPECTRUM HEALTH CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1123 WILKES BOULEVARD</AddressLine1Txt>
          <AddressLine2Txt>SUITE 100</AddressLine2Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65201</ZIPCd>
        </USAddress>
        <RecipientEIN>431633822</RecipientEIN>
        <CashGrantAmt>72501</CashGrantAmt>
        <PurposeOfGrantTxt>FAMILY PLANNING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DENT COUNTY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1010 E SCENIC RIVERS BLVD</AddressLine1Txt>
          <CityNm>SALEM</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65560</ZIPCd>
        </USAddress>
        <RecipientEIN>430790260</RecipientEIN>
        <CashGrantAmt>8781</CashGrantAmt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CURAE PHARMA 360 INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 850075</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55485</ZIPCd>
        </USAddress>
        <RecipientEIN>460978720</RecipientEIN>
        <CashGrantAmt>56000</CashGrantAmt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR 1/3RD OF THE SUBRECIPIENTS OF TITLE X FUNDING ARE SUBJECT TO AN ON-SITE REVIEW OF ADMINISTARATION, FISCAL AND CLINICAL ACTIVITIES. EACH SUBRECIPIENT IS ALSO REQUIRED TO FILE QUARTERLY REVENUE, EXPENDITURE AND COMMUNITY PARTICIPATION REPORTS, DATA FILES MONTHLY, AND A COPY OF THEIR ANNUAL AUDIT. ALL SUBRECIPIENTS ARE RESPONSIBLE FOR MONITORING THEIR SUBCONTRATORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSOURI FAMILY HEALTH COUNCIL PROVIDES PROGRAMMING FOCUSED ON REMOVING COST BARRIERS, IMPROVING ACCESS, CONTRACEPTIVE EQUITY, AND SUPPORTING HEALTH CENTERS THROUGH QUALITY TRAINING, ANALYSIS, AND COLLABORATION, INCLUDING STAKEHOLDER ENGAGEMENT AND MOBILIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE SENT AN ELECTRONIC COPY OF THE 990 BEFORE FILING. A COPY OF THE 990 WILL ALSO BE INCLUDED IN THE BOARD PACKETS ONCE THE 990 HAS BEEN FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT EACH BOARD MEETING, THE BOARD PRESIDENT REITERATES MFHC CONFLICT OF INTEREST POLICY AND REQUESTS DISCLOSURE OF ANY CONFLICTS. ANNUALLY, ALL MEMBERS MUST SIGN THE CONFLICT OF INTEREST FORM DISCLOSING ANY CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINED BY USING THE FOLLOWING REFERENCES: ASAE &amp; THE CENTER FOR ASSOCIATION LEADERSHIP, GUIDESTAR AND AN ANNUAL PERFORMANCE REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
