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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>173897</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12278</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT BROWN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>283075</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18100</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2538693</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>192918</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>33</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KAIALLIANCE LC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2060 CRAIGSHIRE KAI DESIGN</AddressLine1Txt>
            <CityNm>STLOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63146</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION/DESIGN</ServicesDesc>
        <CompensationAmt>431972</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SSM MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 736014</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OB/GY PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>315591</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ANGELA MCKISSIC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7420 SALEEN COURT</AddressLine1Txt>
            <CityNm>UNIVERSITY CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63130</ZIPCd>
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        <ServicesDesc>FINANCE/ACCOUNTING CONSULTING SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>13916219</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4105837</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>2913084</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2913084</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>781240</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>501358</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>490018</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>22707756</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>69276</TotalRevenueColumnAmt>
        <ExclusionAmt>69276</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>22425</TotalRevenueColumnAmt>
        <ExclusionAmt>22425</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INCENTIVES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>455943</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>455943</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PCAC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>185534</TotalRevenueColumnAmt>
        <ExclusionAmt>185534</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>34113</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>277235</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>154690</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>18111192</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1734616</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>18366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110124</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>118117</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>953100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123806</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>567453</TotalAmt>
        <ProgramServicesAmt>493893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73560</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>874090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130185</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>217348</TotalAmt>
        <ProgramServicesAmt>189173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28175</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>62010</TotalAmt>
        <ProgramServicesAmt>53972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8038</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>131508</TotalAmt>
        <ManagementAndGeneralAmt>131508</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>966214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82371</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>325238</TotalAmt>
        <ManagementAndGeneralAmt>325238</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>2061859</TotalAmt>
        <ProgramServicesAmt>2061859</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>401215</TotalAmt>
        <ProgramServicesAmt>349205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52010</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT EXPENSE</Desc>
        <TotalAmt>305643</TotalAmt>
        <ProgramServicesAmt>266022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39621</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>202501</TotalAmt>
        <ProgramServicesAmt>176251</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26250</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>525075</TotalAmt>
        <ProgramServicesAmt>490117</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>37871672</TotalAmt>
        <ProgramServicesAmt>34522209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3349463</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1213156</BOYAmt>
        <EOYAmt>3459727</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>470648</BOYAmt>
        <EOYAmt>1159106</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>5311709</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>285152</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>280582</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      </InvestmentsPubTradedSecGrp>
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        <EOYAmt>680971</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>28339417</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <DeferredRevenueGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1582003</EOYAmt>
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        <EOYAmt>886490</EOYAmt>
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        <EOYAmt>20689561</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>20731686</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>23890121</BOYAmt>
        <EOYAmt>28339417</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-3899009</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>5827863</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <HospitalInd>X</HospitalInd>
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        <CurrentTaxYearMinus3YearsAmt>15709011</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11720514</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9122962</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10497616</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>15709011</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11720514</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9122962</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10497616</CurrentTaxYearAmt>
        <TotalAmt>61201273</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>141435</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>141408</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>141451</CurrentTaxYearMinus1YearAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>557307</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2846054</CurrentTaxYearMinus2YearsAmt>
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      <GrossReceiptsRltdActivitiesAmt>76310172</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.87440</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2020 AMOUNT: $ 671,936. 2021 AMOUNT: $ 86,020. 2022 AMOUNT: $ 115,556. 2023 AMOUNT: $ 126,777. 2024 AMOUNT: $ 30,966. MGMT FEES-HOPEWELL - 2020 AMOUNT: $ 250,724. 2021 AMOUNT: $ 334,872. 2022 AMOUNT: $ 860,063. 2023 AMOUNT: $ 1,041,746. MGMT FEES-PCAC - 2020 AMOUNT: $ 132,820. 2021 AMOUNT: $ 129,992. 2022 AMOUNT: $ 223,696. 2023 AMOUNT: $ 150,083. 2024 AMOUNT: $ 185,534. MEDICAL ABSTRACTS - 2020 AMOUNT: $ 6,938. 2021 AMOUNT: $ 6,423. 2022 AMOUNT: $ 2,446. 2023 AMOUNT: $ 1,522. 2024 AMOUNT: $ 3,147. MCD/MCR SETTLEMENT - 2022 AMOUNT: $ 619,293. PROPERTY INS SETTLEMENT - 2022 AMOUNT: $ 1,025,000. INCENTIVES - 2023 AMOUNT: $ 506,350. 2024 AMOUNT: $ 455,943.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>1293428</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1293428</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>17442220</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10205317</DepreciationAmt>
        <BookValueAmt>7236903</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>1000387</DepreciationAmt>
        <BookValueAmt>780179</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>8327787</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7197165</DepreciationAmt>
        <BookValueAmt>1130622</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1377903</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1377903</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11819035</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>29042</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>EST AMOUNTS DUE FROM MEDICAID</Desc>
        <BookValueAmt>3667134</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>3696176</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>453000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES</Desc>
        <Amt>343383</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>90107</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>39802</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>12042798</OtherRevenueAmt>
      <RevenueNotReportedAmt>12082600</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>33972663</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>46846464</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>8974792</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>8974792</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>37871672</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>37871672</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF MAY 31, 2025, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2022 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATIONS REVENUE 12,388,091. INTERCOMPANY ELIMINATIONS -345,293.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATIONS EXPENSES 9,320,085. INTERCOMPANY ELIMINATIONS -345,293.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <DeferredCompensationFlngOrgAmt>12154</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>348311</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT BROWN</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>301175</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN RICHARDSON</PersonNm>
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        <DeferredCompensationFlngOrgAmt>9098</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>287847</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK SANFORD</PersonNm>
        <TitleTxt>EXECUTICE VICE PRESIDENT</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8692</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7194</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251921</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLOS PIRELA-GOMEZ</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>185918</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2659</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23649</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212226</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GAIL MONTGOMERY-EDWARDS</PersonNm>
        <TitleTxt>VP OF CLINICAL SERVICES</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6866</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>196409</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARIANE MAY</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIRK A WASHINGTON</PersonNm>
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        <TotalCompensationFilingOrgAmt>186175</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD GRIFFIN</PersonNm>
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        <TotalCompensationFilingOrgAmt>184779</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GITA MALUR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAVIER VALLEJO</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14091</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>158950</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
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    </IRS990ScheduleJ>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>52784</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, COULMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 WITH THE BOARD'S FINANCE COMMITTEE PRIOR TO SUBMITTAL. THE FORM 990 IS ALSO REVIEWED BY THE CFO AND THE ACCOUNTING STAFF MEMBERS WITH RESPONSIBILITY FOR COMPILING THE DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE CONFLICT OF INTEREST POLICY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY CERTIFY THAT THEY DO NOT HAVE A CONFLICT OF INTEREST. THERE IS CURRENTLY NO CONSISTENT MONITORING OF THE POLICY, HOWEVER, THE ORGANIZATION IS IN THE PROCESS OF DEVELOPING PROCEDURES TO ADDRESS MONITORING AND ENFORCEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE BOARD IN CONSULTATION WITH THE CEO. SOME KEY EMPLOYEES RECEIVE EMPLOYMENT CONTRACTS WHICH ARE BASED ON NEGOTIATIONS BETWEEN THE PARTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,079,914. MANAGEMENT AND GENERAL EXPENSES 64,882. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,144,796.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSET TRANSFER FROM AMANDA LUCKETT MURPHY HOPEWELL CENTER 5,827,863.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 20:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER, AND IS EXCLUDED FROM THE DEFINITION OF A GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION.</ExplanationTxt>
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          <BusinessNameLine1Txt>PEOPLE'S COMMUNITY ACTION CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5701 DELMAR BLVD</AddressLine1Txt>
          <CityNm>SAINT LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>COMMUNITY ACTION CORPORATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>2012 DR MARTIN LUTHER KING DR</AddressLine1Txt>
          <CityNm>SAINT LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63101</ZIPCd>
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        <EIN>431496431</EIN>
        <PrimaryActivitiesTxt>BEHAVIOR HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PEOPLE'S HEALTH SUPPORTIVE SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>5701 DELMAR BLVD</AddressLine1Txt>
          <CityNm>SAINT LOUIS</CityNm>
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        </USAddress>
        <EIN>431844750</EIN>
        <PrimaryActivitiesTxt>LOW INCOME HOUSING FOR PERSONS WITH DISABILITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PEOPLE'S HEALTH AND HOUSING SERVICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5701 DELMAR BLVD</AddressLine1Txt>
          <CityNm>SAINT LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63112</ZIPCd>
        </USAddress>
        <EIN>431844752</EIN>
        <PrimaryActivitiesTxt>LOW INCOME HOUSING FOR THE ELDERLY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PEOPLE'S COMMUNITY ACTION CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>185534</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGEMENT FEES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMANDA LUCKETT MURPHY HOPEWELL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>5827863</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>