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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY RANDALL MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>13950</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARRY RATLIFF</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUE RICHMOND</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN SCOTT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI STURGILL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI WEATHERSPOON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TESSA WOODS MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE BROCKMEIER</PersonNm>
        <TitleTxt>EMERITA PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>15.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>415461</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10786</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN LEE</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>386208</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38291</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRETT GORDON</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>245425</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35871</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA MARTIN</PersonNm>
        <TitleTxt>VICE PRESIDENT, TISSUE AND SUPPORT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>303172</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33506</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY MARKLIN</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>457661</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28041</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLIE RESEK</PersonNm>
        <TitleTxt>CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>227105</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35544</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDSEY SPEIR</PersonNm>
        <TitleTxt>VICE PRESIDENT, ORGAN OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>211503</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37210</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK WHITE</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>199296</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32787</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLIE CRUNK</PersonNm>
        <TitleTxt>DIRECTOR HOSP AND FAMILY SUPPORT</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>182980</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16276</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2668361</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>268312</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>31</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3815 E MAIN ST STE C</AddressLine1Txt>
            <CityNm>ST CHARLES</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60174</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COURIER</ServicesDesc>
        <CompensationAmt>1722678</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST LOUIS CREMATION SERVICE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2135 CHOUTEAU</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COURIER</ServicesDesc>
        <CompensationAmt>934167</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BATTLEFIELD COURIER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4403 WEST WESTWOOD DR</AddressLine1Txt>
            <CityNm>BATTLEFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65619</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COURIER</ServicesDesc>
        <CompensationAmt>799580</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRANSPLANT STAFFING SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1442 AVONDALE DR</AddressLine1Txt>
            <CityNm>WESTFIELD</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46074</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SOLUTIONS</ServicesDesc>
        <CompensationAmt>417567</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHERN ILLINOIS MORTUARY SERVICE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>740 FAIRFAX ST</AddressLine1Txt>
            <CityNm>CARLYLE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>62231</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COURIER</ServicesDesc>
        <CompensationAmt>367379</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>13</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>ORGAN AND TISSUE PROCUREMENT REVE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>90352620</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>89678559</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>674061</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5548029</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5548029</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REVENUE FROM AFFILIATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>160769</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>160769</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>96061418</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>990090</TotalRevenueColumnAmt>
        <ExclusionAmt>990090</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>768726</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>1215191</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-446465</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-446465</TotalRevenueColumnAmt>
        <ExclusionAmt>-446465</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2075226</SecuritiesAmt>
        <OtherAmt>104</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3168525</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-1093299</SecuritiesAmt>
        <OtherAmt>104</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1093195</TotalRevenueColumnAmt>
        <ExclusionAmt>-1093195</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PARTNERSHIP INCOME (LOSS)</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>116193</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>72724</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>43469</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>116193</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>95628041</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>95460081</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>717530</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-549570</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>2598254</TotalAmt>
        <ProgramServicesAmt>2598254</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1508271</TotalAmt>
        <ProgramServicesAmt>1468721</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39550</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>23469740</TotalAmt>
        <ProgramServicesAmt>18123842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5345898</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>2117868</TotalAmt>
        <ProgramServicesAmt>1571358</ProgramServicesAmt>
        <ManagementAndGeneralAmt>546510</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3790171</TotalAmt>
        <ProgramServicesAmt>2702801</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1087370</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1813248</TotalAmt>
        <ProgramServicesAmt>1417717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>395531</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>40114</TotalAmt>
        <ProgramServicesAmt>24153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15961</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>99444</TotalAmt>
        <ManagementAndGeneralAmt>99444</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>179307</TotalAmt>
        <ProgramServicesAmt>98584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80723</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>61979</TotalAmt>
        <ProgramServicesAmt>61979</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>2821566</TotalAmt>
        <ProgramServicesAmt>1752977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1068589</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>286112</TotalAmt>
        <ProgramServicesAmt>33384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252728</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>347481</TotalAmt>
        <ProgramServicesAmt>176512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170969</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1978596</TotalAmt>
        <ProgramServicesAmt>280822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1697774</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>241748</TotalAmt>
        <ProgramServicesAmt>529</ProgramServicesAmt>
        <ManagementAndGeneralAmt>241219</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>636107</TotalAmt>
        <ProgramServicesAmt>418428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>217679</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>229084</TotalAmt>
        <ProgramServicesAmt>133231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95853</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>485004</TotalAmt>
        <ManagementAndGeneralAmt>485004</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>2116437</TotalAmt>
        <ProgramServicesAmt>2026207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90230</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>809380</TotalAmt>
        <ProgramServicesAmt>587206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222174</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>IMPORTED ORGAN PROCUREM</Desc>
        <TotalAmt>22325060</TotalAmt>
        <ProgramServicesAmt>22325060</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ORGAN TRANSPORTATION</Desc>
        <TotalAmt>10781143</TotalAmt>
        <ProgramServicesAmt>10781143</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ORGAN PRESERVATION</Desc>
        <TotalAmt>6590563</TotalAmt>
        <ProgramServicesAmt>6590563</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOSPITAL LABORATORY</Desc>
        <TotalAmt>1843413</TotalAmt>
        <ProgramServicesAmt>1843413</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>4467976</TotalAmt>
        <ProgramServicesAmt>4265773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202203</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>91638066</TotalAmt>
        <ProgramServicesAmt>79282657</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12355409</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7605150</BOYAmt>
        <EOYAmt>5117145</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>14444319</BOYAmt>
        <EOYAmt>19628097</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>509101</BOYAmt>
        <EOYAmt>339753</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2267461</BOYAmt>
        <EOYAmt>1213345</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>54862397</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>18298450</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>31192781</BOYAmt>
        <EOYAmt>36563947</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>35055711</BOYAmt>
        <EOYAmt>37514369</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>24647160</BOYAmt>
        <EOYAmt>24629889</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>115721683</BOYAmt>
        <EOYAmt>125006545</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>9592769</BOYAmt>
        <EOYAmt>10795300</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>11356617</BOYAmt>
        <EOYAmt>10698105</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>20949386</BOYAmt>
        <EOYAmt>21493405</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <PersonNm>MARK WHITE</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <PersonNm>CARLIE CRUNK</PersonNm>
        <TitleTxt>DIRECTOR HOSP AND FAMILY SUPPORT</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIANE BROCKMEIER PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SPONSORED BY MID-AMERICA TRANSPLANT SERVICES. DURING THE TAX YEAR, NO CONTRIBUTIONS OR DISTRIBUTIONS OCCURRED FROM THE PLAN.</ExplanationTxt>
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        </IssuerName>
        <CUSIPNum>063671101</CUSIPNum>
        <BondIssuedDt>2013-12-31</BondIssuedDt>
        <IssuePriceAmt>17700000</IssuePriceAmt>
        <PurposeDesc>TO ACQUIRE THE REMAINING 50% INTEREST IN HIGHLANDS PLAZA THREE</PurposeDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>MID-AMERICA TRANSPLANT ENABLES ADULTS AND CHILDREN TO RECEIVE LIFESAVING GIFTS THROUGH ORGAN AND TISSUE DONATIONS. FOR OVER 40 YEARS, IT HAS FACILITATED AND COORDINATED ORGAN AND TISSUE DONATION, AND SERVES 84 COUNTIES COVERING EASTERN MISSOURI, SOUTHERN ILLINOIS AND NORTHEAST ARKANSAS THAT TOGETHER ARE HOME TO 4.7 MILLION PEOPLE. MID-AMERICA TRANSPLANT SAVES LIVES BY PROVIDING EXPERT AND COMPASSIONATE CARE FOR ORGAN DONORS, RECIPIENTS AND FAMILIES, AND TRANSFORMS THE CLINICAL PROCESSES REQUIRED TO RECOVER AND TRANSPLANT ORGANS AND TISSUES. MID-AMERICA TRANSPLANT WAS THE FIRST SUCH ORGANIZATION IN THE U.S. TO USE AN IN-HOUSE OPERATING ROOM FOR ORGAN RECOVERY AND PIONEERED INNOVATIVE MODELS OF INCREASING DONOR REGISTRY ENROLLMENT IN AN EFFORT TO PROVIDE ORGANS AND TISSUES TO THOSE IN NEED. IT IS FEDERALLY DESIGNATED AS ONE OF 56 SUCH ORGANIZATIONS IN THE U.S., A THREE-TIME MISSOURI QUALITY AWARD RECIPIENT, AND THE FIRST ORGAN PROCUREMENT ORGANIZATION TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR PERFORMANCE EXCELLENCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING ON THE BOARD MEMBER INTERNET PORTAL. THE FORM 990 IS PREPARED BY THE INDEPENDENT CPA FIRM THAT ALSO CONDUCTS THE ANNUAL AUDIT. MEMBERS OF SENIOR LEADERSHIP, INCLUDING THE CEO, PERFORM AN IN-DEPTH REVIEW OF THE 990 AS WELL AS RESPOND TO ALL QUESTIONS AND COMMENTS REGARDING THE 990 BY THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL NEW EMPLOYEES COMPLETE A CONFLICTS OF INTEREST DISCLOSURE FORM, AND, DEPENDING UPON ROLE, MANY EMPLOYEES SUBMIT A CONFLICT OF INTEREST FORM ANNUALLY. EMPLOYEES ARE INSTRUCTED TO UPDATE THEIR DISCLOSURES IF CIRCUMSTANCES CHANGE. EMPLOYEE CONFLICTS ARE REVIEWED, ALONG WITH ACCOMPANYING FACTS, BY THE GENERAL COUNSEL AND THE CHIEF ADMINISTRATIVE OFFICERS, AND, AS APPROPRIATE, THE CEO. THESE INDIVIDUALS MAKE A DETERMINATION AS TO WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. DEPENDING UPON THE NATURE OF THE DISCLOSURE, THE MATTER MAY BE REVIEWED AND DISCUSSED WITH THE EXECUTIVE LEADERSHIP TEAM AND/OR THE BOARD OF DIRECTORS. IF NO CONCLUSION OR DETERMINATION CAN BE MADE, THE MATTER SHALL ELEVATE TO THE BOARD OF DIRECTORS FOR FINAL DISCUSSION AND DETERMINATION. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS WITH THE GENERAL COUNSEL, CHIEF ADMINISTRATIVE OFFICER, OR CEO, THE MATTER SHALL BE REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS COMPLETES AN ANNUAL DISCLOSURE FORM, AND IS INSTRUCTED TO UPDATE DISCLOSURES IF CIRCUMSTANCES CHANGE. BOARD OF DIRECTOR CONFLICT OF INTEREST FORMS ARE REVIEWED BY THE COMPLIANCE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE AND THE GENERAL COUNSEL. THESE INDIVIDUALS MAKE A DETERMINATION AS TO WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. DEPENDING UPON THE NATURE OF THE DISCLOSURE, THE MATTER MAY BE REVIEWED AND DISCUSSED WITH THE FULL AUDIT AND COMPLIANCE COMMITTEE, AND, AS APPROPRIATE, THE BOARD OF DIRECTORS FOR FINAL DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MID-AMERICA TRANSPLANT SERVICES HAS A COMPENSATION POLICY THAT REQUIRES ANNUAL REVIEW AND APPROVAL OF OFFICERS AND KEY EMPLOYEES' COMPENSATION BY A COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS COMPRISED OF INDIVIDUALS WITHOUT CONFLICTS OF INTEREST WITH RESPECT TO COMPENSATION REVIEW AND APPROVAL. AN INDEPENDENT EXTERNAL FIRM PROVIDES MARKET COMPETITIVE COMPENSATION DATA FROM COMPARABLE, TAX EXEMPT ORGANIZATIONS AND PUBLISHED SURVEYS AND CONDUCTS A COMPETITIVENESS ASSESSMENT OF MID-AMERICA TRANSPLANT OFFICERS AND KEY EMPLOYEES TO THE MARKET. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. THIS PROCESS LAST TOOK PLACE ON APRIL 30, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT CHANGE THE OVERSIGHT OR THE SELECTION PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
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        <PrimaryActivitiesTxt>QUALITY OF LIFE IMPROVEMENT FOR PEOPLE AFFECTED BY ORGAN AND TISSUE DONATION</PrimaryActivitiesTxt>
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        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
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