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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA BRIGGS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VANDA STEPHENS</PersonNm>
        <TitleTxt>BOARD MEMBER BEGIN 10/22</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARILYN RENTERIA</PersonNm>
        <TitleTxt>BOARD MEMBER BEGIN 03/22</TitleTxt>
        <AverageHoursPerWeekRt>0.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>920811</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>191998</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HEALTH CHOICE NETWORK</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9064 NW 13TH TERR</AddressLine1Txt>
            <CityNm>DORAL</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33172</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECORD SYSTEM</ServicesDesc>
        <CompensationAmt>585806</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MCKESSON</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 634404</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452634404</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>153469</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GRAVITY WORKS ARCHITECTURE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 S STAR</AddressLine1Txt>
            <CityNm>EL DORADO</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REMODEL SERVICES</ServicesDesc>
        <CompensationAmt>103350</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5628526</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>208060</AllOtherContributionsAmt>
      <NoncashContributionsAmt>371910</NoncashContributionsAmt>
      <TotalContributionsAmt>5836586</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>3932767</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3932767</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT INCOME- LYON COUNTY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>650000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>650000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER SERVICE FESS &amp; CONTRACT INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>105391</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>105391</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>18121</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18121</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4706279</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>10264</TotalRevenueColumnAmt>
        <ExclusionAmt>10264</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>20301</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-17301</TotalRevenueColumnAmt>
        <ExclusionAmt>-17301</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>10535828</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4706279</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-7037</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>793336</TotalAmt>
        <ProgramServicesAmt>478386</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314950</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>3473111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>719564</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>365147</TotalAmt>
        <ProgramServicesAmt>303143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62004</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>656079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147005</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>291357</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73014</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>3678</TotalAmt>
        <ManagementAndGeneralAmt>3678</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>79275</TotalAmt>
        <ManagementAndGeneralAmt>79275</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>397875</TotalAmt>
        <ProgramServicesAmt>312750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85125</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>45833</TotalAmt>
        <ProgramServicesAmt>6076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39757</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>123030</TotalAmt>
        <ProgramServicesAmt>40409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82621</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>161003</TotalAmt>
        <ProgramServicesAmt>52473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108530</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>336377</TotalAmt>
        <ManagementAndGeneralAmt>336377</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>29809</TotalAmt>
        <ProgramServicesAmt>15984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13825</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>27296</TotalAmt>
        <ProgramServicesAmt>21263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6033</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>33510</TotalAmt>
        <ProgramServicesAmt>2395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31115</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>349694</TotalAmt>
        <ProgramServicesAmt>25869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>323825</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>17084</TotalAmt>
        <ProgramServicesAmt>9007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8077</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUGS</Desc>
        <TotalAmt>1095067</TotalAmt>
        <ProgramServicesAmt>1095067</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES, DUES, SUBSCRIPTIONS</Desc>
        <TotalAmt>29039</TotalAmt>
        <ProgramServicesAmt>5685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23354</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING &amp; RETENTION</Desc>
        <TotalAmt>28127</TotalAmt>
        <ProgramServicesAmt>23290</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4837</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
        <TotalAmt>304</TotalAmt>
        <ProgramServicesAmt>227</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>9275614</TotalAmt>
        <ProgramServicesAmt>6812571</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2463043</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>397925</BOYAmt>
        <EOYAmt>410378</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>4259910</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>238583</BOYAmt>
        <EOYAmt>340938</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>366383</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>196032</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>383981</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5293384</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3005604</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2287780</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>126921</EOYAmt>
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        <EOYAmt>79140</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>87571</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1422571</EOYAmt>
      </TotalLiabilitiesGrp>
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        <EOYAmt>6240211</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>709541</EOYAmt>
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        <EOYAmt>6949752</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>8372323</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1260214</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3YearsAmt>4111914</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6255944</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5149475</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5836586</CurrentTaxYearAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
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      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus1YearAmt>5149475</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportTotal170Amt>25655296</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>7576</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10264</CurrentTaxYearAmt>
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      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
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      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
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      <TotalSupportAmt>25691110</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>24856210</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99861</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99878</PublicSupportPY170Pct>
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        <PersonNm>RENEE HIVELY</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VISION STATEMENT: THE CAREARC IS THE PROVIDER OF CHOICE FOR EMPLOYING PASSIONATE TEAM-ORIENTED PEOPLE, DELIVERING INCLUSIVE HEALTH SERVICES IN A WARM AND CARING ENVIRONMENT, AND IMPROVING EVERYDAY LIFE FOR A DIVERSE POPULATION. MISSION STATEMENT: TO PROVIDE PERSONALIZED, AFFORDABLE, AND QUALITY HEALTH SERVICES FOR ALL. CORE VALUES: AT CAREARC, PATIENTS AND CLIENTS ARE THE FOCUS OF EVERYTHING WE DO. OUR CORE VALUES SUPPORT THIS FOCUS AND ARE A DAILY REMINDER TO ALWAYS THINK OF THE PATIENT AND CLIENT. WE VALUE: - INTEGRITY: OUR ETHICAL CONDUCT IS THE FOUNDATION FOR A TRUSTING RELATIONSHIP WITH OUR PATIENTS, CLIENTS, EACH OTHER, AND THE COMMUNITIES WE SERVE. - COMPASSION: WE TREAT PATIENTS, THEIR FAMILY MEMBERS, CLIENTS, AND EACH OTHER WITH SENSITIVITY AND EMPATHY. - INNOVATION: WE INFUSE AND ENERGIZE THE ORGANIZATION THROUGH THE CREATIVE IDEAS AND UNIQUE TALENTS OF EACH EMPLOYEE. - STEWARDSHIP: WE SUSTAIN AND REINVEST IN OUR MISSION AND EXTENDED COMMUNITIES BY WISELY MANAGING OUR MATERIAL AND HUMAN RESOURCES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS: THE ORGANIZATION'S TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED BOARD OF DIRECTOR MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES: ENVIRONMENTAL HEALTH: ENVIRONMENTAL HEALTH IS ANOTHER BRANCH OF PUBLIC HEALTH THAT CONCERNS ALL ASPECTS OF THE NATURAL AND BUILT ENVIRONMENT THAT CAN AFFECT HUMAN HEALTH. THE GOAL OF OUR ENVIRONMENTAL HEALTH DEPARTMENT IS TO EDUCATE RESIDENTS ABOUT THE LYON COUNTY SANITATION CODE AND IMPLEMENT IT AS NEEDED. ENVIRONMENTAL HEALTH HANDLES: - EVALUATION AND PERMITTING OF PRIVATE SEWAGE TREATMENT SYSTEMS, SEPTAGE HAULERS AND DOMESTIC WATER SUPPLIES - WATER SCREENING AND PLUGGING ABANDONED WATER WELLS - SCHOOL INSPECTION - INVESTIGATION OF ENVIRONMENTAL HEALTH HAZARDS - EDUCATION SESSIONS FOR PRIVATE WASTE WATER SYSTEM CONTRACTORS - PUBLIC EDUCATION ON ISSUES RELATED TO ENVIRONMENTAL HEALTH - EMERGENCY PREPAREDNESS THROUGH PLANNING AND RESPONSE CHILD CARE LICENSING: THE GOAL OF OUR LICENSING PROGRAM IS TO REDUCE THE RISK OF PREDICTABLE HARM TO CHILDREN WHILE THEY ARE NOT IN THEIR HOME ENVIRONMENT. WITH FEW EXCEPTIONS, ANYONE WHO PROVIDES CARE FOR CHILDREN (OTHER THAN THOSE RELATED BY BLOOD, MARRIAGE OR ADOPTION) MUST BE LICENSED WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT, REGARDLESS OF WHY THEY PROVIDE THE CARE OR IF THERE IS ADVERTISEMENT OF OR PAYMENT FOR SERVICES, ACCORDING TO KANSAS LAW. WE ARE HERE TO HELP WITH THAT PROCESS IN CHASE, COFFEY, LYON, MORRIS AND WABAUNSEE COUNTIES. - INFORMATION: WE OFFER RESOURCES FOR THOSE INTERESTED IN BECOMING A LICENSED CHILD CARE PROVIDER. - CONSULTATIONS: WHEN A CURRENT OR POTENTIAL CHILD CARE PROVIDER HAS QUESTIONS, WE CAN OFFER CONSULTATIONS (UPON REQUEST) TO HELP GET THEM THE RIGHT INFORMATION AND RESOURCES TO PROVIDE GREAT CARE FOR CHILDREN. - ORIENTATION: ORIENTATION IS REQUIRED FOR EACH PROSPECTIVE PROVIDER. CONTACT THE CHILD CARE LICENSING SPECIALIST FOR A ONE-ON-ONE APPOINTMENT. - INSPECTIONS: WE CONDUCT INITIAL INSPECTIONS OF DAY CARE HOMES AND CENTERS TO VERIFY COMPLIANCE WITH STATE REGULATIONS. - VISITS: ANNUAL EVALUATION VISITS ARE CONDUCTED FOR EACH LICENSED FACILITY. - COMPLAINTS/INVESTIGATIONS: WHEN THERE ARE COMPLAINTS INVOLVING ILLEGAL CARE OR NON-COMPLIANCE WITH REGULATIONS, WE CONDUCT INVESTIGATIONS. WOMEN, INFANTS AND CHILDREN (WIC): WIC SERVES PREGNANT, BREASTFEEDING AND POSTPARTUM WOMEN; INFANTS; AND CHILDREN (UP TO AGE 5); WHO MEET INCOME GUIDELINES AND MEDICAL OR NUTRITIONAL RISK. THE DEPARTMENT PROVIDES SUPPLEMENTAL FUNDS FOR NUTRITIOUS FOOD, AS WELL AS NUTRITION COUNSELING. WIC ALSO PROVIDES BREASTFEEDING EDUCATION AND ASSISTANCE. LACTATION CONSULTANTS ARE AVAILABLE WITH A BREASTFEEDING PEER COUNSELOR OR AN INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANT. A BREASTFEEDING SUPPORT GROUP AND PRENATAL BREASTFEEDING AND COOKING CLASSES ARE ALSO AVAILABLE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AMENDED THEIR BYLAWS AND MADE THE FOLLOWING SIGNIFICANT CHANGES TO THEIR GOVERNING DOCUMENTS: - UPDATED THEIR NAME TO CAREARC, INC. (FORMERLY KNOWN AS THE FLINT HILLS COMMUNITY HEALTH CENTER). - UPDATED THEIR MISSION TO STATE, "TO PROVIDE PERSONALIZED, AFFORDABLE, AND QUALITY HEALTH SERVICES FOR ALL."</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO WILL REVIEW THE 990 IN DETAIL AND THE FORM 990 WILL BE SENT VIA EMAIL TO ALL BOARD MEMBERS BEFORE THE FORM IS FILED WITH THE IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE BOARD OF DIRECTORS HAS ADOPTED A POLICY WITH RESPECT TO CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST INVOLVING PERSONS WHO ARE NOMINATED TO OR HAVE BEEN ELECTED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE POLICY SHALL BE REVIEWED PERIODICALLY BY THE BOARD OF DIRECTORS AND MAY BE MODIFIED FROM TIME TO TIME. THE POLICY SHALL ALSO INCLUDE REQUIREMENTS WITH RESPECT TO EMPLOYEES AND CONSULTANTS OF THIS CORPORATION TO THE EXTENT DEEMED APPROPRIATE BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION: THE CEO'S SALARY IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY. THE BOARD USES A NACHC SALARY SURVEY AND KAMU SALARY SURVEY WHEN REVIEWING THE CEO'S COMPENSATION. THIS EVALUATION USUALLY INCLUDES DETERMINATION OF A SALARY ADJUSTMENT OF A CERTAIN PERCENTAGE. THIS PROCESS IS NOT DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS WILL BE DISTRIBUTED UPON REQUEST TO ANY MEMBER OF THE PUBLIC.</ExplanationTxt>
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</Return>
