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        <BusinessNameLine1Txt>HEMPHILL WRIGHT &amp; ASSOCIATES INC</BusinessNameLine1Txt>
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        <AddressLine1Txt>6100 OAK TREE BOULEVARD</AddressLine1Txt>
        <CityNm>Independence</CityNm>
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        <AddressLine1Txt>1791 Alum Creek Drive</AddressLine1Txt>
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      <PersonNm>SHAWN D HOLT</PersonNm>
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        <BookValueAmt>3632472</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11071383</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Assets Held by Others</Desc>
        <BookValueAmt>123630</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Security Interest</Desc>
        <BookValueAmt>450000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Interest Receivable</Desc>
        <BookValueAmt>418158</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>991788</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Medicaid Adv Payment Payablelong t</Desc>
        <Amt>1204256</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1204256</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>33101284</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>33101284</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>33101284</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>36906938</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>36906938</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>36906938</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shawn Holt</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>245000</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>89998</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>334998</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Davis</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>160146</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4680</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>164826</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adam Rowan</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>150890</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150890</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Angela Stewart</PersonNm>
        <TitleTxt>Vice President of HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>164800</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>49025</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>213825</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Finance Committee of the Board of Directors reviews the Form 990 return after it is prepared. The Form 990 return is subsequently distributed to all members of the Board of Directors for their review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of Interest policy is reviewed annually by members of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the President/CEO, other officers and key employees is reviewed and approved by a compensation committee made up of Executive Board Members. The committee uses data from compensation studies of comparable positions with organizations of comparable size and mission/purpose.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent third pary compensation consulting firm was previosuly engaged to create compensation ranges for all key employees of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and the Conflict of Interest policy are available to the general public upon request. Audited financial statements and copies of the Form 990 are provided to funders in accordance with contract requirement and are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Other expenses consist of Physician Services, Nursing Services, Client Assistance, Laboratory, Small Equipment, Training &amp; Education, Photocpy, Printing &amp; Postage and Other Expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>