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        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN G KELLY</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>395282</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD R KASITZ</PersonNm>
        <TitleTxt>VICE PRESIDENT/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>177467</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17202</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>J MICHAEL KELLER</PersonNm>
        <TitleTxt>VICE PRESIDENT/COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>192452</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12280</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALLERIE GLEASON</PersonNm>
        <TitleTxt>VICE PRESIDENT/PHYSICIAN S</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>186333</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11171</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THEODORE R COOK</PersonNm>
        <TitleTxt>CHIEF MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>276187</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14464</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN LIVERMORE MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>518861</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23951</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES PIGG MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>492749</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12458</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES CRAIG MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>402647</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8922</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LOVELLE MD</PersonNm>
        <TitleTxt>PLASTIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>434446</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20734</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL BOGNER MD</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>303153</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6412</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3614485</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>147433</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>35</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HUTTON CONSTRUCTION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>2229 S WEST ST</AddressLine1>
            <City>WICHITA</City>
            <State>KS</State>
            <ZIPCode>67213</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUILDING/CONSTRUCTION</ServicesDesc>
        <CompensationAmt>623136</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ARMSTRONG CHAMBERLIN</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>7540 S SENECA</AddressLine1>
            <City>HAYSVILLE</City>
            <State>KS</State>
            <ZIPCode>67060</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING</ServicesDesc>
        <CompensationAmt>405930</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>AMERICAN RED CROSS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 730040</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75373</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BLOOD SERVICE</ServicesDesc>
        <CompensationAmt>400800</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>CASCADE HEALTH SERVICES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1045 SWIFT AVE</AddressLine1>
            <City>NORTH KANSAS CITY</City>
            <State>MO</State>
            <ZIPCode>64116</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING</ServicesDesc>
        <CompensationAmt>385828</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MEDICAL STAFFING NETWORK</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 202996</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>753202996</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING</ServicesDesc>
        <CompensationAmt>320144</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>19</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>790069</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>82914</AllOtherContributionsAmt>
      <TotalContributionsAmt>872983</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>49631927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49631927</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PMTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18901395</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18901395</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DIETARY SERVICES</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>572859</TotalRevenueColumnAmt>
        <ExclusionAmt>572859</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NON-PATIENT SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>105268</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>105268</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>69046</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>69046</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>8612</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>8612</UnrelatedBusinessRevenueAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>69289107</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1067654</TotalRevenueColumnAmt>
        <ExclusionAmt>1067654</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>9134</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>9134</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>9134</TotalRevenueColumnAmt>
        <ExclusionAmt>9134</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>9668618</SecuritiesAmt>
        <OtherAmt>70500</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>9685138</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-16520</SecuritiesAmt>
        <OtherAmt>70500</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>53980</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>53980</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>RENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>982450</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>954425</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>28025</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMB &amp; MISC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>707388</TotalRevenueColumnAmt>
        <ExclusionAmt>707388</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>246402</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>246402</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>33642</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33642</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1969882</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>73262740</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>69927039</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>105683</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2357035</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>70026</TotalAmt>
        <ProgramServicesAmt>70026</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>2947</TotalAmt>
        <ProgramServicesAmt>2947</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1626550</TotalAmt>
        <ProgramServicesAmt>572964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1053586</ManagementAndGeneralAmt>
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        <TotalAmt>30055131</TotalAmt>
        <ProgramServicesAmt>26193484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3792000</ManagementAndGeneralAmt>
        <FundraisingAmt>69647</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>489503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88616</ManagementAndGeneralAmt>
        <FundraisingAmt>1274</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3338160</TotalAmt>
        <ProgramServicesAmt>2820263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>510559</ManagementAndGeneralAmt>
        <FundraisingAmt>7338</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1708231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>309244</ManagementAndGeneralAmt>
        <FundraisingAmt>4445</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>207704</TotalAmt>
        <ManagementAndGeneralAmt>207704</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>41395</TotalAmt>
        <ManagementAndGeneralAmt>41395</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>95351</TotalAmt>
        <ManagementAndGeneralAmt>95351</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>5510149</TotalAmt>
        <ProgramServicesAmt>4089720</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1420271</ManagementAndGeneralAmt>
        <FundraisingAmt>158</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>396585</TotalAmt>
        <ProgramServicesAmt>101128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>295457</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
        <TotalAmt>1077530</TotalAmt>
        <ProgramServicesAmt>776654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299772</ManagementAndGeneralAmt>
        <FundraisingAmt>1104</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>95977</TotalAmt>
        <ProgramServicesAmt>51421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44169</ManagementAndGeneralAmt>
        <FundraisingAmt>387</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>101750</TotalAmt>
        <ProgramServicesAmt>69150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32505</ManagementAndGeneralAmt>
        <FundraisingAmt>95</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>860643</TotalAmt>
        <ProgramServicesAmt>588039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>271868</ManagementAndGeneralAmt>
        <FundraisingAmt>736</FundraisingAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>3361347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1215127</ManagementAndGeneralAmt>
        <FundraisingAmt>1578</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>315057</ProgramServicesAmt>
        <ManagementAndGeneralAmt>300089</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>11765116</TotalAmt>
        <ProgramServicesAmt>11366889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>397972</ManagementAndGeneralAmt>
        <FundraisingAmt>255</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>3569256</TotalAmt>
        <ProgramServicesAmt>3569256</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS/MAINTENANCE</Desc>
        <TotalAmt>2080308</TotalAmt>
        <ProgramServicesAmt>1477497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>602811</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAID ASSESSMENT</Desc>
        <TotalAmt>496293</TotalAmt>
        <ManagementAndGeneralAmt>496293</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1076413</TotalAmt>
        <ProgramServicesAmt>458642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>598319</ManagementAndGeneralAmt>
        <FundraisingAmt>19452</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>70261795</TotalAmt>
        <ProgramServicesAmt>58082218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12073108</ManagementAndGeneralAmt>
        <FundraisingAmt>106469</FundraisingAmt>
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      <JointCostsInd>X</JointCostsInd>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2778091</BOYAmt>
        <EOYAmt>3794058</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>8980607</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>1132489</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1607664</BOYAmt>
        <EOYAmt>1695216</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1746059</BOYAmt>
        <EOYAmt>1611564</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>83216858</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>46094044</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>37122814</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>33902236</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>360567</BOYAmt>
        <EOYAmt>421473</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>85069901</BOYAmt>
        <EOYAmt>88660457</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>5875640</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>16715000</BOYAmt>
        <EOYAmt>15805000</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>151872</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>847923</BOYAmt>
        <EOYAmt>861321</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>23061959</BOYAmt>
        <EOYAmt>22693833</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>62005502</BOYAmt>
        <EOYAmt>65957660</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>2440</BOYAmt>
        <EOYAmt>8964</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>62007942</BOYAmt>
        <EOYAmt>65966624</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>85069901</BOYAmt>
        <EOYAmt>88660457</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3000945</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>960833</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-3096</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <ExplanationTxt>BAD DEBT EXPENSE</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>BAD DEBT EXPENSE</ExplanationTxt>
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          <BusinessNameLine1>NEWTON MEDICAL CENTER</BusinessNameLine1>
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        <USAddress>
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          <State>KS</State>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>NEWTON MEDICAL CENTER</BusinessNameLine1>
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        <FacilityNum>1</FacilityNum>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <DevelopCommunityWidePlanInd>X</DevelopCommunityWidePlanInd>
        <ExecCommunityWidePlanInd>X</ExecCommunityWidePlanInd>
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        <AdoptBudgetInd>X</AdoptBudgetInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <PrioritizeServicesInd>X</PrioritizeServicesInd>
        <AllNeedsAddressedInd>1</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>1</FPGUsedDeterEligFreeCareInd>
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        <FPGUsedDetermEligDscntCareInd>1</FPGUsedDetermEligDscntCareInd>
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        <ExplainedBasisInd>1</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <UninsuredDiscountInd>X</UninsuredDiscountInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <ResidencyInd>X</ResidencyInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AttachedToInvoiceInd>X</AttachedToInvoiceInd>
        <PostedInEmergencyRoomInd>X</PostedInEmergencyRoomInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
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        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
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        <FormAndLineReferenceDesc>NEWTON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: REPRESENTATIVES FROM NEWTON MEDICAL CENTER, HARVEY COUNTY HEALTH DEPARTMENT, HEALTH MINISTRIES, PRAIRIE VIEW INC, AND THE CONSULTANT/FACILITATOR CONDUCTED THREE MEETINGS; A VARIETY OF COMMUNITY MEMBERS WERE INVITED AND IN ATTENDANCE. THE GROUP WAS DIVERSE AND REPRESENTED ALL SEGMENTS OF THE COMMUNITY. MEETINGS WERE APPROXIMATELY AN HOUR AND A HALF IN LENGTH. THE TEAM MEMBERS, WITH INPUT FROM THE CONSULTANT, PREPARED AND CONDUCTED A SURVEY OF COMMUNITY ATTITUDES AND ISSUES REGARDING HEALTH AND HEALTH CARE IN THE COUNTY. PARTICIPANTS INCLUDED CONSUMERS, COMMUNITY LEADERS, PUBLIC HEALTH CARE OFFICIALS AND EXPERTS, ECONOMIC AND COMMUNITY DEVELOPMENT SPECIALISTS. THE MEETINGS WERE CONDUCTED ON OCTOBER 23, 2012, OCTOBER 30, 2012 AND NOVEMBER 6, 2012.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NEWTON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 4: PRAIRIE VIEW, INC.</ExplanationTxt>
      </SupplementalInformationGrp>
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      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ORTHOPEDIC PHYSICIAN CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>800 MEDICAL CENTER DR 2ND FLOOR</AddressLine1>
            <City>NEWTON</City>
            <State>KS</State>
            <ZIPCode>67114</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>NEWTON SURGICAL GROUP</BusinessNameLine1>
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          <USAddress>
            <AddressLine1>800 MEDICAL CENTER DR 2ND FLOOR</AddressLine1>
            <City>NEWTON</City>
            <State>KS</State>
            <ZIPCode>67114</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>MEDICAL PLAZA OF VALLEY CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>641 N SENECA</AddressLine1>
            <City>VALLEY CENTER</City>
            <State>KS</State>
            <ZIPCode>67147</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>LOVELLE PLASTIC SURGERY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>700 MEDICAL CENTER DR STE 110</AddressLine1>
            <City>NEWTON</City>
            <State>KS</State>
            <ZIPCode>67114</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>MEDICAL PLAZA OF PARK CITY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1755 E 61ST ST N</AddressLine1>
            <City>PARK CITY</City>
            <State>KS</State>
            <ZIPCode>67219</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ADVANCED NEUROLOGY CONSULTANTS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>800 MEDICAL CENTER DR STE 210</AddressLine1>
            <City>NEWTON</City>
            <State>KS</State>
            <ZIPCode>67114</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>AREA PSYCHIATRIC SERVICES</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>700 MEDICAL CENTER DR STE 101</AddressLine1>
            <City>NEWTON</City>
            <State>KS</State>
            <ZIPCode>67114</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>DIABETES &amp; ENDOCRINOLOGY SPECIALISTS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>800 MEDICAL CENTER DR 2ND FLOOR</AddressLine1>
            <City>NEWTON</City>
            <State>KS</State>
            <ZIPCode>67114</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>MEDICAL PLAZA OF SEDGWICK</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>520 N COMMERCIAL AVE</AddressLine1>
            <City>SEDGWICK</City>
            <State>KS</State>
            <ZIPCode>67135</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ALLEN EYE ASSOCIATES</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>700 MEDICAL CENTER DR STE 110</AddressLine1>
            <City>NEWTON</City>
            <State>KS</State>
            <ZIPCode>67114</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>MEDICAL PLAZA OF HILLSBORO</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>122 N MAIN ST</AddressLine1>
            <City>HILLSBORO</City>
            <State>KS</State>
            <ZIPCode>67063</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
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        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>USED THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) $3,569,256</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS REPORTED ON LINE 2, WAS CALCULATED USING WORKSHEET A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE AMOUNT REPORTED ON LINE 3, THE ORGANIZATION LOOKED AT ALL ACCOUNTS TURNED TO BAD DEBT THAT DID NOT/WERE NOT DISCOUNTED OR WRITTEN-OFF TO CHARITY. INCLUDED ALL MEDICAID ACCOUNTS BASED ON INCOME REQUIREMENTS FOR THAT PROGRAM BEING STRICTER THAN THE ORGANIZATION'S HEALTH CARE ASSISTANCE GUIDELINES. ALSO REVIEWED MOST ALL SELF-PAY BAD DEBT ACCOUNT NOTES AND MADE THE ESTIMATE TO INCLUDE THOSE ACCOUNTS THAT A) HAD CONTACT AND DISCUSSION WITH PATIENT FINANCIAL SERVICES DEPARTMENT AND B) DID NOT RETURN PROOF OF INCOME EITHER IN PART OR ENTIRETY AND C) WERE UNEMPLOYED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FROM THE AUDITED FINANCIAL STATEMENTS, THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECITON INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICLA WRITE-OFF EXPERIENCE BY PAYER CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT EXPENSE TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE CORPORATION. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>USED THE F/Y 2014 MEDICARE COST REPORT COST TO CHARGE RATIO TO DETERMINE THE CURRENT YEAR MEDICARE ALLOWABLE COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHO DO NOT HAVE INSURANCE OR DO NOT QUALIFY FOR MEDICAID MAY APPLY FOR FINANCIAL ASSISTANCE THROUGH THE HEALTHCARE ASSISTANCE PROGRAM. PATIENTS WITH OUTSTANDING BILLS AFTER ALL INSURANCE PAYMENTS HAVE BEEN RECEIVED MAY APPLY FOR ASSISTANCE FOR THE REMAINING BALANCE ON THEIR ACCOUNT THROUGH THIS PROGRAM, WITHIN 240 DAYS OF THE DATE OF THEIR FIRST BILL. PATIENTS ARE NOTIFIED OF THE PROGRAM THROUGH THE BROCHURE "PAYING FOR YOUR CARE", AS WELL AS VERBAL NOTIFICATION EACH TIME THEY ARE CONTACTED REGARDING THEIR BILL. ON THE BACK OF EACH STATEMENT IS THE ONE PAGE "PLAIN LANGUAGE SUMMARY" WHICH IS ALSO AVAILABLE ON THE ORGANIZATION WEBSITE. THIS IS PROVIDED IN ENGLISH AND SPANISH. ALL PATIENTS/GUARANTORS QUALIFYING FOR PARTIAL WRITE-OFF OF THE BILL MUST AGREE TO A MINIMUM PAYMENT PLAN AS SET UP BY THE FINANCIAL COUNSELOR. ACCOUNTS TURNED TO COLLECTION CAN APPLY FOR THE HEALTHCARE ASSISTANCE PROGRAM IF DONE SO WITHIN 240 DAYS OF THE FIRST STATEMENT DATE, IN COMPLIANCE WITH 501(R) REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>CENTRAL KANSAS COUMMUNITY FOUNDATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>301 N MAIN SUITE 201</AddressLine1>
          <City>NEWTON</City>
          <State>KS</State>
          <ZIPCode>67114</ZIPCode>
        </USAddress>
        <RecipientEIN>481221368</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>20026</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MANAGEMENT SERVICES</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>PROVIDE MANAGEMENT SERVICES TO COMMUNITY FOUNDATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>PRAIRIE VIEW INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1901 E FIRST STREET</AddressLine1>
          <City>NEWTON</City>
          <State>KS</State>
          <ZIPCode>67114</ZIPCode>
        </USAddress>
        <RecipientEIN>480642318</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>PINE STREET BUILDING RENOVATIONS</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>1</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOYLE DETWEILER MD</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS/HOSPITA</TitleTxt>
        <BaseCompensationFilingOrgAmt>184339</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4889</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12350</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201578</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN G KELLY</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9438</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>412650</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD R KASITZ</PersonNm>
        <TitleTxt>VICE PRESIDENT/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>177467</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4852</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12350</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194669</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J MICHAEL KELLER</PersonNm>
        <TitleTxt>VICE PRESIDENT/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>192452</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5174</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7106</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>204732</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALLERIE GLEASON</PersonNm>
        <TitleTxt>VICE PRESIDENT/PHYSICIAN S</TitleTxt>
        <BaseCompensationFilingOrgAmt>186333</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4918</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6253</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197504</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THEODORE R COOK</PersonNm>
        <TitleTxt>CHIEF MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>276187</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2114</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12350</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>290651</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RYAN LIVERMORE MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>518861</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11601</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12350</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>542812</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES PIGG MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>492749</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12458</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>505207</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES CRAIG MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>402647</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8922</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>411569</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN LOVELLE MD</PersonNm>
        <TitleTxt>PLASTIC SURGEON</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8770</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11964</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>455180</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL BOGNER MD</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>303153</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6412</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>309565</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS TRAVEL EXPENSES FOR THE SPOUSE OF THE CEO PER HIS CONTRACT AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVES AND EMPLOYED PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN THE ORGANIZATION'S 457(B) PLAN WHICH IS FUNDED THROUGH ELECTIVE DEFERRALS ONLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>VARIOUS PHYSICIANS ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON THE DIFFERENCE IN THEIR ANNUAL SALARY AND 50% OF THE TOTAL NET COLLECTIONS OF THEIR PRACTICE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>TAX-EXEMPT ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2007A</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>486004391</BondIssuerEIN>
        <CUSIPNum>652872AB8</CUSIPNum>
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        <PurposeDesc>BUILDINGS AND STRUCTURES</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
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        </IssuerName>
        <BondIssuerEIN>486004391</BondIssuerEIN>
        <CUSIPNum>652874BP2</CUSIPNum>
        <BondIssuedDt>2008-08-21</BondIssuedDt>
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        <PurposeDesc>REFUNDING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>7500000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>121912</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>7378088</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>11385000</TotalProceedsAmt>
        <RefundingEscrowAmt>1226075</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>158925</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2008</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
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        <ExplanationTxt>BOARD MEMBER &amp; INTERIM CLINIC MANAGER, JOCELYN KASITZ IS THE MOTHER OF CFO, TODD KASITZ</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION 990 IS REVIEWED IN DETAIL BY THE CFO PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE COMPLIANCE COMMITTEE REVIEWS CONFLICTS OF INTEREST ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPENSATION INFORMATION OBTAINED FROM THE KANSAS HOSPITAL ASSOCIATION AND OTHER SOURCES TO DETERMINE THE APPROPRIATENESS OF THE CEO SALARY AND OTHER OFFICERS' COMPENSATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS INFORMATION IS TYPICALLY NOT AVAILABLE TO THE PUBLIC</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>CASH RECEIVED</MethodOfAmountDeterminationTxt>
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