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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>900010</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>80326</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2756934</GovernmentGrantsAmt>
      <TotalContributionsAmt>2756934</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4807948</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4807948</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>24077</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
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      <NetGainOrLossInvestmentsGrp>
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      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>119414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214573</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ManagementAndGeneralAmt>913797</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ManagementAndGeneralAmt>105498</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>457990</ProgramServicesAmt>
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        <ProgramServicesAmt>228818</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>171218</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>203994</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>88823</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>23891</ProgramServicesAmt>
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      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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      </ConferencesMeetingsGrp>
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      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>59397</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>578749</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES, DUES, SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>13869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302366</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
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        <ProgramServicesAmt>7226</ProgramServicesAmt>
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      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>4441578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2434883</ManagementAndGeneralAmt>
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      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>1832446</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>987243</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>468984</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>false</FSAuditedInd>
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      <TotalDirectLobbyingGrp />
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      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
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      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
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      <OtherActivitiesInd>true</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1(I)</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING EXPENDITURES: THE ORGANIZATION PAYS ANNUAL DUES TO THE KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED (KAMU), A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
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        <BookValueAmt>46787</BookValueAmt>
      </LandGrp>
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        <DepreciationAmt>17399</DepreciationAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>811565</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>602283</DepreciationAmt>
        <BookValueAmt>209282</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>150739</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>46278</DepreciationAmt>
        <BookValueAmt>104461</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>998487</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>7605095</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>3240</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>3240</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7601855</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>7601855</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6879701</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>3240</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>3240</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6876461</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>6876461</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM B MIDDLETON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>136987</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>592</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6908</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9846</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154333</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JEAN PRINGLE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>249312</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4450</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10248</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9185</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>273195</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICE ACCOMPLISHMENTS: HEART OF KANSAS FAMILY HEALTH CARE OFFERS CHRONIC DISEASE TREATMENT OF DIABETES, HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL. HEART OF KANSAS FAMILY HEALTH CARE ALSO HOSTS A SUPPORT GROUP FOR DIABETICS. HEART OF KANSAS FAMILY HEALTH CARE ALSO PROVIDES TWO DIFFERENT PROGRAMS TO HELP OUR PATIENTS OBTAIN AFFORDABLE QUALITY PRESCRIPTIONS. 1. THE PRESCRIPTION ASSISTANCE PROGRAM (PAP) PROVIDES MEDICATION AT VERY LOW OR NO COST TO ELIGIBLE LOW AND FIXED INCOME PATIENTS. 2. THE 340B PRESCRIPTION PROGRAM PROVIDES MEDICATIONS TO PATIENTS AT A HUGE DISCOUNT OFF OF RETAIL PHARMACY PRICES. THIS PROGRAM IS AVAILABLE TO ALL CLINIC PATIENTS REGARDLESS OF INCOME LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE ORGANIZATION'S FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE RETURN IS REVIEWED BY MEMBERS OF TOP MANAGEMENT AND A FINAL DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY DIRECTOR SHALL BE DISCLOSED TO THE OTHER DIRECTORS, AND MADE A MATTER OF RECORD WHEN THE INTEREST BECOMES A MATTER FOR BOARD ACTION, AND SUCH DIRECTOR SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER AND SHALL NOT BE COUNTED IN THE QUORUM FOR A MEETING WHEN BOARD ACTION IS TO BE TAKEN ON THE INTEREST. THESE REQUIREMENTS SHALL NOT BE CONSTRUED AS PREVENTING THE MEMBER FROM BRIEFLY STATING HIS/HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER DIRECTORS. ALL ACTIONS TAKEN ON MATTERS WHICH INVOLVE A POSSIBLE CONFLICT OF INTEREST SHALL CLEARLY REFLECT, IN THE MINUTES OF SUCH ACTION, THAT THE ABOVE REQUIREMENTS HAVE BEEN MET. A CONFLICT OF INTEREST MAY EXIST WHERE A DIRECTOR IS DIRECTLY OR INDIRECTLY A PARTY TO A TRANSACTION, IF THE CORPORATION IS A PARTY TO THE TRANSACTION AND ANOTHER PARTY TO THE TRANSACTION IS AN ENTITY IN WHICH THE DIRECTOR HAS A MATERIAL FINANCIAL INTEREST, OR OF WHICH THE DIRECTOR IS AN OFFICER, DIRECTOR OR GENERAL PARTNER. EACH BOARD MEMBER HAS A FIDUCIARY DUTY TO THE CORPORATION AND MUST GIVE IT HIS/HER LOYALTY. THE BOARD OF DIRECTORS SHALL ESTABLISH, ADOPT AND PERIODICALLY UPDATE, A WRITTEN CORPORATE POLICY THAT ESTABLISHES PROCEDURES FOR MAINTAINING CONFIDENTIALITY AND FOR DISCLOSING AND ADDRESSING CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST BY BOARD MEMBERS, OFFICERS, EMPLOYEES, CONSULTANTS AND/OR AGENTS WHO PROVIDE SERVICES OR FURNISH GOODS TO THE CORPORATION. NO BOARD MEMBER SHALL BE AN EMPLOYEE OF THE CORPORATION, OR SPOUSE, CHILD, PARTNER, BROTHER OR SISTER, BY BLOOD OR MARRIAGE, OF AN EMPLOYEE. NO BOARD MEMBER OF THE CORPORATION IS ELIGIBLE TO BECOME AN EMPLOYEE OF THE CORPORATION UNTIL A PERIOD OF NOT LESS THAN THIRTY (30) DAYS HAS ELAPSED, AFTER BOARD MEMBER HAS COMPLETED THEIR SERVICE AS A BOARD MEMBER. SAID BOARD MEMBER MUST REMOVE HIM/HERSELF FROM THE BOARD FOR THIS THIRTY (30) DAY PERIOD PRIOR TO APPLYING FOR EMPLOYMENT WITH THE CORPORATION. THE POSITION FOR EMPLOYMENT THAT EXISTS WITHIN THE CORPORATION IN WHICH SAID BOARD MEMBER IS INTERESTED IN MUST BE ADVERTISED AND INTERVIEWED FOR IN THE SAME MANNER AS ANY OTHER POSITION OPENING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW: THE BOARD REVIEWS THE CEO'S SALARY USING NATIONAL COALITION ON HEALTH CARE (NCHC) AND KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED (KAMU) COMPARABILITY DATA. THE OCCURRENCE OF THIS REVIEW IS DOCUMENTED IN THE BOARD OF DIRECTORS MINUTES. THE LATEST REVIEW OCCURRED IN 2022. THE CEO REVIEWS THE COMPENSATION OF ALL OTHER OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: THE FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC FOR VIEWING AT THE ORGANIZATION'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
